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�4PPLICATIO"'� FOR CONSTRUCT�IN PERMIT �� <br /> 'O BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> ---- _ _ _ <br />� �EAiINGSVSTEM�. ,�GAS JELECTRIC �(I I.�CN� � I <br />� BUILDINGUEPARTMENT ----------_____ - - __— 1 <br /> 259 9810 I <br /> UEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> — ----- ----— -----—__ . <br /> owr+en �mn n�,onrss c�rv P��opE --- - � <br /> 77fE �so�iu� �y P.n. ��„c �7a7 Mls n�-ic., J�r�m.E�_�✓A . 9.91z✓ _ Z�.�,-3rc , <br /> T[NANi MAR nDlJR[55 Citv I�� ��HONF. <br /> SQ,�r76 /i� O[NN�IV� <br /> AqCNrtECiORD[S�GNFR MRRADURE55 ❑tv tC' vupNt <br />� ��4y :�Ja�-Y�fw�r3T /N�•,_$n�, � • �P�.A6u� 5j�c�cpNC ,u.tA S�i��14�_�iS1�-- <br /> ��,er.mn�co��rnncror+ r�aiuooae,s r.u� r��� r��orn srnreuceNse� � <br /> MEC�IRNIG�ICOqTRAC10R M�LAODRE55 UiV '•P PNONC SinTEIICFNSE• � � <br /> PIUMB�NG CONiRACTON Albt ADpPESS GLY 21P PHONE Si1TE LICENSE� <br /> LONLA�CTPNICE JFWO�N _. . <br /> LS, cCo <br /> DESCRIBE YIOFK�NO 5^���o<<mi�r.c iNVOLVED CONtACt PCRSOh AND PNONE NO <br /> 9�n=F_ <br /> �an,,�,oK STvr-�-�E LGuN,4itp �"T�T�'h76a2Skl 2C6-���(, 7 <br /> -_ i HEREBV CERTIFV THAT I HAVE READ AND EKAMWED THiS <br /> rnonoseo u=e ov BunDwe APPLICATION AND KNOW THf_SAME TO BE TRUE AND CORRECT ALL <br /> ���� ��r�'/�"�'�� __ PROVIS�ONS UF�AWS AND CRDINANCES GOVERNING THIS TYPE OF <br /> �i:cnin[scn��vor+nrrqorEntvisnowr�eaowornrtecHtwocoaiesi WORK WILL BF COMPLETED WITH WHETHER SPECIFIED HERBIN OR <br /> NOT iHE GRANTING OF A PERMIT DOES NOT PNESUME TO GIVE <br /> '"� � PLOC" o` -- AUTHORITY TO VIOLATE Ofi CANCEL THE PROVISIONS OF ANV <br /> OTHEfi STATE OR LOCAL LAW REGULATING CONSTRUCTICN OR THE <br /> �- --- - "- AERFOFMANCF OF CONSTRUCTION. THAT I AM AUTHOR�ZED BY THE <br /> OWNER OF THIS PqOPERTV TO PERFORM THE WORK FOR WHI�:H <br /> � ----- APPLICA710N IS NADE AND I C�MPLV WITH TH[ STME <br /> t�ni�c[i.inx i D r+uMfEn CONTRACTORS LAW 1827 RCW AND 296200 WAC <br /> .___-_._ ___ _.___ . <br /> �.nr�sinuGno�..onqltNUFR nUDn!_ss iFLL �:F vurAHr� .. . . . � . <br /> 7f Yt-A....� �if/1��� ��`����� <br /> PHOJECTADDRESS ,/ -(�CJ J . . X.. .r� --�------ o.-n ------- <br /> �X�� 'l � C,/�iin.+b IZ� � '7�_� --- .___ - _____-__-_ <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATFR LLOSET ITOILETi A G-A HNDLG UNIiS-HP. <br /> _ - _._ ._ _- __.__._ __.__.. _ . .__ . .. _ ___ __-____-_ ___._ <br /> ��THTUCI � I"ORCED AIR SVSTEMS-B T.U. �d EA � <br /> ___._.-_ __. . __...___._.__-__-__ _.___ __ . _ _ . ._.. __ __._-..-_ — ' _ <br /> LA`JATORV IWASII pASIN� � UNIT H[ATERS�-B T.U. M <br /> ____ _._-__ _ ______ _____ __T__ <br /> _ SHOWER_ ' � CLO7HC-S DRVERti � <br /> _—__ .__.-_____.'�-_. ._____ ____- .____._--__'_-- ' _ <br /> . HITCHEN SINK 8 DISP VENTILAiION F'�.' <br /> DISHWASHER RANG[ HOOD -'— <br /> LAUNDRY iRAV N/ATEH Hc.[�TER <br /> _ � .__.. _- _.-_---_— - __ <br /> CLOTHES WASHER —r WOOD STOVE <br /> ___ URINAL ' METAL FIREPLACE(WOOD BURNING) <br /> DRINKING FOUNTAIN ' FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP —� <br /> .. _ _ ________...___ __ .__.___.�-_ _____. .- ________ _.__.__-_-- __ ___ <br /> _ BACKFLOW PREVENTERS _ GAS FIPING _ <br /> ROOF DF7AINS-AAINLEADEFS � E%HAUST FAN <br /> SINK�SFP'/ICE�-BAR, ETC.I ' <br /> � <br /> __. .- __-____..__-___ ____-{-- _.____________ ; . <br /> .____ ___-_ -- � -_ <br />' _ <br /> _ _ _______ SUB TOTAL 3 �, SU�TOTAL $ ; <br /> PEFMIT $ _ _..-. . , .. _ . . _____- PEFMIT __$ __ _. <br /> ___ _. _ ___-______.__.-___....._____ __. ____ _ . . _ ._____-- _._____-_--__�-___ <br /> TOiAL FEE $ ' TOTAL F[E $ • <br /> FOR OFFICE USE ONLY: <br /> ------- -___ _ _ — -- <br /> �n �N�sFrBnr�K qtnqtiFiP<C• tiiD[ ti[�Rn�r n�nqi�.uttr •inJltf� �t� uPrE+nrryo <br /> �/ll�l�� <br /> use JONe -��i��ene� vncnNr srte FEES VAWATION FEE <br /> VES NO NUILI)INC � <br /> _-_ ___._._ __ � _ <br /> i�r�lflfON51 NOOFS10RiF5 xri.,��r.. M,;�:>.v . . .. .. __. . __ '_-.._. . . _._ ___-_ _.- .i__' <br /> ,,�,�,�� „i tudn�Ns <br /> i. - �✓ t , <br /> -- --� -- -- --- -- - -- __- — �-- <br /> .�.:9 n�fILDG �IPESPRiNnLE115RE0D 9n5EMfN1 �,��CHANICAI. <br /> rl l,o S�1 �_ v 0 . VES .�O . _ _-_-- ...... . .. ... ._.._ _ -_ � ___ <br /> nCCUPANCY IOAD FiRE�LANMREOD ��G�GHI LiM�IPIiON ��1[71110NAI.PLAN Cf1ECN ���) <br /> ..— _"__. _._.-_- �Ilt'..i <br /> Z �� � OiHEP - -� — <br /> ' _'—' __-_- _____ _.-___. <br /> PfA50N __ _ _ .. ____. -_-�__ ._ <br /> SiATL BUI�DING SURf.H4R(f /! ' <br /> _____ _ <br /> - _.__ .._. .__- --'__ __ "'_-'-_ �, <br /> ._ _' .. .-_ _.. - _ <br /> ��iinKr n� rur�s nrraoven n+ CITY OP EVERETT PUBL':WORFS � <br /> �'hn LOCALSALES � <br /> �.rE q i�� �� TAR CODE IS 3105 rou� !/'�J � �/} <br />