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� <br /> � APPLICATIG.1 Fb� CONSTRUCT.JN PERMIT � <br /> TO BE CO�hnLETED It� BLACK INK—PL[ASE PRINT <br /> BUILDING DEPARTMENT HEATING SYSTEM: U G/+5 U ELEC7RIC C) <br /> 259-BB10 � <br /> i I DEMOLITION f I COMBINATION �BUILDING I I MECHANICAL I I PIUMBINQ I I SIGN <br /> owr+en %ut�uoaEss nrr iro oHone <br /> rME_�rNc.Lc,o�. / P o, (�oX 37v'J� M�S c�F -76. SEit-1T'�E�l..�. `��'(Z� 3�Z-7339 <br /> TEIUN� M�0.�UD11E85 CI(Y IP PIqNE <br /> ��+'���.�' �rS OWN�it� <br /> �IX:HIiECT(XIOE5�01�11 MAILADOflE6S CITV 21P P4qNE <br /> 6�n-�is d M�,�ouN�u. f o,b�x�f1917s , K�4,�s,rs cr�-y. Mo_ ey�v/ (8/6)33a -Y37S <br /> CENEMLCO�(NTMCipi IMU E65 CITY il � PIqNE 9TIOELICENSEI <br /> � J1 "Z' _ <br /> MECIIANI�ALLpNiMGTOR IMILIIWIIE65 GTY ZIP PIqNE B�AIELICENSE� <br /> PLUMBINOCpITR11tT011 M�4�DDIIE88 Ct7Y ZIP PIqNE 6TIVELICENSEI <br /> �98 O�WORN <br /> NEW f I AUDITION I-I ALTERATION I I FlEPAIR I I DEMOLIiICIN I I WOODSTOVE/FHPI INSERT I I BUILDIHO RELOCATION <br /> /� cor+ucr renson uro p�A-r�o. <br /> ca+m�crraceavnmx 7A, OpQ l�oNR�n.D /rsT(.rn1({C�E-'Sk.( 2Gh_3rL3 <br /> DE9CRIBE N'ONK M!0 B]U�RE F�VOlVEO � <br /> 2 x,y o = j�,o 5� <br /> rnoroseouseorcuaona � HEIiEBV CEHTIFY Tf1A? t HAVF READ AND E%AMINHD TH13 <br /> �Ol� S �F'l�"D APPLICATION ANO NNOW THE SAME TO BE TRUE AND CORRECL Ai.�_. <br /> iEaaoeecwvtqriavtavenrv�s�rowNeeu»von�nncHvouncoviEs� � PROVISIONSOFUIWSANDORUINANCES60VERNINOTHI87YPEOF <br /> WORK WILL BE COMPLEiED WIiH WHETHER SPECIFIED HEREtII OII <br /> iot e�oc� a NQT. TNE 6RANTINO OF A PERMIT DOES NOT PRESUME TO OIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHGR STA7E OR LOCAL lAW RE6ULAiINO CON3TFlUCTION Ofi THE <br /> P[RFOHMANCE Or CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF iHIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH 1HE STATE <br /> CONTRACTORS LAW IB27 RCW AND 298200 WAC. <br /> ��R'�'"'r"" �' �'u"�"4' c/.�� �_.�� <br /> o�����1. G� r o 2D S=�8( - - � W, — --- <br /> ��n�,,,���� <br /> PLUMB�NG � � MECHANICAL <br /> N0. • TYPE OF FIMiURE ON ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WPTER CLOSET(TUILET) � NC—AIHNDLO UNITS—H.P. _ � <br /> �BATHTUB • � ' � FORCED AIH SYSTEMS—B.1.U. M E.A. ; <br /> LAVATORY(WASH BASIN) � UNIT HEATERS—B.T.U. M i <br /> SHOWLR � CLOTNES DRYEHS � <br /> KIiCH N SINK 8 DISP � VENTILATIUN fAN ' <br /> DISHWASHEfl � RANOE HOOD � <br /> I.AUNDRYTHhY � WATERHEATER ' <br /> CLOTH�S WASHER � WOOO STOVE i <br /> UNINAL ' METAL FIREPLACE 6 CHIMNEY � <br /> ORINKIN6 FOUNTAIN � FIREPUICE INSERT ; <br /> FLOOR DRAIN � HEAT PUMP � <br /> BACKFLOW PREVENTERS � dAS PIPINO ' <br /> ROOF DRAINS—RAINLEAOERS � EXHAUST FAN _ � _ <br /> SINK(SERVICE—BAH,E1C.) ' � <br /> i <br /> — ' —i— <br /> � � <br /> � — � <br /> i _�_ <br /> � � <br /> SUB TOTAL S ; SUB TOTAL 1 ' <br /> PERMIT { � PERMIT i � <br /> TOTALFEE i ' TOTALFEE f ' <br /> FOR OFFICE IiSE ONLY: <br /> FRONI BEIBACY � 11EAA 6EtBAGK SIDE fiE1BACN MAN CNECM NUMBEII FEE RECEIPI NO. <br /> ��� <br /> useia+e LOTME� WC�NTBItE FEEB VALUATION _�FL'E � <br /> BUILDINO �h �p � / ; ,� <br /> IYPE0ICONItKIQwMlF /YPEdCOMbT.ACIUM aa�wc� xoaurniMuunn -- — � <br /> ` 1 ,_1 (, � °"°» � PLUMBINa _ i <br /> �_1-�v _.�— <br /> B¢EOFBL00. NO.OFBTORIE9 B�SEMENf MECHANIC/1L � <br /> i <br /> �'loo s�•ft, - �a <br /> Of:CU�'d4Cv�p�D fIREBPPNI(LE118flEOD HEqI1fLIM1UtI0N �DOI710NRLPLANCHECK c�LU �/ ^ <br /> I � � � __ 6PRINNLER � <br /> PEKON FCNI6PIIINNLEA9 <br /> 5TIITEBUIlDIN09URCHAROE Y i,� <br /> _ � <br /> x�inKi.o� v��N�rnov¢oer CIiY 0F EVERETT PUBUC WORH9 � <br /> � LOCAL SALES <br /> TA)(CODE IS 3105 *oi�� � G G ; �� <br />