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,:.-. � <br /> APNLICATION FOR CONSTRV�:TION "'� � <br /> PERIVIIT � <br /> mo[�»�o,.e� <br /> GIi Y OF r�rn•II <br /> everett e <br /> BUILOING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK- PLEASE PRINT <br /> � rrH�r�r �t�11._J.�_l�__ Mu��non�ss��-� i ... f_�G'�7 _ L�.C.�Lt��_._�L� i,��,w L JO(a� <br /> Htn Men�uunex <br /> I <br /> o � ��i.:�l 1'� I� C �„��: �i.__.K g�o�_35�-11�_ <br /> ! H V� <br /> y �� -- �- — -- ---� �---- <br /> 1RCHIIELfORDEEiONER M�iL�00PES9 L11Y ZI� V1�ONf <br /> �d � <br /> OENEN4C iRALTOR M�IL�DDPt59 GiY PIP PHONC I�CENSE• <br /> y y� ME���iFI�GlO� MAIL WONESS CIIY 21P PIIONE LIGENSf� <br /> �TI Z <br /> o ^ _ <br /> f� RIIMBINOCONia.lf.l00 MMLADORE99 CItV TIP PHONE UCEN9E• <br /> 0 �"I <br /> __—'—__"— -__"._____ ..__ <br /> ��� CUS90f VqPpn � �y - .-.. --�-- " <br /> � �,,,� ❑ NEW py, �DDITION lq AITER�TION ❑ REP�IR ❑ DEMOLITION ❑ WOODSTOVHFRPL INSERT ❑ BUIL�INQ RELOC�TION <br /> __ —'_ _"— .T - __ _ <br /> �f] �EN�NTIMPFWEMEN�ORINIERIORRFM�i11E�ONLY � CON��CIPEFSON�NOVHONCNO /�L�� 3}j-7�� <br /> /� �J /{� / n <br /> H CAN'PACiPRICEOfWORK ��(IO _ �ICI _Cr�.t.I.��ICiwJI��.�l,�l� J17�(�y(�, <br /> y OEBGRiBEWORK�N090U�P[i001�OE�NVO�VE0�7�'X�� /lni S� ) )IC�J ���'" <br /> ! <br /> ��y� �YC1�171.�(Cl__"'i r �_r-I !.�cf�l-���1� �-�1c7l1�tStl— G�Yi�-_�.DU��n�_ <br /> vuocos¢ouse rauuoiHa <br /> �1�'! , IMEREBYCERTIFVTIIATIMAVEREADANDE AMMEDiHISAPPLICAiIONAN� <br /> [9 ` � KNOW`HE SAME TO BE TRUE ANO COPRECT ALl PROVISIONS OF LAWS AND <br /> H Vi ��� ^�� ��� �� O��INnNCES GOVERNING THIS TYPE O�1YOFN WILI BE COMPLETEO WITH <br /> 0�/j lE6ALDESLPIPII orPncPEnivISHONNBFioWoaenecrfOURCOPiEW W��f.iHEqSPEGFlEDNEREINORNOTiNEGRANTINGOFAVERMITDOESNOT <br /> PHFSUME TO GNE AUTIIO�ITV TOVIOLATE 0f7 CANCEI'HE PROVISIONS Of <br /> LOi B�OCK Ov _ -�- � pNVOTHEF5T4TEORLOCALLAWREGUTATINGCONSTRUCTIONORTNEPER� <br /> FO�M4NCE OF CONSTRUCiION TMAT 1 AM AUTHORIZED BV THF OWNER OF <br /> TNIS PROPERiV TO PERfORM TM[WO�N FpR WHICM 4PPLIC4TION IS MADE <br /> ---- - �N� I COSIPLV WITN TME STAi[ CONiRACTORS I.�W 1921 RCW AND � <br /> 296700 WO <br /> SifiqplUp � ON1nIUnP(14nVbnin�llbGrlM Ontl <br /> X � / �� `fo 16 �% <br /> vaoecr�ooness - '- '_-- - _�'^_""�.-�1-�'�L ��'_'___. __� ' <br /> ♦�I�{���MSOIvOUYM �r ���NP�USiN(iN�ul. <br /> � lU � �c2,_� ,f�'CA , � .� %3 <br /> PLUMBINO MECHANICRL <br /> NO. 7YPE OF FIXTURE OR ITEM FEE NO. TYPE OP EOUIPMENT FEE <br /> • � WATERCLOSET�TOILED A/G-n;HNDLGUNrtS-11P <br /> _ - -_'__ . --_ --. - _ .__ __-_ <br /> �� BATNTUB FORC[OnIRS�STEIAS- BTU MCA <br /> _ -'_—'_---______ _"' _ _. <br /> � '� LAVATORYIWASHBASIN� _ UNITHEATERS�- fl7U A1 ._ _ <br /> � SNOWER CLOTh1E5 DRY[RS <br /> 1 - '_ -- _ _ _ _ - - _ <br /> KITCHENSINH6DISP. VF.NTILFTIpNFAN _ _ _ <br /> f ��� DISNWASMEF . —' ___ ___.____ __. �/+NGEHOOD . . ..._- __ _ .. <br /> I LAUNDRV TRAV WATER HEATER <br /> , CLOTMESWASMER WOODSTOVE <br /> _-_- _ .. . __ ... _ _ . . <br /> i URINAL � M[iFL RREPIACE A CHIMNEV <br /> �_ _ DRINKINGFOUNTAIN -- - �IREPLACEINS[RT ---_ ,_ - - <br /> �- FLOOR DRAIN ��f.nT PUMP <br /> BACKFLOW PPEVENTERS Gn5 PIPING <br /> .-- _. _._ '-__ <br /> ROOF OHAINS-RAINLEADERS G%HAUST fpN <br /> SI YN�SERVICE-BAR,ETC� <br /> -- _-._ ._ _ _ _'_. <br /> ���I ---- -- . — -_ <br /> !I��I --- —"SUB�OTAL f .� .�. . SUB TUTr1L 5 <br /> PEFMIT E Pf.RM1Vi S <br /> 'i . . _. _ __ . . . <br /> i TOTAL FEE b TOTAL�FC 5 <br /> � �fPOM15C19�CK �II�ISIIOHI� S�PI '+IIO�LX PI�MCBFC�NMqFP O iFE �` PECEIVTMO <br /> _� /7 � /'y i/ ^ � � / l <br /> � `p •' <br /> usc ior�au --� wruism FEES VRLUATION FEE <br /> � �� r��� ��� <br /> � . I-� ZEit3u- r� <br /> IYPEOfGON51 OLCOP�NCY6HOU� NOOlpWEILINGUNnti 8����ING Z` t - <br /> ♦l IOW�BI E'�Ci WL� <br /> 'r( '�-'3 I PWAIEIING <br /> ._— 1__' _ " — __ _ . . .. <br /> Si;f Of BLDG NO OI SIURi15 95M� OCC lOAO <br /> r � MECMANICAL <br /> 288 S.F �___ k" ) � ! <br /> ._ — _ .. � . ut nuiiurt�noN �- OiHER 1�1 I L_/{ � `_� /✓ <br /> l.. V <br /> frt�!SCqINMIfR$RfOUIqE� II YES D , / <br /> -- SiA7G P ILDIN(i SURCHAfiGC �� <br /> S1ATE[NCRGY SURCIIFRGE <br /> ����i i�A�iON�CC Bv PL�N6�PPu BY � <br /> ' PUDUG WORNS <br /> � � ' 1 t �� � TOTAL � �" �� <br />