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����; APPLlCATIG .J FOR CQNSTRUCT_ �N PERMIY' �� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT �� <br /> � <br /> — <br /> __ _ _ __ <br /> --- ---- <br /> -- -- --- <br /> BURDING DEPAFTMENT HEATING SYSTEM: J GAS J El ECTRI„ J __ l <br /> ------- - --- �l <br /> 259-6810 - — <br /> DEMOLITION COtJI'31NATION _X BUILDING MECHANICAL PLUMBING SIGN <br /> owNcn ._-- rna�nno.i[ss Cnv -.- -___.,ir� r�ioNe ___________ <br /> �,�( .SNIN lC..�C�_�L^�5 lv <.�s ,����? r d�i_•rcii '. Zci�/ 7�/.5 ',.2�` `-- <br /> iENANi ul�`)���LI�IArl11.�ODFE55 CITV 71P PHONE <br /> 1 � <br /> sd��-J� _'�LS G✓ C:�rs-No 1'a iJu� B t•" -7ti�c'�T Sd'zoY H�A <br /> Aq�MTECiORQEiiGNEfI M�II��OPE55 <br /> CIiY ZIP PNONF <br /> `C u� .��se�'�+ �.� � I i?i ar .5t h'�"u.�%a,.�-�z � S�eaS <br /> GFNGRAL f,UNiR.1CTOR M�IL��ORf.SS C�iY zIP PNONF ST�iE LIf ENSE• <br /> ���'/I� �O�rs:. .��CS ��'S S,�n��S/� L�j,.>�E%7- �✓�' J�'�D3 '��5`%(�5 ic'/u`OSR"dSYo,t"� <br /> A�ECM�NICQ C TR�CTOR MML�[1!�qF55 GIiV Z�P PHON[ ST�iF IICENSE� <br /> K �� <br /> �IIIMBINfiC01Q PCiOR MRIIRUDqC�S JiIY IIP PIqNF STQELICENS[• <br /> n� � <br /> C�/I p.i Oi WOflN --- __ <br /> ��l NEW ADDITION ALTERATION REPAIR DEMOLITION WOO�STOVE'FRPL INSERi BUILDING RELOCATIUN <br /> /J /1 cOr+rac/r,rfnsor.nrm r,�oNr No <br /> fONTN�Ci PRICEOF WORN � /U G��O. �l.' _ �[_LM__�I�J�-`) ���—'�3 )C/— .—".. <br /> ��SCRIAC WOf1N AND SOU�qE FOOT�GE INVpLVCD —y - ------- - <br /> / /� � <br /> IEn�A^iT A+: ��'Jvr�'/ari.�/- � '�c7J .Sr- _/iT/�f'%f� �xri�d.��� .�S-.S- SC�o,s"' <br /> rnoaoseouseoFwiiniNc -'----1'--'----- - -- -� .-- <br /> i HEREBV CERTIFY THAT I HAVE READ ANC E%AMINED THIS <br /> OFr i�� � (,�i�jC�/�/nSC APPLICATION AND HNOW THE SAME TO�E TRUt AND CORRECT.ALl <br /> iecnioesceiPnoNOFvaovtnrvis��owNneiowonnruc4rouacoriesi PROVISIONS OF LAWS AND ORDINANCES GOJEFNING THIS TVPE OF <br /> ��� 6�aK pF WORK WILI. BE COMPLEiED WITH WHETHER SPECIFIED HEREiN OR <br /> -- — - NOT. THE :iRANTING OF A PERMIT DOES NOT PRESUME TO CIVE <br /> AUTHOHITV TO VIOLATE OH CANCEL THE PROVISIONS OF qNV <br /> - ___ OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTIOM OR THE <br /> PERFORh1ANCE OF CONSTRUCTION THAT I AM AUTHORIZkD BV THE <br /> OWNER OF THIS PROPFRTV TO PERFORM THE WORK FO(i WHICH <br /> � AFPLICATION IS MADI: AND I COMPLY WITH THC STA?G <br /> C�)NTqAGTORS LAW 1827 RCW AND 296.200 WAC <br /> - —_- <br /> _;'S� .V 4 /S-.✓o � . ., �, �H, , -s �/ • . � <br /> ----- � '� ��i��—_ x �t c:(.� .5'�/��la.� � /� s- 5:� <br /> — -- <br /> ��no,ea nouncss � � � 5_ '/ ,. - n,—n - _ <br /> -2�J.,�_ Y- <br /> ----- <br /> MECNANICA � � <br /> PLUMBINO �- _ <br /> NJ. TVPE OF FU(fURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE � <br /> __ WATER CLOSET(TOILET) A C -A 1-NOIG UNITS-H P <br /> _ _ BATHTUB -� �FORCf_D AIR SV,qTEMS-11.T.U. �d E.A. / <br /> LAVATORV(WASH BASIN) ' - ----'--- -- �- <br /> --- -- -.- � UNIT HEATERS-B.T.U. M � <br /> _ SHOWER CL07HE5 DRVERS —;- <br /> _ � KITCHEN SINK 8 DISP i VENTILATION FAN - <br /> _ _ DISHWASHER RANGE HOOD - <br /> _ LAUNDRV TRAV WATER HEATER <br /> _ CLOTHES WASHEfl WCODS?OVE <br /> _ _URINAL _ MFTAL FIREPLAGE 8 CH NEY �- <br /> DRINKING FOUNTA N __ _ FIRFPLACE INSEFT -�� <br /> FLOOR DRAIN -�-- -- � <br /> _. <br /> - ___ HEATPUMP . <br /> _ BACHFLOW P EVENTCRS GAS PIPING ` � - <br /> ROOF DRA 5-RAINLFADEP.S ! EXHAUST FAN/ - � <br /> __ SINK�SE VICE-BAR,ETQ� � --�- _ -- <br /> __-- --�----- <br /> - ---1 --- <br /> i ---� <br /> --- . --- - � ---- ---- . . <br /> _. i - -- <br /> 7 - - -- - - ----� -- <br /> ___ SUB TOTAL $ SUB TOTAL $ <br /> __ _ PEPMIT $ PERMIT E ' <br /> TOTAL FEE $ rOTAL F[E $ � � <br /> FOR OFFICE USE ONLY: <br /> fqON15F1BACN qFpqSEiBACN SIpE5ET0ACN vl�J�[Ceq�ML+FR fFF� ��� �� FGCEI�qp � <br /> E / ^ � � <br /> u�d toHr � iornnea vaceNrsrtc FEE�\J VpLUAT10N 7(� <br /> �� � 1 '�� eui�owr, �/y�� <br /> iv��mtoHi5eu0WePie ivr+rm�nxsrncmni ar���,x., x„�.��M,� .e,;�.tir� -'-- _-' �y%�',-v-_ _ � �.�J(�i <br /> �u�rJ Ar ti �°° � - <br /> �y PLUMBING <br /> SJf OF BLDG NO O�StOR�[5 BASGM[Nl --T" �-- <br /> ,, .�,', y� �..� ��� MECHANICAL <br /> L <br /> or.a!p�Ncr�OaD FiqeSve/-Hk�ieqsnfoo ��[icHi�iAienriom ADDITIONALPLANCMECK <br /> �Z N7l7 SPNNKLER <br /> ❑F45rJFfONSi�RINMlERS _____ __.._ i <br /> _-_� <br /> ��,. ,I��_ �� _1 C��:� STATEBUILDINGSURCHARGF ,'/ ��-� <br /> INi4MfPv I PlANS�PPqpVFDflV �.. .----�� '-- � <br /> CITY OF EVERETT rueuc woaKs ' <br /> LOCAL SALES T' <br /> _ � �(;��,/� TAX CODE IS 3105 rou� ���� _ <br /> � <br />