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APPLICATIO:': FOR CONSTRUCT�N PERMIT % <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT �rr <br /> �� '3! � HEATING SVSTEM: U GAS U ELECTRIC I,J ___ ____ J <br /> �'� BUILDING DEPARTMENT <br /> D x 259-8810 <br /> �H�y�y''v~i �( DEMOLITION COMBINATION BUILDING MECHANICAL ' PLUMBING SIGN <br /> �.y �y '3 owNcn A��a�ooNcss c�Tr zm oNONE <br /> y 1 M �n�� <br /> r� C� C J7 y Oi= .CYL•!r TT .�fini 11�R'TMORI.> l:yG��J� <br /> 1j �I iEN�NT M�iL�DbRE55 Cliv Zi� PHUN[ <br /> �� � <br /> y � R1CHrtEL109�E5iGNER M�itApDRE55 Qiv Zi� ���ONE <br /> � �.�. � f•FNER�L CONID�Lt00 M�il�OpRE55 CIiY 11� PHONE St�iF IICENSE� <br /> �r(��c~i J•1(/l1�(Z CnurR ACtaQ. iNs'. 8 1�Jsr�J'�Sr�_S�71T7t T 1P9�13�.i_83?xB,4r� �i — <br /> 1"IIT� � MfCM�N1ULCIXJTR�GtOR M��RES� CI1Y Z�� PNON6 SUtFI�CENSE� <br /> (�]Y (] <br /> �y ~ � PWMpINGCONiq�Gi011 M�ILAO��E55 C�1V ZIP PI�ON! SL�iELICFNSL/ <br /> t"y <br /> h-�y — <br /> y cussovwonrc <br /> ��y �� NEW �� ' ADDITION ' i ALTERATION �� REPAIR x DEMOUTION '� WOODSTOVE/FRPL INSERT . BUILDING RELOCAI ION <br /> � cor�t�c.r rcnsc»�um rHor�[No <br /> CONiR�CT PPICE O�WORN <br /> y�y DFSCNiBEWORM�HpSOUI1REFOOT�GEINVpVFO <br /> Ur m o c� '�' a c " <br /> FROPOSE�USEOf0U�l01NG i HEREBV CERTiFV THAT 1 HAVE READ AND E%AMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TFUE ANU CORRECT O.LL <br /> IFWI DlSCRIP110NOI PROPEf11Y�5NOWN BELOVIOR�TTACN fWPCOPIES� PPOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVP[ OF <br /> WORK WILL BE COMPLETED WITN WHETHER SPEGFIED HEREIN OR <br /> ior�_ atocn � or � NOT. THE GRAN7ING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORIIV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER S1ATE OR LOCAL LAW REGULATING CONSTqUCTION OR THE <br /> � PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOFI2ED 8V 7HE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTORS LAW 1B27 RCW AND 296200 WAC <br /> x � ,�o ,_ (0 29-4��/ <br /> rnaect�ooness `���:�—�� — "++� — <br /> ' 1 rj - _ CilvqvS�y[SSIx ISCMO <br /> '_' PLUMBINp MECMAt11CAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> '�t WATEP CIOSET(TOILET) _ __ _ AiC-0.�HNDlG UNITS—N.P. <br /> BATHTUB FOPCED AIR SVSTEMS—B.T.U. M E.A. <br /> I ' LAVATORV�WASH BASIN) �— UN'T HEATERS—B.TU. M <br /> � SHOWER CLOTHES DFiVERS <br /> '�' _ KITCHEN SINK 8 DIGP _ VENTILA710N FAN <br /> DISH\YASHER RANGE HOOU <br /> '�' _ LAUNDRVTRAV WATERHEATER _ <br /> CLOTHES WASHf.R WOOD STOVE <br /> ;� URINAL METAL FIREPLACE 6 CHIMNEV <br /> �' ORINKING FOUNTAIN _ FIREPLACE INSERT _ <br /> � FLOO.'iDRAIN HEATPUMP _ <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ' fi00F ORAINS—RAINLEADERS _ E%HAUST FAN _ <br /> I ' SINK(SEHVICE—BAR,ETC.) __ <br />� <br /> i i <br />� _' — � -- _— _ _ <br /> i <br /> � <br /> �' SUB?OTAL S SUB TOTAL S _ <br /> _ - . PERMIT S PERMIT E _ <br /> TOTAL FEE S TOTAL FEE E <br /> FOR OFFICE USE ONLY: <br /> FRONiSE1B�LN RE�PSETB�CN SIDESETB�LN PIANCIIECM1NOMBFP FFE flEf.EIPiNO <br /> J /� ��� <br /> useior+e LOt�RE� V�C�NiSrtE FEES VALUATION FEE <br /> —T <br /> PUIL�ING <br /> ivPEO�COMtS�IIOW�B�! IYPEOfCONSI�LN�I a[oe�y�r rrodvxui�ymiMns - '-- --- - --�— <br /> �"O°� PWMBING <br /> SIIEOfBt00 N00lSiDNEs B�SEMENT MECIIANICAL <br /> 1—_.__ <br /> OCGUP�NCYIO�D FlRF.6PRNNLERSREdO NEMa111lIMIUiION �DDIiIONALPUNCHECK <br /> ___ SPRMKLER <br /> RE�SONLORBPRMNlERS --- — �� --T- <br /> STAiE BWLDING SURGNRRGE <br /> iHu�e ar rur+s nvrnweoev CITY OF EVERETT pUBUG WonKS <br /> LOCALSALES <br /> TAK CODE IS 3105 TOT�� <br />