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APPLICATIO' � FOR CONSTRUCT� N PER111�IT ���� <br /> TJ BE COM1IPLETED IN BLACK INK—PLEASE PRINT <br /> _ _ - -_ ---- <br /> — --- <br /> UILD!NG DEPARTMENT HEnTING SYSTEM: !J GAS U ELECTRIC iJ _____ _ __ _ <br /> 59 8810 --------------- — — -- � <br /> DEMOLITION COMBINATION � BUILDING MECHANICAL PLUMBING SIGN <br /> ----- — —---_ --- — - __ _ ------------ -------- <br /> .vNen n�nnnuoNrss r.0 zm r�wNe - �--- <br /> '"!f�l3osir:4 _ Ge. Pa. Qe.Y �707� MrS°F '7�TS�A'�ZLr�WR_91/L _ 3V2—T.�� <br /> N.N, �------ - -- g <br /> M�Rp0Uf1lSS 611v IiP <br /> PIIONf. <br /> Z,�''►�6 ,A-S �OwNfS2� <br /> -- ------ ---- ----___ - ---- -- -- --------- <br /> a:��rtccronoes�,Nu� r,mn aunruss cnr zir ruor�c --- -__-. <br /> C'.nfl'n�Ae/ [:'rv��i.v�iF2��' ./Gni ,S/f, C��ut� .ScS�n7T(,e.��✓q . �B�Q/ G�"!,; —e7'J/_. <br /> �Nen�:corv�necton-- unaaoon�sS �------- cnr zm —1--- <br /> c PHONF. 5T4t[IICENSE/ <br /> �^ l � �� <br /> —�,_ _�—"__'___ _ <br /> if.IMNtCN fONip�C1Uq MAILpbDfIf55----�--'— CIIY --- 11P—_ "---�p110NE SIRf.IKFNSE� <br /> IiL�9�N6CONf1UCT00��— M�iI�UbRf55 -----'-- '--" CIIY 21P —�--- V/IONF. STr1TE110ENSG� -.._ <br /> __—_'"'""___ __.. . _. _.____ _ _'___ ....._.—_.. .__.__.._ . __... .. __ "._—"_.'_ <br /> dS$OKWUIIN . __ ._ - __ ._—..__ _- _._.. .___ .. <br /> xNEW _AODITIDN _ ALTERATIPN __ REPAIR__DE�IOLITION � WOODSTOVEiFRPLINSERT BUILDINGRELOCATION <br /> crn�ucr r[i�soN�No r��oNi:No ---- <br /> k11fV�CIVRICEOFVlU11N I, 3yc� 00�7 LIG�N)0•�r'✓�•��O/L.S�J '�/i�J <br /> f----------— � �'"r �ii <br /> .SGlIipEWCRN�NDSOU�RE�OOi�OEIN'/OLVEO -- � <br /> Gtinss c<+oti � .'_z ��_—�L.CI.)� <br /> —t--- �— <br /> iorosious[arnuno�p, 1 HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> J rG/P'M PC-I}^�T APPUCATION AND K�:OW TH[SAME TO DE TRUE AND CONNGCT.ALL <br /> G�lDESCRiPfqNOFfROPEHfY�SHOWNB[LOWORATI�CNiWOCOPl85! PHOVISIONSOFLAWSANDORDINANCE560VERNINGTHISTYPEOF <br /> WORK WILL BE COMPLETED WITH WHETHEq SPECIFIED IIEREIN OR <br /> ,t _ e�a�n ov _ _____ N01. THE GRANTIWG OF A PERMIT DOES NOT PqESUME TO GIVE � <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> _— _. _ _____ OTHER STATE OF LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONST(7UCTION.THAT I AM AUTHOPIZED PY THE <br /> OWNER OF THIS PROP[RTV TO PEqFORM THE WORK FOH WHICH <br /> — APPLICATION IS MADE AND 1 GOMPLV WITH TI1E STATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> ia�r,r�ooness .-- X,� ������l• 1.���`� ���� <br /> W /'�/� �w � IM�f <br /> � �/N'.s/✓�ti �j/ �S '�7 cnrnusiv�ssic� - -- __ ' ___ _ <br /> 45f M <br /> PLUMBINO MECHANICAL — <br /> NO. TYPE OF FUfTURE OR ITEM FEE N0. TVPE OF EOUIPMENT FEE <br /> WATER CLOSET(iOILET) � NC—AiHNDLG UNITS—HP. , <br /> BATHTUB ' FORCED AIR SVSTEMS—B.TU. M E.A. � � <br /> LAVATORV(WASIi BASIN) —i-- UNIT HEATERS—�T.U. M � <br /> SHOWER � CLOTHES DRYERS ---; �� <br /> KITCHEN SINK d DISP ; VENTILATION FAN �� � <br /> DISHWASHER � RANGE HOOD � �� <br /> LAUNDRVTRAV ; WATER HEATER ��- <br /> CLOTHES WASHEH --'-- VyppD STOVE ��—� <br /> - ---- --------------- --- -'-- .- ."— ---- <br /> � <br /> URINAL __ 1 _ METAL FIREPLACE 8 CHIMNEV �� � <br /> DFINKING FOUNTAW � FIREPLACE INSEHT —�- <br /> FLOOR DRAIN ---�—� . -- ---�---.. <br /> —._ _ ___ HEAT PUMP <br /> BACHFLOW PREVFNTERS � GAS PIPING �i� � � - <br /> ROOF DRAINS—RAINLEADERS � E%HAUST FAN � � <br /> SINK(SERVICE—BAR,ETC� � - <br /> _ � <br /> '— t_. —._ _ --.i__._ <br /> i i <br /> —�— — ____ .. . <br /> . � . —_ _.___ ___ <br /> _ __�___ _ <br /> _ SUBTOTAL S ' SUBTOTAL S <br /> PERMIT $ � _ PERMIT g � <br /> TOTAL FEE S TOTAL FEE � <br /> OR OFFICE USE ONLY: <br /> �ONigEfp�f,N fiE�RSF.tAACN yIpESEI9�CH � PLRNCI� CHNl11ApER FEE IlECP1VtN0 <br /> ___ �_ <br /> ,elonc i.oreace vecnNrsirE FEES VALU�TION FE@ <br /> —�— <br /> u�aoiNa `� lr�'� 3:.�a� , <br /> �'EOfCONIS IIOWABIE IYGFOICOMSI�AGNAL occunNn Nonpmuu�uM��e — �� � ��3�� <br /> ____'_'__'__ . <br /> f.Rp � <br /> � � riuMniNc � <br /> ��--- �--- ------- 3--`� --------- � <br /> --- - ---.-- <br /> �E �oc No ov�7oqms o.+sE��cvr , <br /> ' p�J ♦ / . � Mf.CHANICAL � <br /> 20 / JO�t, Ili /�/1. _. _______—_' ___ ___'__—__L_ <br /> CU ANCVIU�D iIRESPPNkL(FtiBEOD NricuriiMirnncN+ ADUIfIONAI PIAMCHECK —�/r,(�./ ����� <br /> �5��SPR�NNIfPS ��� -- --""---- SPRINNLER ' � — <br /> — � <br /> —____ __—__ ___.._ ____i_ . . <br /> . _ u�� STAtE�111WING SURCHARGE '/ - <br /> _..__ _._. ._ —__—_ _--_ _—__—__ L�"- i) <br /> <.�e. i�r er���ovi o ar CITY OF EVERETT Punuc woiaKs --- - - — <br /> LqCAL SALES �`'`"` d �'�- <br /> ��j TAR CODE IS 3105 TOTAL —'�— <br /> — --�—._ — ------- -- _.. . �� � ' '/_' <br />