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-. -- <br /> APPLICATION FOR CONSTRUCTIa�N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> �� HEATING SYSTEM: U GAS ❑ELECTRIC ❑ <br /> BUILDING DEPARTMENT ' <br /> 259-8810 <br /> I I DEMOLITION � I COMBINATION I�BUILDING I I MECHANICAL I I PLUMBINO I I SION <br /> pWqEN AUILADOREBS CIIY ZIP PNd/E <br /> �r�� Bo�i�G cr�� I?o. 6ox 37�7, ih�s �h-7c .5�-,��rt�'. w�}• 98r2� 3Yz.-sP�Y <br /> TENANT MAIL� ORE59 CITY TIP P E <br /> Tl(� �oE�NG Co . <br /> ARCNITECTONDESpNER MAILMURE65 CITY 21P PNONE <br /> -rl+� �sr„� co , 11�IS" 4��' (�v� w, �v�� n_E.-rr-, d✓/�-. �,�u,�f z9o- 9i•�v <br /> a�0ENEIULCONIflACTOP IAAIL�DORESS CITY 21P VIIONE 6UTElIGENSE� <br /> �,G T7/E �{-�/�ri.✓ Ci- , <br /> MECMANICALCONTR/�CTON IM�L�DONESS CITY IIP PMONE ST�iELICENSEI <br /> \ <br /> PLUMOINUCONTRACiOR �R�DDRE55 CI�Y 21P PIqNE BUTEIIGENSE� <br /> GUSS OF WONK <br /> I I NEW I.J ADDITION I�ALTERATION I I pEPAIR I I DEMULITION I I WOODSTOVFJFRPLINSERT I I BUILDINORELOCATION <br /> wr�'u^ct venswi uro r�w.it ra. <br /> CONTRACtPPICEOFWONN �L�, � n i7 (�ON /L� .�LFi7yI(j02S�'I <br /> UESCNIBE WORN N!D 60UAHE FOOtA6E INVOLVED <br /> TLrni�l-N� /✓+�P/z��vC/n���ij� �.Gb -3s63 <br /> rraroseouseaeuaonm I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> -D�f+��,�� APPLICATION AND KNOW THE SAME TO BE TRUE AND COflRECL ALL <br /> LEOALDEBGN�PTIONOiPNOPERTY�6110WNBELOWOl1ATTM:HFWRCAPIES) PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> WORK WILL BE COMPLETED WITH WHETHEfl SPECIFIED HEREIN OR <br /> �or e�ax oF NOT. THE 6RANTING OF A PERMIT DOES NOT PRESUME TO 61VE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PHOVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATINO CONSTRUCTION OR THE <br /> — PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PFOPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTHACTORS LAW 1827 flCW AND 288.200 WAC. <br /> x �. /ti��2..�1�-�. ' 3/I 3 �9� <br /> PPOJECT ADONESS ��E w�E <br /> 3003 bv. C,4-s�,vo 2). 6 -3� �������KE�� <br /> PLUMBINfi MECMANICAL <br /> NO, TYPE OF flIITURE OR REM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET) � MP-A/HNDLO UNITS—H.P. _�_ <br /> BATHTUB ' - FOHCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> LAVATORV(WASH BASIN) � UNIT HEATEFS—B.T.U. M � <br /> SHOWER ' CLOTHES DRYERS � <br /> KITCHEN SINK 8 DISP � VENTILATION FAN � <br /> DISHWASHER � RANaE HOOD ' <br /> LAUNDRY TRAY ; WATER HEATER _}_ <br /> CLOTHES WASHER � WOOD STOVE � <br /> URINAL ' METAL FIREPUCE 6 CNIMNEV ' <br /> DRINNIN6 FOUNTAIN � � FIREPLACE INSERT � <br /> FLOOR DRAIN <br /> � fIEATPUMP ' <br /> BACKFLOW PREVENTERS ; 6AS PIPINa �_ <br /> ROOF ORAINS—RAINLEADEHS � E%HAUST FAN ' <br /> SINK(SERVICE—BAH�ETC.) � — — <br /> � <br /> � <br /> � <br /> � <br /> i <br /> � � <br /> � r— <br /> � SUB TOTAI E � SUB TOTAL S ' <br /> '' PERMIT S � PERMIT S .__� <br /> ' TOTALFEE S ' TOTALFEE S ' <br /> FOR OPFICE USE ONLY: � <br /> FI10NT6ETBACN RENI6ETBACN 610E6Ei9�CN P�u��}ECNNUTABEfl FEF�� � RECEIPTNO. <br /> J � � <br /> USEZONE LOTAHE� � VACANT61tE FEES ALUA710N FEE <br /> BUILDINd 5 9 Q� c� /�.2 �. ' r� <br /> IYPEOFCONIS.AIIPN/�BIE fYPFOFtON51./iC1UAl oa,wurtr xoaowllurwwn � <br /> ' _ - / '/ _ � PLUMBINO i <br /> ��� i <br /> 611EOFBI�.DU. NO.OF6TOf1lE6 BASEMENi MECHANICAL � <br /> �o 00 , / 3y�?jZ <br /> CUPANCVLOAO, FIRESPflNNLEH5NE0'� NEIONTLIMITATION ADDITIONALPUNCNECN � �. <br /> i <br /> s �ES � SPRINKIER i <br /> qEA FORSPRMIkLERS ' � � <br /> STATE BUILDIN6 SUflCHAFOE � <br /> INTIu�E BY PUNS MP VED Bv CITY OF EVERETT PUBLIC WORNS � <br /> /yJ LOCAL SALES � -'-'n T <br /> � 1� TAX COOE IS 3105 Tor�� J� 5 /.� � .x�.3 <br />