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APPLICATIOnI FOR CONSTRUC? .JN PERMIT �� <br /> TO BE COMPLETED IN BLACK INK-PLEASE PRINT ""��"i`h� <br /> I <br /> L HEATINGSVSTEM�. JGAS JELECTRIC J __ � <br /> BUILDWGDEf'AR�iL1GNT ---- <br /> �S9 661G . <br /> DEMOUTION COMBINATION �; BUILDING MECHANICAL PLUMBING SIGN <br /> _ , _- <br /> - _ _- � � <br /> ,.,., „�.� � � � ; . <br /> �T , , � _ <br /> '� �����_�.Z s Ll! '�• � �---- -��� - �.�1� _ �- -�`�`-��` �. '_� 7/� <br /> - .� <br /> �i�inNr / M��n�naess� a:r � nn� �unrv�. <br /> n,ir��rtECTOR0E5MNER M��IeUDRE55 ! GiV 21P �HONE <br /> H^� � <br /> '" ��,fli[q�ILONiR�CTON M�IIADORESS QTY IIP PMONE Si�TEIICENSE� <br /> O x <br /> �"� Liiy iiP ^MONE ST�TF IICENSE• <br /> a���/J r.n(:�uNIC�I CONiReCT01i M�IL��ORE55 <br /> N �� — <br /> y :YH r,��upiNGCONiR�CTOB MMUDDRE55 CRv 2�� PMONE ST�TEIICENSE� <br /> � �� <br /> i <br /> O �i1iO i.iA550[WORx � <br /> 'i1 H'i1 � <br /> LOH PIEW ADDITION ALTERATION REPAIR DEMOLITION WOODSTOVE�FRPL INSERT BUILDING RELOCA7iON <br /> � - � coNreanrnso��nr+nm�or��r�o ' <br /> � �E , ��� 0���` <br /> ti � <br /> p corrtn�crPnicrorwonrc . .--_ ___--_____-__ _ -_-_. __.--__. <br /> --- <br /> � �"� f� ^.RIBE WONF�ND SW�RE ffNJUGE IN OI VE❑ <br /> �y �� <br /> F'� [*!O ��//�-Q �L9�li(.PGI g'��� ... . ______—_—_—_."_ —_-_ <br /> �` n rnorosmu+�'6 �emiomc —� i HEREBV CERTIFV THA7 I HAV[ READ AND EXAMINED iH15 <br /> � y� � !"� APPLICATION AND NNOW THE SAME TO BE TRUE AND COPRECT.ALL <br /> y _� �� '� PROVISIONS OF LAWS AND OPDINANCES GOVERNING THIS TVPE OF <br /> t� I I cAL�ESCRIPiION OF PNOVERtY ISNOWN BEl OW OR�LIACN FWR COPiE51 <br /> H WORH WILL BE COMPLETED WRH WHETHER SPECIFl[0 HERLRJ OR <br /> � y ���� e�p�K or _ _ .___ NOT. THE GR�NTING OF A PERMI7 OOES N0T PRESUME TO GIVE � <br /> � �yAUTHORIiV TO VIOLATE OA CANCEL THE PROVISiONS OF ANV <br /> � � -_ - OTHEV7 STAtE OR LOCAL LAW REGULA7ING CONSTqUCTION OR THE <br /> C� FERFORMANCE Oi CONSTRUCTION. THAT I AM AUTHORIZED B�THE <br /> �y OWNER OF THIS PROPERiV TO PERFORM THE WORK FOR WHICH � <br /> y APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> COI�TRACTORS lAW 18 77 RCW AND 296.200 WAC <br /> . � <br /> — - " /��c�t'� �u����i--- - �-�U���_ <br /> i <br /> -- — — - - , � <br /> i 4[ IfCi�I)DI11 SZ / / /� <br /> ����� � l>E��/b�(�� ��t�.�F��F'� �ti11 ��"��1 � - n". �.,- - '- . __ -- _ -- _ <br /> � <br /> PLUMBING MECHANICAL <br /> '�.� NO. TYPE OF FIXTURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE i <br /> I WAT[RCLOSGTITOILETI � AC -AHNDIGUNI(5- HP �i <br /> � . . . . __ . . __ __ ._. . . ___ ...-__ -____._�_- i <br /> __. _ _ -.___ _____._-_- __ .__ _ .. _.__. <br /> ��1HTU� FORC[D AIR SVSiCMS� -0 TU M. EA __ � t <br /> � _ . _ . _. ___ ._-__ - _ - �" ' <br /> __ ._ _._ _'______ _______ _--_ _._______ _ . ' � <br /> LAVATORV�WASH BASIN) _ UNR HEA7ER5_�0 T U M <br /> '� '�' -"'-- -SHOWER —__ .. __CLOTHESDiiVERS____ _ 1 <br /> �' � KITCHEN SINK S DISP VENTILATION F�N_ _ ___ __�_ � <br /> - --- — - .. ....._ 1 - qANGE HOOD � <br /> DISNWASHEN ' . <br /> - _--_ -__ ._--_-___._ <br /> __ .__- ..__ _. _._ � <br /> ... � LAUNDRVTRAV ' WA1ERfiE/17ER <br /> ' .__. .__ _ � ____-_ _-- � , <br /> _ _._.- .._.___�- '--. <br /> � I CLOTH[5 WASHER __ _ __ __ WOOD STOVE ___ __ i <br /> � - �""- MEiAI Fli7EPLACE 6 CHIMNEV I <br /> URINAL ___ _ ____ ___- � <br /> DRINNING FOUNTAIN __ FIREPLACE INSERT ; <br /> ' ' ' _ _ FLOOR DRAIN _ ___.._ '--- ___ H[A�PUMP � �. <br /> � — GAS PIPIMG <br /> BACKPLOW PREVENTERS _ . . .__ __ __ --r- <br /> ROOF DRAINS-RAINLEADERS : _ [%HAUST PAN <br /> f � ' SINK(SERVICE�-BAF.ETG� � _.-_..-- <br /> ._ - - _ _. . -�- � <br /> __ -_ —---_.__' -___. . - , <br /> _..___-'___ . __.._. <br /> - -- ---T- <br /> '-_ _--- _ . , <br /> 'f� SUB T07AL S . _ SUB TOTAL E , � <br /> ' - -___ -_-- , <br /> _.__--__.. _--__ _ _� __ PERMIT S <br /> PERMIT E � -�--- <br /> -`___. . .. . . _—..____--_-_ <br /> __._._. _._. . __. . .__ .' _ - TOTALF[E $ ' <br /> TOTALFEE E <br /> FOR OFFICE USE ONLY: <br /> --- ___-_ <br /> I IPttll 5f IPntJ III Alt hl IItAi r SIDl.SE18ACh I�i nry t ul i n IlIM1911 N I I f ���C �� � <br /> _ .___.—.. _ .—_ __ ._.. .— -. �. <br /> o.,reor�[ �o:�aan v�a�+rsrte FEES VALUATION � <br /> I111II UMc3 _ <br /> rvP10fCONISUIJW�BIF IYPEOILINISI�LN�I rcmr�vo� r�i� �. . . - - �� ��� <br /> r•P1�j° I'1 III.IIIING <br /> _.__.___ - - . _~— <br /> SiIEOfPl00 NOOFSIORi[5 9ASEMENI �,q�;��qN�CAL <br /> WCUP�NCVLO�D f�liESntMK�FntinfuP ��Fl[iHil�Mrt��ioH �DDIiIONALPUNC��CGK � <br />' gPRINHLER <br /> i <br /> i <br /> _ _'_"__' <br /> _ _ ____—"—_.. .__- -1—_ <br /> RE�SON fOB SPRINhI!fl: <br /> SIA1F OUIIDING SURGIIAIIGI <br /> __ "'.___.. <br /> .____. _ . __. ..__ ._ __....___ . _. — __ <br /> vnn«t nr � rimie e�riiovi�o xv CITY OF EVERETT ruEti ic wur+Hs <br /> � LOCAL SALES -T <br /> TAX COOE IS 3105 rorr.� <br />