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^ APPLICATIC� 1 FOR CONSTRUCT �N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT � HEATIIJG SYST[M: k�AS J ELECTRIC U � <br /> 259-8d 10 <br /> DEMOLITION CQMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> OYMER MNl ADDHF.55 !:itv IiP PIIONf. <br /> �E.t���kBC�.��O_1'1�S��y f�SE.—fc�Lz�w1_E�$29��3"I -?f33(� _ <br /> TEN�N� MAII�ODNE55 Cliv 7iP PNONE <br /> AfiC��REL10R �NE�MAII.RDURE55 GiV IIP PNONE <br /> sI4N F� -- <br /> GENERALGONTRI.CIOR MAiI�DpPEsS GTV liP PNON[ ,/ STRTEIICENSE/ <br /> �' K�tif SF.G IS3� <br /> MECNRNICRLCONifiRCTO�R�� ,,M�AIIpDDf1E5S �7 CRY Z�V PMON,E, � .1 STATEIICFN5E1 <br /> ���� �,.1�� K 4�f�Q� 1�1/�. �C'J�1eO�F� ? — <br /> PLUMBINO CONiRpLTOR MMl�DORE55 Lrtv IiP PrqNE ST�TE IICENSE� <br /> 1�ou r.irr�� r.1 V � � u] _ t�1C, ST��1rs�+�'g_ �`'�-- o2�1°i ? - <br /> C1A550F WORN <br /> �LNEW ADDITION ALTEFAI�ION REPAIP DEMOLITION WOODSTOVE/FRPL INSERT BUILDING FiELOCATION <br /> ,//f CONtACT PEN504�NO P/NONF-NO ' ,_- '^ <br /> fpNTR�CT PPICE OF WORN �J J�/ 7� (kV►�{ pn�'l�t�R.��y�T`r_ �� g <br /> OESCRIBE WORI(�ND SOUARE FOOTAGC M�OIVED <br /> K4„� Cb�! �358 S.F <br /> PROPOSEDUSEOFBUILOINC i HEREBV CERTIFV THAT I HAVE READ AND E%IIMINED THIS <br /> ^j f � APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LW�L DESCRIPTIONOf PROPEiiY ISNOWNBELOW Ofl�TTACHFOIIRCOPIES� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> WORK WILL BE GOMPLETED WITH WHE7HER SPECIFIcD HEREIN OR <br /> ioT� e�ocK ov NOT. THE GRANTING OF A PERMIT DOES NOT PRE:iUME TO GIVE <br /> � AUTHORITV TO VIOLATE OR CANCEL THE PROVIE��ONS OF ANV <br /> �f"� � 1 OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OF THE <br /> PERFOFiMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br /> S��,I. �y �.�� QQ ��� OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> l�( APPLICATION IS MADE AND I COMPLV WITH THE STAlE <br /> CONTRACTORS LAW 18.27 RCW AND'296200 WAC. <br /> '�?�S�_��e n�i�R,�f�it'� x — t2 �{ 9� <br /> PRPIECTRODRE55 s�cr�eiu . n [ <br /> cnreusa[ssiirnisi r�n <br /> PLUMOINO MECHANICAL <br /> N0. TVPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATEH CLOSET(TOILET) // A'C—ArHNDIG UNITS—H.P, <br /> BATHTUB � FORCED AIR SVSTEMS—B.LU. M E.A. <br /> LAVATORV(WASH BASIN� J/ UNIT HEATERS—B.T.U. M � <br /> �— <br /> SHOWER CLOTHES DRYERS / <br /> � SITCHEN SINH 8 DISP f VENTILATION FAN ' <br /> 1 DISHWASNER RANGE HOOD �— <br /> LAUNDRV TRAV �i — � WATER NEATER ' <br /> � CLOTHES WASHER � 1 WOODSTOVE <br /> URINAL � METAL FIREPLACE 8 CHIMNEV ' — <br /> DRINKING FOUNTAIN FIPEPLACE INSERT _ <br /> FLOOR DRAIN HEAT PUMP _ <br /> BACKFI.OW PREVENTERS GAS PIPING � <br /> --f-- <br /> FOOF URAINS—RAINLEADERS EXHAUST FAN�' _ <br /> SINK�SERVICE—BAR.ETC.) <br /> — -t-- <br /> � <br /> SUBTOTAL 3 � ; SUBTOTAL S _ <br /> PERMIT S PEFMI7 S <br /> TOTALFEE $ 70TALFE[ S <br /> FOR OFFICE USE ONLY: ' ' U' � <br /> FRONTLEtBACK RFRR54ARCN SIDESEtBACM PIANCNECNN B[R �!E RELEIPT O <br /> 2,D � ��� �� ':'` � . � 7 �� �'� <br /> use zoNe ior nara J� ��C�Ni SRE FEES VALUATION FEE <br /> � � C� Bl11LDING '� Q' _ , 5 22;S� <br /> lYP(OIGONISAlIOY�ABI[ IVPEO�C�NSI�GIOr1l a[ur�ry�r xorocwni�y,ue^v — — — <br /> �``/ ��_——"' �q"—� --- FWhIBING _ �f/ — <br /> J� � ' — `� �-_— <br /> i�siD S No or STUniES I FlaSfM[Nr MECHANICAL �_� <br /> OCCUP�V 10�0 FlRE SPRNNlE4SRE00 �I�EIGM IIM'ITo^eTi�N/ ADDITIONAL PLAN CHECN /7�G/ <br /> A L�_ �+�aE� /(� - <br /> fiE�50N OR SPPINNIFRS -- r <br /> STATLBUIIDINGSUFCHARG[ I �l �J <br /> INTAMF BV �'l/NS�PPROVL�Pv CITY OF EVERE7T PUBIJG WORKS � i � '� <br /> LOCAL SALES — <br /> � Z8 � � TAX CODE IS 3105 rora� Z ' <br />