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'� �� � Q'1NSTRUCTION � � p <br /> ever ett PERMIT PERMIT NQ:: �OJ�� <br /> ❑ DEMOLITION ❑ COM8INATION ❑ BUILDINO ❑ MECHANICAL f7 PLUMBINO ❑ SION <br /> pµryQR M�IL�D�E55 CITY ZIP PHONE <br /> Margaret Hanrikeen 2530 (hestnut Everett 98201 <br /> ♦RCHITECT 011 DESIONER M11L�ODRE55 CITY IIP R10ME <br /> OENEMI CONTRICTOR M�IL�UDRE55 CITY ZIP PHONE IICEHSE• <br /> MELMI1NIGlCONTN�LTON MeIL�DDRE55 CITY 21P MONE IILFNSE� <br /> RUMBINOCONTRALTp11 M�IL�O�RESS CITV 2iP PNONE LICENSE� <br /> Zane'e Plinnbing 1131 Pine St. Sp.l �Ve:cett 98201 259-1985 ZANESP*136QL <br /> CL/9S Oi W011N <br /> ❑NEW ❑ ADDITION ❑ ALTERATON � REPAIR ❑ DEMOLITION ❑ BUILDINO RELOCATION <br /> v�w�na+a won. -- <br /> i <br /> DESCRIBE w011R <br /> Water repipe <br /> ME�T BOUIICE <br /> ❑ ELECTRICITY ❑ 0118 O WOODSTOVE ❑ OTMEH <br /> PROPOSED USE Of BU�LDINO <br /> 6FR I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> APPLICATIO`l AND KNOW THE SAME TO BE TRUE AND <br /> IEO�LDESCR�FTIqIOfPf10PERTYI�OWPEIOWOR�TT�C��fOURCORESI CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TVPE OF WORK Wll.l BE COMPLIED WITH <br /> wr_n�ocK —ov WHETHER SPECIFIED HEREIN OR NOT. THE GRANTINO OF A � <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO h <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANV OTHER , <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOB�ODRE99 SiONATUPE Of CpNTR�CTOR.�UTNOR�ZED�GENT.OR OWNEP O�t <br /> 253o Cheetnut X <br /> iLUMlINO MECHANICAL <br /> Np, TYPE Of PIIfTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER GLOSET�TOILET) A�C-AiHNDLG UNITS-H P <br /> B�THTUB PEFr7IGERATIONUNITS-HP EA <br /> UVATONY(W�SM BASIN� BOILERS-P T.0/H P <br /> gHpyyEq G�SfIPEDRC UNITS-BTU <br /> NITCHEN SINK 8 D15P. FORCED AIR SYSiEMS-B T U N EA <br /> DISMW�SNER wAU HE�TERS-B T U M <br /> IAUNDRY TAAY UNIT MEAIFRS-B T U M <br /> CLOIHE3 WASHER EVAPORnTIVE COOLERS <br /> UNINAL CLOTMESDRYERS <br /> ORINKINO FOUNT�IN VFNTILATION FA�' <br /> FLOORONAIN RANOENOOD i <br /> BACNFLOW PREVENTERS WATER HEATER � <br /> ROOF ORAINS-RAINIEADERS WOOD STOVE <br /> SINK�SERVICE-BAR,ETC� METAL FIRFVLACE 6 CHIMNEV <br /> FIREPUCE INSEHT <br /> NE�T PUMP <br /> (iAS PIPING <br /> E%HAUSTFAN <br /> {UO T0TI1L f !IN TOTAL <br /> i[IIMIT i PEIIMIT <br /> TOTALiF[ � Ta �=4 <br /> fqa1T BETBncK AEAN S�iB�CK sioE SErB�CK P�AN CHECN NUMBER FEE / RECEIPT NO. <br /> �� <br /> UlE20NE LOTwnE� '/�C�NTSrtE <br /> ❑res ❑ao FEF. � 1 FEE <br /> TYPEWCONST OCLUP�NCYOROUP NOOfOWELLMUUNITS BUIlDINO ! �� <br /> PLUMBINO '�� �1 '� 35 O <br /> &IE OF BL00 NO Of StOPIES M�% OCC LU�O <br /> MECHAN�CAL <br /> INVESTIOATIONFEE ���le) <br /> R R IR YES NO <br /> STATE BUILDINO SURCNARf3E <br /> STATEENERGYSURCHARGE <br /> MTIIGTIp1�CCBY PUNSCMFCNEUBY 11PPRfORISSWNCEBY <br /> DPWEWAY PERMIT <br /> g.H. TOTAL 35 0 <br /> rcnrRv�uo�noM <br /> WHEN PROPENLY VALIOATED�IN TMIS SPACE�THIS 19 VOUR PERMIT <br /> �� <br /> N <br /> � <br /> O <br /> N <br /> ADDRESS FllE <br />