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�, APPLICATIQ"! FOR CONSTRUCT'lN PERMIT I <br /> `� TO BE COMPLETED iN BLACK INK—PLEASE PRINT ����e�tr I <br /> ti <br /> UILDING DEPARTMENT HEATING SVSTEM: U GAS ❑ELECTRIC U 1 <br /> 59�8810 <br /> DEMOUTION COMBINATION X BUILDING � �MECHANICAL ! PLUMBING SIGN <br /> NN[(i M�il�D0�1C55 CIl 21P PIIONB <br /> ;y� acsi 4 u.t_P o. !�x ? 07 n, s o� �[, SE��i.s,wR• 9lizY 3vz-��s� <br /> N�NT MML�DOIIf55 LIIV liP PMONE <br /> SfYmd ,A�s 6'wN6'rt� <br /> 1LHiTECTOf1DE516NER M�IL�DDRESS GTY ZIP PNONE <br /> 'rN�E /}US11d Co• <br /> 'NER�LfONiR�CTOR M�R�ODRE55 CITY ZIP PNONE fiT�TEIICENSE/ � <br /> TN� At/fT��J GD. <br /> 2GH�HICQCONTR�G70P M�K�DONE55 LITV 21P PIIONE STREIICENSE� <br /> UMBIN6CONIR�CTOR MAILADORE55 CI7Y ZIP PIqNE STATEIICENS[� <br /> �55OF WORN <br /> NEW ! ADDITION � ALTERATION '� REPAIq I i DEMOLITION � � WOODSTOVE/FflPL INSEHT I ! BUILDIN4 REIOCATION <br /> f.ON,TACrT PERSON�N�O P/H�ONE N{Ow/� /� � n'' '� <br /> 1NTR�GT PRICE OF W011Y _ ^��M���L / „�BOi�y� f��� I <br /> -SCRtOE WOBN�NOSW�FEf.ppTAOE INVOIVED ` ; <br /> a n �f'O O <br /> ioroseouseoFawioine ' i HEREBV CERTIFV 1�HAT I HAVE READ AND ERAMINED THIS �I <br /> �1.9.sTRas�., o� p/-'/=/G 6 f APPUCATION AND KNUW THE SAME TO BE TRUE AND CORRECT.ALL �', <br /> OALDESCRIPI�ONOFPROPERfY�SHOWNBEIOWORATTIICNFWRCOPIE6� PROVISIONSOFlAWSANDOR0INANCESGOVERNIN6THI5TYPEOF �',. <br /> WORK WILL BE COMPLETED WITH WHETHER SPEGFIED HEREIN OR I, <br /> a eiocK or NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE '. <br /> AUTHORITV TO VIOLATE OR CANCEL THF. PROVISIONS OF ANV '� <br /> OTHEH STATE OR LOCAL LAW REOULATINO CONSTRUCTION OR THE <br /> ! PERFOHMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE � <br /> OWNER OF THIS PPOPEHTY TU PERFORM THE WOFK FOR WHICH � <br /> APPLICATION IS MALE AND I COMPLV WITH THE STATE I <br /> CQNTRACTORS LAW 18.27 RCW AND 296200 WAC. 'i <br /> "` uy-(�•�.• q l P/9Y_ <br /> .9 v 3�-+/,L.. x � <br /> 10JECIADDIiE55 p ea u� '2� � p ��� I <br /> W Gi4SI✓OIL � y0-Z!. - ° — <br /> � �yJ rnrnusmrss��ctnserw <br /> PLUMBINO MECHANICAL I, <br /> NO. TYVE OF FIXTURE OR ITEM FEE NG. TVPE OF EOUIPMENT FEE ��. <br /> WATER CLOS[T(TOILET) NC—A/NNDLG UNITS—H.P. � j <br /> BATHTUB FORCED AIR SVSTEMS—B.T.U. M E.A. '�, <br /> LAVATORV(WASH BASIN) � UNIT HEATERS—B.T.U. M _ � �, <br /> SHOWER ' CIOTHB50FiVERS � � <br /> KITCHEN SINK 6 DISP ; VENTILATION FAN � <br /> DISHWASHEli r— RANGE HOOD <br /> LAUNDRY TRAY � WATER HEATER ' <br /> CLOTHES WASH[R � WOODSTOVE � <br /> --�'-- - - ----- —'-- ---*— <br /> URINAL ' ME7AL FIREPIACE 8 CHIMNEV � <br /> DRINKING FOUNTAIN _ � FIREPLACE INSERT T_ <br /> FLOnR ORAIN � HEAT PUMP � I <br /> BACKFLOW PREVENTERS i OAS PIPINO ' <br /> ROOF DRAINS—RAINLEADERS � E%HAUST FAN �_ <br /> SINK(SERVICE—BAR,ETC.) ' ' <br /> ' � <br /> � <br /> � , <br /> SUB TOTAL S SUB TOTAL S <br /> PEFMIT S � PERMIT S � <br /> TOTAL FEE S ' TOTAL FEE S ' <br /> OR OFFICE USE ONLY: <br /> ONTSEIB�CN RE�HSFiB�C1c SIDESEiB�CN PIR�CMECKNUMOER fEE AFCEIPiNO <br /> � � J J <br /> �E 20NE iot�ae� WGANT 61TE FEES VALUATION FEE <br /> BUIlDIN6 ,F- �, � �j�/ �� <br /> i <br /> °t���oN�s euow�e�E �rPf a coNSi gNu acuwxcr xa a oNwucuxns r-�`-- , <br /> N //— Y c"a�� PLUMBING � <br /> ---�— <br /> 'E Oi BLDG NO OF STORIES B.�SEMENi MECHANICAL � <br /> n � <br /> /J��7T� �,��. J.1. � — <br /> i <br /> .([:yJP�,� VlO�D FIPFSPRNMlERSREOD NEIONTIIYlUT10N '���ANCHECK �' �6 <br /> 1 �S �.S SPRINNIER � <br /> �SON FOR SFRINRLERS � -- -�-- <br /> (�a( �� ST�TEBWIDINOSUNCHARGE ✓ i�' <br /> qrcE BY FL�N APPROVE�OY CITY OF EVERE7T pUBIIC WOflK$ ----�- <br /> ,�� LOCAL SIILES , <br /> ' � TAX CODE IS 3105 TOTAL �/S/ � <br />