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�<Mcn.hS <br /> Y <br /> nyy, /i='..� -�. <br /> �� � dIPPLICATIO.� FOR CONSTRUI:T�JN PERMIT �� ..,.� <br /> � TO BE COMPLETED IN BLACK INK—PLEASE PRINT � <br /> L_HEATING SVSTEM�. ❑GAS U ELECTRIC � <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> � n� DEMOLITION COMBINATION �BUILDING MECHANICAL PLUMBING SIGN <br /> �Eq M�R�OO�E55 <br /> LITV Z�P PHONE S <br /> �o '� 7/}_E $o��,JG oo., /�.o. (joX �7�7�`MIS �'''F- z�����,,�,�„�� 9RI2� 3Y2•-s�7f' € <br /> d tEN�YT M�0.A ORE55 <br /> H ��i ��oE'iN(�e co . <br /> •�GNiTECTOR0E5i0NER M�0.�DDRE55 CIT� 1iP P�MklE <br /> tC �J n �GVL,rf4.���7J /' Cr�ic4 <br /> � L7 � M�R�DDRE55 :ITr ZIP PNONE ST�tELICENSE� <br /> OENER�lfCVTN�CTOR <br /> H �1 <br /> y <br /> MEG�4N..4LplTR�CTOR MM��DORE55 Lrtv i�� P��E ST�T[LILF.N4E� <br /> �i <br /> O�d f WBM6 tplTN�LiON MMt�DOAE55 pTY IIP °HONE 6T�TE 11GEN5E/ <br /> (�� n <br /> ]y�n 'L�SSO�WO�IM . <br /> �H NEW �'� .4DUI fl(iN ALTEFATION REPAIR OEMOLITION WOODSTOVE/FRPL INSERT BUILDING RE�OCATION <br /> � y LONT�CT FEASOM 1N�VHONE NO �-w. �s <br /> H Cd1TP�CT PR�CE OF Nf'�'Y ��N �' ",, '(_ � <br /> � DESCLIBE WORK�ND F.:O�AE i'OOT�6E INV0.VE0 <br /> H �� E -3s63 <br /> ��� /-�, .._ r; � < ,�'+ it .— <br /> � bnoroseouseorem �inc i HEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> y ����; � � APPLICATION AND KNOW THE SAME TO BE 7RUE AND CORRECT.ALL <br /> Of/� LEOMDESCRIPTIONOFPROPERTYISMOWNBE/OWORPTf�CHfIX1RGOPlE51 PROVISIONSOFLAWSANDOROINANCESGOVERNINGTHIS7VPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED i�EREIN OR <br /> e�aK __ or NOT. THE GRANTING OF A PERMIT D�ES NOT PRESUME l0 GIVE <br /> � AUTHOFITY i0 VIOLATE OR CANC�_L TNE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGUL4TING CONSTqUCTION Oii THE <br /> — PERFORMANCE OF CONSTRUCTION.1HAT I AM AUTNORIZE�BV THE <br /> OWNER OF THIS PROPEFTV TO PERFORM THE WORK FOR WHICH <br /> _ APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTPACTORS lAW 1827 RCW AND 296200 WAC. <br /> x .�• '�, . _ -�l�• ���,.•(=�'�� 3�9�z, <br /> SiGN�N^[ WIf <br /> PR0.IECT�DDRE55 '�-';/« '- <br /> �J�/'1� �. C�.S/NO �/, C [ Li3 C�fv11�J5mESStK[MSEMJ <br /> x�•� <br /> PLUMBING MECHANICAL <br /> �/��'� Np, TVPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE I <br /> WA7fiR CLOSET(TOII.ET) A�C—A'NNDLG UNITS—H P. ; <br /> dATHTUB FORCED AIR SVSTEMS—BSL. M E.A. <br /> jLAVATORV(WASH BASIN� UNIT HEATEH$—B.T.U. M ,�— II <br /> 1 !!! _ SHOWER CLOTHESDRVERS _ <br /> C ■ KITCNEN SINK 6 DISP VENTILATION FAN <br /> I � -- RANGEHOOD I <br /> �� —� �ISHWASHER WATER HEATER <br /> LAUNDRVTRAY _ <br /> � CIOTHES WASHER __ WOOD STOVE I <br /> IURINAL — METqL PIREPLAf,E 8 CHIMNEV II <br /> �� DRINKING FOUNTAIN FIREPLACE INSERT <br /> � FLOOR DRAIN _ HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING I <br /> RpOf DRAINS—RAINLEADERS E%HAUST FAN __ i <br /> I �� SINK(SE�VICE—BAR,ETC.1 __.T I <br /> � �•� — ---� <br /> �1�1 SUB TOTAL 5 I <br /> � SU9TOLAL S � pERM�T S <br /> _. .— <br /> PFRMIT E — TOTAL FEE $ <br /> ._� TOTAL°EE 5 _ __ <br /> ` FOR OFFICE USE ONLY: _ <br /> - iBONTSETB�GN P:�RS[1HACh SIpESF.iB�LK <br /> PI�NLNEC�NUMBE� fEC PECEIPLND <br /> ' Go � <br /> U`E2d1E t.Ot�RE� VAC�NiSrtE FEES VALUATION FEE�_ <br /> BUILDING j'O '<< <br /> TVPFOfCONIS�IlOWA9l[ LWEOfCON51�t1U�l ;f,wa MuO�v:no+�aur'�s - <br /> .v � PI.UMBING <br /> �,li�^ BLW NO OF STONES B+aGMEN* MEGHANIGAL <br /> J�� ��a �v. F T. � v J - AD`JITIONAL�LAN CNECN � <br /> JCCU>�NCVLO�O FlRESPNNK�ENSNEQD NEIGN1UMrt�ii.N1 _ tiAS'� <br /> d 1 ( �� _____ SPRINNLFR � <br /> T <br />' RE�SONFORSPRINNLERS <br /> STQEBUIL�INGSURCHAPGE U � ,�C <br />, MT�KE Bv Pl.�NS �P�OvIDAv CITY OF EVERETT PUBLIC WOhKS <br /> LOCAL SAI.ES <br /> � l�h � TIIX CODE IS 3105 TOTA� �,y '� �� <br />