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APPLICATIC 1 FOR CONSTRUCT" lh PERMIT � <br /> TO BE COMPLETEO IN BLACK INK—PLEASE PRINT <br /> -- _ _-- _ . ----- <br /> BUILDING DEPARTMENT _HEATING S�STEM: j�GAS J ELECTRIC ..) _____ -� <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING i MECHANICAL !PLUMBING SIGN <br /> oWNER p1a�l4t)oHLSS i �h )m PHONE <br /> BOB $ BARB AYER 6525 BEVERLY BVD. EVERETT, WA. 98203 353 1761 <br /> — --__.. — -- -- _ <br /> reHeHi n�nu annet sc �n� — ,� rNo��r <br /> r�R H__F,I.ECTRIC-2120—&L1CKE&___�YERETT____.WA.__98201_____258 3469 <br /> 6RCNITEG10RpLs�I:NCn R�N�AD[�RCSS Oiv :m pnoN[ <br /> AYEB._�4NSTRUCTION, INC,_G525�averly__Bivd._ E_verett� Wa. 98203 353-1761 <br /> GENER�LCONT{i�CTO� M1IAiIApDRC55 Ciiv ;�r pr�ONE STAt[LiCENSE/ <br /> AYEB�"QnBT�I��T�QIy,_INC,_ 6525 BEVERLY BLVD. EVERETT,_ WA AYERC +F+F3141 Z <br /> AIECN�NIC�LCONiRRC10R I.�Al1 ���RF55 CI1V p�r �IIONf S1MFlICENSE� <br /> CEM HEATING INC. 2133 E, Section, Mt Vernon, Wa._ 98273 CEM NEI*136KG <br /> PIIIMBMGCONiR�CiOR MARAOORE55 CRv pir nuONf Si�fEULENSEI <br /> �LLO.00O.00 <br /> CONINAGT PRICE O[WORK . <br /> �ESCRIB[WORN�ND SOU4RE POOI�GE iNVOIVED f.CN1nCt PERSON RNp PHONE NO <br /> NEW 3.000 SQ. FT. SINGLE STORY <br /> ni.nr.r R wonn coNSTEI1�TION i HEREBV CCFTIFV THAT I HAVE READ AND EXAMINED THIS <br /> rRoroseo use or oun.omc � APPLICATION AND KNOW tHE SAME TO BE iRUE AND CORRECT.ALL <br /> eHmn Fi F!`TDT�� �� Qi7.' ��(' .,[N�C� /iJ�`.- PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> �eceioescairnoHOF�nocearv,sNowNeeiowonnrrncHTwocor s WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> ior �� R �A RiocK —I]3D-- �r PI.AZQF�YEA�.'IT NOT. THE GFANIING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> RECORDED IN VOLUME 3 PLATS PAGE 32 OTHER STATE OR LOCAL LAW FEGULATING CONSTRUCTION OR THE <br /> . - -----"-----�-- — PERFOPMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br /> 4391-630-017-0004 OWNEF OF TFIIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> r�ace�*exioNuueea — APP�ICATION IS MADE AND I COMPLV WITH THE ST�ATE <br /> BOB AYER CONTRAC70RS LAW�827 RCW AND 296200 WAC <br /> f,ONSTRUGTIONIOANIGNDER ADDRESS TEIEPNONENUMBER � <br /> ��-30-`�.S <br /> PROJECTADDHESS � I ,�.������ �- — — - o+�e <br /> �/� 1.�,�. OO�' �. �'l.s _ —.n.:��Te,-,.,.— <br /> PLUMBINO MECHANICAL f <br /> NO. TYPE OF FIXTUHE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILET) pG—A�HNOLG UNITS—H.P. <br /> BATHTUB ' FORCED AIR SVSTEMS—B.T.U. M E.A. <br /> 1 LAVATORV(WASH BASIN) Z IT HEATERS—B.i.U. M ZO OOO � <br /> OWER CL ES DRVERS <br /> KI HEN SINK 8 DISP VENTIL ION FAN <br /> DISH ASHER RANGE H D <br /> 1 LAUND VTRAV 1 WATER HEA <br /> CLOTHES ASHER WOODSTOVE i <br /> URINAL ' �METALFIREPLACE OODBURNING� <br /> DRINKING FO TAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAi PUMF —�— <br /> BACKF�OW PREVE TERS GAS PIPING ' <br /> ROOF DRAINS—RAIN ADERS E%HAUST FAN <br /> SINK(SEFVICE—BAR.E .) <br /> i � <br /> SUBTOTAL $ SUBTOTAL S i' <br /> PERMIT $ J r PERMIT $ <br /> TOTALFEE $ TOTALFEE $ <br /> FOR OFFICE USE ONLY: �/�� "�=� <br /> FRONi5E1B�CN �� PE�RSELB�CK SI�F9E1qAfH� P��NCr�I'CkN�IRIfffP FfE HECFIPiNO <br /> �� � ' y <br /> use 1oNe � ior nne� vec�NT srte FEES VALUATION fEE <br /> — � i�VES NO ewi.oiac. . Y J c -� p� 00 ����� � .-T <br /> LVPIOiCON51 NOOFSiORIES -i���e�+ w�n�nwnrxnrq•� —... . �' L�—�—" -I � �---)" <br /> ��, /� � �'�'� PWM�ING <br /> SIIE OF 9lOG FIRE SPRINNlERS RFOD BASFMF.NL MFCHANICAL � <br /> 2 9 q o �v o ves ✓f�o <br /> � <br /> OCCIIPANCYLORO flREAIARMRE00 MEIGNTli6ULAtION A�DI?IONALPLANCHFCN i <br /> I�0 �V �,CJ � O7HER <br /> RE�SON --�---� <br /> STATE BUIIDING SURCHARGE �� � <br /> INTANE BV PlANS APP 1V�,n. � 1�� -CITY OF EVERETT PUBLIC WORN$ � <br /> ; fr, LOCAI SALES <br /> „�,� ,/ �.�,� TAX COUE IS 3105 iOTAL ��,� �n� <br />