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APPLICATIC`1 FOR CONSTRUCT'lN PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMEN7 HEATING SYS7EM: J GAS ,J ELECTRIC � _����b�_L���__ _. 1 <br /> 259-8810 <br /> X DEMOLITION COMBINATION X BUILDING MECHANICAL PLUMBING SIGN ' <br /> �-OfEp � 0 I ltYl �ai n nacss . — cnv rm vHone —'—� <br /> ��� ti��� 91�1�rr� �P„ff���E ��y��o� <br /> *ENANT MRiL RDDRE55 <br /> GITV IIP PHONE <br /> hAm� <br /> RNCANItECTORDE5IGNEF M�IIApDRE55 C.�li,v� 7ip // pHpNE <br /> _ t+��t �.L4I\��IV'� �n�!'(Q-���Gl� LNN✓ll —�_�IC��� ���'" �''� / <br /> GfNGRRICONT LTpR�ppE�s Litv ZiP P1pNE ST�tE UCFNSE• <br /> M�CH WiCAL-�/-lJ! Rll�DURE55 CitV ZIP PNONE STRiE IiCENSE� <br /> PWMBMG LIXJTR�CTOR M�II.�ODRE53 GTY ZiP PNpNE ST�Ti LICENSE� <br /> CONTRACi PRICE OF WOAM <br /> A�,��bx � ��o — <br /> �CSCNIpE WOFn qND SOURRF�O�G GE INVOLVED CONTAC PCR ON PN PNO NO � <br /> - � ������� <br /> 1152 �' R �;,Ivl ma�f�rcr�21 i� exi% <br /> CIJUY�( ��(`/ i HEREBY CERTIFV THAT 1 HAVE READ AND E%AMINED THIS <br /> nnoaose use or nuiioiNc APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIOr75 OF LAWS ANO OfiDINANCES GOVERNING THiS 7VPE OF <br /> �eeaoescn� iorvovvaereArv�sr�owrveeiavoner a Hrwocovies� WORK W'LL BE CUMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> ioi— e�a.k or NOT THE GPANTING OF A PERMIT DOES NOT PqESUME TO GIVE <br /> — �Q � ( -- AUTHORI"fY TO VIOLATE Ofi CANCEL THE PROVISIONS OF ANV <br /> ��,�� OTHER STATE OR LOCAL LAW REGV�ATING CONSTRUCTICN OR THE <br /> — PERFORAIANCE OF CONSTRUCTION. THAT I AM AUTHORIZCD BV THE <br /> OWNER OF THIS PpOPERTV TO PERFORM THE WORK FOR WHICH <br /> reacciTaxioNun+nen -- APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> �� �� � — CONTRACTORS LAW 1827 R AND 29 0 WAC. <br /> CONSTRUCTKKILOANLENDER ADpRE55 ELEPNONENIIMBER <br /> PROJ �A DRESS � -- �/ <br /> 2 sr.N�ianr roi--� �YT <br /> CI�Vptl5iryt5:1���INti!4[i <br /> PLUMB 6 MECHANICAL <br /> NO. TVPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILET) A�C—A�HN�LG UNITS—H.P. <br /> BATHTUB FORCEDAIRSVSTEMS—B.T.U. M E.A, � <br /> LAVATqRV�WASH BASIN� UNIT HEATERS—B.T.U. M <br /> SHOWER CLOTHES DRVERS —T-- <br /> KITCHEN SINK 8 DISP VENTILATION FAN <br /> DISHWASHER RANGE HOOD <br /> LAUNDFVTRAV WATER HEATER <br /> CIOTHES WASHER WOOG STOVE <br /> _ URINAL METAL FIREPLACE(WOOD BURNING) <br /> DRINKING FOUN7A�N FIREPLACE INSERT <br /> FLOOR DRAIN � HEAT PUMP <br /> BACKFLOW PR[VENTERS GAS PIPING <br /> ROOF DRAINS--RAINLEADERS EXHAUST FAN �—T�- <br /> SINK(SERVICE—BAR,ETC.) � <br /> . SUB TOTAL $ ' SUB TOTAL § � <br />� PERMIT $ —r PERMIT a 1— <br /> TOTAL FEE $ TOTALFEE $ <br /> FOR OFFICE USE ONLY: <br /> FRONiSETflRCN HE�RSE7BTCN SIOESETB�CN P�qry�:H[CMNiI�IRC, FEE ��• ,/, RECEiPINO �� <br /> �� lP � �OS�7S <br /> USE 2011E LOT�RE� veceNt sire FEES VALUATION FEE <br />' � � VES " � NO BUILDI�IG n• � <br /> rva�orcoNsr No ov sronits «r�=+ — �h7�) _ �1 D�� <br /> � �e, noamvunxairv��,� —_ _ <br /> � �;p��r pLUMBING <br /> -- �` Z <br /> SIZEOiBIDb f1lIESPRINNlER5RE0'D B�SEMENT MECHANICAL <br /> I �S' Ti _ A'D X VES ... NO — — <br /> OCf.IIPPNCVLO�� FIf1E�UqMPEOD NEIGNt1.IlAli�T1pN AUDITIONALPIANCNECN <br /> 7�1 _ No — <br /> I eEeSON '— OTHER — _' — <br /> _ _ STATE BUILDING SURCHARGE ��_� <br /> iNUKe av — rintis nr�noveo ov CI1Y OF EVERETT puei.ic woak�; <br /> tIM LOCAL SALES <br /> on,e ���, . TAX COOE IS 3105 rotn� <br />