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APPLIrATIC `"�1 FOR CONSTRUCT )N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT cr�'r <br /> , --_ <br /> �� �+tl BUILDING DEPARTMENT i NEATING SVSTEM: J GAS J ELECTRIC J . ._ . _ ____ _ � <br /> y 259-8870 �------ ----- ---- ---------- - <br /> p � DEMOLIT�ON COMBINATION BUILDING �MECHANICAL PLUMBING SIGN � <br /> ,+yy� ._`'' _.... . . .___i�in.t�a.;:__. . . ._—�__. . _ .ir -__ .--rHo��� __ . ___ . <br /> / . <br /> ��� .'� / , ���1_ t . - - � � �,.�i�. � .� '� , _ _ _ .__� �. �/ - . __—_ <br /> � � 11NnN1 AA AUO�RSb Ulv - '- ---- P��pNI � � <br /> H�1 / ." <br /> ��� ���CNrtECfOF�E5IGNER M�it�DDRF55 r,iTY 2�P p1qNE <br /> � 7' GfN[R�L CONTRACT011 M�II�OOR[55 CIiV jIP PMONE STQE IICENSE� � <br /> L�l O <br /> oH ,_f'ir; 5r�ca'ic � s';lltft/3;�c— _ �v �� DS� _ <br /> ��y MI CNANiGL CONTR�CiOR M�il�OO�C55 CRv IiP V�qNE ST�TE LICENSE� <br /> Q�1�0,� , i ����� };Iu�nL�l ���[ f;�" �j,7L'� � .i-�,�•n,:' �i.7y��,�/'j(� i � �, <br /> �`tuMfliNGCONiRAtipn MAit�D�nF:S Ciir tin P��NE SLRELiCENSE� <br /> ry� — — — ..__ . <br /> H cinssorwoaK <br /> t7 VJ H NEW ADDITION ��' ALTERATION FEPAIR_ DEMOLITION WOOD5TOVE!PFPL INSERT BUILDING REIOCATION <br /> O <br /> ()rJ(/J �nV iACt PFRSp11ND PN011E 110 <br /> �a� C(N�IR�Ci PPqF O�WORN ' / �� � � __ <br /> Irt£fR19E WORK�NO SW�RF FOpIAGE MVqVED <br /> `�rn �� .. r.1/. r� , ,;,, is v .,ti-. ��:� a r��� <br /> �HO 5[D SE Of URDMG <br /> �/"9 �:. i HEREBV CEFTIFV TNAT I HAVE REAO AND EXAMINED THIS <br /> ,C�C.�t� w��{`^ �� � �� _ APPLICAiION AND HNOW THE SAMF.TO BE TFUE AND CORRECT ALL <br /> iece�oescnivt�ooaAovenrv�sHowwne�ov�on�T*ecM�weLoriEsi PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTVPEOf <br /> WOfiK WILL BE COMFLETED WITH WHETHER SPECIFIED HEREIN OR <br /> i.or_ e�oc. oF NOT. THE GRANTING OF A PEFMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> __ OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF 7HIS F'ROPERTV TO PERFORM iHE WORK FOR WHICH <br /> — APPLICA710N IS MADE AND I COMPLV WITH 7HE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC <br /> � <br /> x __ .��,�.;...�7.T.•---• �. , _ �� . <br /> ._. _______..___._-____. . . _ _. ___- __"`=-.-._ � " -- � �• <br /> rnoJtCilo0RF55 .��,,.r. n n.n <br /> / � <br /> s7'C,LCL,.�, 1.�1 t [< „r.P,.1•:�,...,,; .,.. <br /> " PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE Of11TEM FEE NO. TVPE OF EOUIPMENi FEE <br /> '�I WATEfi CLOSET ITOIL[71 A C-A HNOLG UNI75--HP <br /> --_ .__._ -__ _ ._ __ .. _— -_ _ __ __. —_ �-- <br /> BATHTUB FORCED Al/�SVSTEMS-8 7 U M F A. <br /> '�' _ . .._.__ .____ _ __ _ .. .. ..- _ . -_-- ___ `-- <br /> _ LAVATORV�WASN BASMI UNIT HEAiERS-B.?U. M _ <br /> SHOWER CLOTHES DRVEPS <br /> t�f KITCHEN SINK 8 DISP VENTILATION FAN <br /> � DISH WASHER RANGE HOOD <br /> ' ' LAUNDRVTRAV / WATER HEATER � <br /> 1 ' CLOTHES WASHER _ _ P __ WppDSTOVE _ _ <br /> � URINAL METAL FIREPLACE 8 CHIMNEV <br /> ' DRINKING FOUNTAIN FIREPLACE INSERT _ <br /> FLOOR DRAIN HEAT PUMP <br /> ' BACKFLOW PREVENTERS / GAS PIPING ' <br /> ROOF DRAINS-RAWLEADERS E%HAUSTFAN �- <br /> '_' SWK�SERVICE-BAR.ETQ) ' _ <br /> — _� <br /> ' -_'_ ----- __-_._' '— __ _ ___ <br /> � — _ _ —�'_' . <br /> '�' __ _ __. . SUB TOTAL E ; SU�TOTAL S '� <br /> � _ _ _ _ ___ PERMIT E /��� � P[FMIT S �- _ <br /> —.7S/ . - — <br /> . TOTAL FEE $ TOTAI.FEE S �_ <br /> FOR OFFICE USE ONLY: <br /> �i�o�rtsnnncK � i�inr�snnn�.K � sinFxrnecK rinr�cuecxr�uurtn ri� necemir�a <br /> ��`1 �1 � <br /> usi fa+e iot�nce ver.eHr srte FEES VALUATION FEE <br /> T <br /> �3ui�oiNc <br /> �.v�nrcoeua�aw�e�� irvro�canstktuu �c�.,x. mo,�,+� ..�.,.— . . -______—_ _ _ . ____ .__--_—•.-_— <br /> ��M' PWMBING <br /> �.i)f(X BlDO NO Of 61d1�E5 B�SEMENT Mf.CHANICAL <br /> occuP�NCv IO�D FlPE SPRNNlENS REOD ��flC�rt liMiUliON � A��1710NRL PLAN CHECN� <br /> SPRINNIEF <br /> '_'__-'.- '_____ ' <br /> __ <br /> nI�50NfOP5PPMNlERS -. - . - - .-. . - � <br /> ___-. - ..._ _ _' _ _ . -__—T <br /> SiFif f31n11]INO tiIP-�]U�ql;1. <br /> —_ � <br /> npAxFOv PUNS�PFOOVfDflv � � � <br /> CITY OF EVERETT runucwaas <br /> LOCdLSALES I <br /> TAI(COOE IS 3105 TOTRL <br />