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APPLICATIa.i FOR CONSTRUCT:�1�1 PERMIT �w%� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> x n� HEATING SVSTEN: U GAS ❑ELECTRIC U ,____ _�/ <br /> �,� �,j BUILDING DEPARTMENT <br /> p �x 259-8810 <br /> y y y y( DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> t•' i't� ownEP uui�oonEss ci*v ziv vHonE <br /> H 2 F+ C��v ��' C vc tr TJ�.�w4LnoRN �✓G-',P� - or <br /> K y�O *eN�Ni uui�ooness arr r�v c�or�c <br /> � H'31 <br /> L'JN �FCNIiELtOHDE5IGNER IA�IlAp0�E55 Lllr ZIP 1'HONE <br /> !p� � <br /> �•+O � GFhFR��CONiR�CiOR MAK�ODR[55 Cliv IIP Pr10Nf SiAtELICENSE• <br /> o �y" J•JI/IQPER CeurkACic . 8 ��r�erS��ri�, SK�� 9�iop��3�83 Juq�QPetRciB7 <br /> � �g MEJN�NiC�L LONiR�ClO� M�IL DDRES CIIY Im PnO��E SLAtE LICENSE� <br /> Qr n <br /> � y� PtbMBM6LONiRAGTOR M�iI�DONESS Gi1V Si� PNONf Si�iELIGENS[/ <br /> N H C1�550i WORN I <br /> g�y , I NEW . I ADDITION i I ALTERATION I �� REPAIR X DEMOLITION � I WOODSTOVE/FRPL INSERT � BUILDING RELOCA710N <br /> a cor+r�cr r[nsorv�No mroHe No <br /> � ��� CONTP�GT PRtCE O!WORK _ <br /> DESCRiBE WORrc ANp$OW RE FpOT�GE INVIXVCD <br /> H [n <br /> D�mo� �cN <br /> PIIOPOSEUUSEWBUilDINO i MEHEBV CERTIFV THAT I f!AVE READ AND EXAMINED iHIS <br /> APPLICATION AND KNOW THE SAMF TO BE TRUE AND CORRECT.ALL <br /> IEG�LDESCFiPTqNOFPROPERTY�SBOWNACIOWOP�ii�CNfWRCOPiES� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTVPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> ior •� },�} eiaK �}y ov - ' �' NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHEF STATE OR LOCAL LAW REGULATING CONSIAUCTION OA THE � <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORRED BV THE <br /> OWNER GP THIS PROPERTV TO PERFURM THE WORK FOR WHICH <br /> APPLICATIUN IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTORS LAW 1B27 RCW AND 296.200 WAC. <br /> x u,, '��y1' — <br /> Vq0.1ECi ADORE55 S'O"�'�"' o�'E <br /> ' ' �G'� Q.L' - o+�nusr ssucres�rro <br /> PLUMBINO } MECH NICAL <br /> '�I N0. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WqTER ClUSET(701LET) A�C--NHNDLG UNI f5—HP. <br /> ' ' BATHTUB FORCED AIR SVS7EMS—B.TU. M E.A. <br /> LAVAIORV(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> '�' SHOWFR GLOTHESDRVERS <br /> '�' KITCHEN SINN 8 DISP i VENTILATION FAN <br /> OISHWAS4ER � RANGE HOOD <br /> ' ' LAUNDRV TRAV WATER NEATER <br /> � CLOTHES WASHER WOODSTOVE <br /> '� URINAL METAL FIREPLACE 6 CHIMNEV <br /> � DRINNING POUNTAIN FIREPLACE INSERT <br /> ' ' �LOOR DRAIN HE�T PUMP _ <br /> BACKFLOW PREVENTERS GAS PIPING <br /> 1� ROOF DRAINS--RAINLEADER;i EXHAUST FAN <br /> .�f SINN(SERVICE—BAR,ETC.) _ <br /> � <br /> / 1 �— <br /> I�' SUB TOTAL f SUB TOTAL_ S <br /> PERMIT S PERMIT E <br /> � TOTALFEE S TO7AlFEF S <br /> FOR OFFICE USE ONLY: <br /> FRONTSEiBACN RE�RSETB�CN SIDESETflACN PL�NCtlECNNIIMBEfi �E[ AECEIPINO <br /> � 7/ 7/ <br />� use zorie ior enee veceNr srte FEES VALUATION FEE <br /> euaowc <br />� IYVFOfCOMISAIIPM�BIf nrracaxsruiwi aan.M+ woaunwMor�n -- --- -- <br /> c�wo p�UMBING <br /> SIiE OF BlDO NO OF 6�OR�ES B�SEMENI MECNANICAL <br /> OCCUP�NCYl0�0 FIRESPRNNlEP5RE0�0 NEIOIRIIMILAiION FD�ITION4LPLANCHECK <br />' SPf11NkLER <br /> RE�SON i0�SPRiNnLE�S — -- --"��"' <br /> STATE 6UILDING SURCHARGE <br /> iNiAKE flv P:�NS���nuvFU Pv CITY OF EVERETT pUBLIC WOAKS <br />— — LOCAL SALES <br /> TAX COOE IS 3105 TOTAL <br />