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APPLICATIC" 1 FOR CONSTRUCT ��N �ERMIT �✓� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> � <br /> __ __ <br /> BUILDING DEPARTMENT HEA7ING SYSTEM: J GAS J ELEC7RIC �J .___ � . . .I <br /> 259-8810 —- — — <br /> DEMOLITION COMBINATION X BUILDING MECHANICAL PLUMBING SIGPI <br /> -- �- ---- - ------ <br /> uwr,rn tin.i r .a � i - rn, ---�.-,,,,mj--- ---� - <br /> C c�s,���T � �� —�—�:as„��� �z,� c� , �4 ,��-,r ��; ���� �� a-� <br /> iENANi MnII.PDUlIESS C11V . ..__ IIP PHONF <br /> DAL - 7-ic� �sa ���s,,,io �20. �v,�.-eii Lup l�'�o�/ ,3'-G <br /> RNC iOF0E51 1 MA�lpU0PE55 Cltv _z�.�, NE <br /> �ron� ns�.°,�l �all >a� s � .S�`. Ls,�c�.rrvat� G✓� Sdo�'S <br /> GfNER� CONTq�LI M41LAppRF GtY ZIP P ONF. St�1ElICEN5E1 <br /> r'rt�t Cc.Ns,-. �rc �:. 9r 5'S ,,,� .f/. - <br /> c� � ✓��k=rr l,Ja, 5'�'Zc�� <br /> I.RfNqNIC�ICONTPACiOq M�iI�pDRE55 G1V ZIP PIION[ B{�y ��� <br /> — <,C`/d�G�S�a y lr.� 3 <br /> fLUMflMf CONiR�pT�R MAL�OpRE55 LIiY ZIP PHOFE ST�tE IICFNSE I <br /> CONIRACiPRICBOFWORK -- -- <br /> 3s, aaa <br /> OFSCRtBEWONN�NU50U�qEiWT4GFINVOLVED LUf! iP[q50NRNDPHONENO <br /> �"��'N�,e � /� /'l�a ya.S <br /> 6 Fi=�� E Fo�' G� A,�_FNo�s� ------7`—�1 S - �-�3 S'� - <br /> I �U d S� /- I HEREBV CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> na�o"ro'seo use oF omtoiHc APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> _ w H O��G-S�JL.� (7i S/L'//�U % _ PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> ircnioescairticr:nrpnoreniv�sNowHee�owonarau�rwocories WORK WILL BE COMPLETED WITH WHETHER SPEpFIED HEREIN Oii <br /> ��r eiceK - or _ __ NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> -�� � AUTHORITV TO VIOLATE OP CANCEL THE PROVISIONS OF ANV <br /> ]�(' i 07HER STATE OR LOCAL LAW FEGULATING CONSiRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. THAT I AM AUiHOR12ED BY THE <br /> __ OWNER OF 7HIS PROPERTV TO PERFORM THE WURK FOR WHICH <br /> rnnee�raaior�uMaen -�-- APPLICAiION IS MADE AND I COMPLV WITH 7HE S7ATE <br /> CONTRACTORS LAW 18?7 RCW AND 29G.200 WAC. <br /> coNsiaucTioNionNirr+nrnnnonEss.re�ErHon�rui!�nrn - � <br /> � C � <br /> PROJECTADDRESS �- - X,—�� • �_`�- a �" /�� . <br /> 252 s L�� l,�s,N� ,� S-c --- _�.,� - ---- <br /> ��v ryi���i�115(1 i_1 NSI IYJ <br /> PLUMBING MECHANICAL - <br /> NO. TVPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEF: <br /> WA7ER CLO£ET(TOILET) A C-A HNOLG UNITS--H.P. <br /> _-- ..-.—___ ___— —.. _ _-__-- � <br /> _ BATHTUB ' PORCED AIR SYSTEMS-B.TU. M E.A. <br /> LAVATORY(WASH AASIN) _ - -r— UNIT NEATERS-B T.U. M �-�� -- <br /> SHOWER CLOTHES DRVERS �- <br /> KITCHEN SINK 8 DISP i VENTILATION FAN <br /> DISHWASHER � RANGE HOOD -�-�� � <br /> LAUNDRYTRAV � WATFR HEATER - <br /> CLOTHES WASHER WOOD 6TOVE �� <br /> _ URINAL __ � METAL FIREPLACE(WOOD BUFNING) <br /> _ DRINNING FOUNTAIN I FIREPIACE INSERT —L �- <br /> FLOOR DRAIN HEAT PUMP --T - <br /> _ BACHFLOW PREVENTERS GAS PIPING � <br /> ROOF DRAINS-RAINLEADERS EXHAUST FAN —� �� <br /> _ _ SINK(SERVICE-BAR.ETC.) — -- <br /> _T. _. <br /> __ _ SU�TO7AL $ ; SUB TOTAL 6 <br /> _ ____,_. PEFMIT $ _ ` PERMIT---$ — -- <br /> TOTALFEE 5 TOTALFEE § <br /> FOR OFFICE USE ONLY: <br /> ff1DM5�1qnCfl RE�RSEIH�GN SIpFSRB�GN PU1��y N,f�115![I fEf R[C6 1N0 <br /> _ <br /> fr � ,� .� /•jJ.� �� ; ', l�- ((�,l <br /> "siroNe �ornne� V�CANTSIiE FEES VALUATION FEE <br /> _�' � VES �. NO - �r' <br /> nw�oiruc 3 2 :� / '7�� <br /> in�F nr.c�oNstI No or sronirs �.,,�:.,�. �„��mrnuu,,����s __ __.____. _ . _._. _. ____._ ��_.__ __1..J_L:CL� <br /> y,ry I n��� PWMBING <br /> � .�— ' _ _'�—. <br /> SIZEOFPIpG FIRESPRINNLERSA[00 B45F.M[Nt MECHANICAL � <br /> � <. . T.� . � � VES X NO _- ----._-- - -� - <br /> uCLUV�NCY�DAD fIREALMMRE00 NEIGHIUMITQION ADDITIONFLPLANCHECK � <br /> —� ' <br /> .._-- OTH[R ' <br /> ivf aS�N — <br /> STn�E BUILDING SUFCHARGE �< �) <br /> ' __'— _ ___—"' _' _ _'__ --' . <br /> �,�v.K�n. vuHs err�io�F n e� CITY OF EVERETT cupuc woAKs ' <br /> tJM LOCAL SALES �__ <br /> nn�e .�131�� 7AX CODE IS 3105 tOTAL — ' /) � ; ��v <br /> G ��. <br />