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' APPLICATIO" ' FOR CONSTRUCT' �N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT e��kn <br /> - -- -- - _ __ __ ___ _ - _ -- <br /> BUILDING DEPARTMENT HEATING SYSTEM: ,J GAS J ELECTRIC_J _ _ ___ � <br /> 259-H810 <br /> DEMOLITION COM8INATION �BUILDING MECHANICAL PLUMBING SIGN <br /> owu[a n�nii nnoarss �(�.irv zir nr�or�r — - <br /> ,QoE'iNs co, P o �a� 37 a� , /�!s olf--i3 SSA�rI.� wR • 9b°��y 3'/z-7339 <br /> iir+nr+r iaiaonnEss crtr �rm �—nHUNE — <br /> ,/�OLr/N6 � <br /> RRCwIECTORpFSiOHEP MVLA���iF55 LiIY ZIP ���UNG <br /> _/3e��N 6 . <br /> GCNEfiAlCON1MCTON ',Iqi� ADpI1ESS CiiY pIP PNONE SLAiEIIG[NSF• <br /> (�Va=,c62�t�•/ Mo/3r[.E <br /> M1�[CMAMCM f,ON1qA�:*pR Mqil AODqC55 CIiV ZIP PHONE SiAIE LICFNSE• <br /> PwMBINGCONiRAL7JP F1nll�DORE55 CItY ZIP PN09E SU1F IICENSE/ <br /> CONTRACi PRICE 0i WORN / ^ --- <br /> �� <br /> Q <br /> �ESCFi�F WOFK�NO SOUAqC f00U E INVr�yED CONLAf,i P[RSON AND PHONE NO <br /> QlS�.eCi¢�E T2�cER- $ /La�P�n-c� Ltron��n,O /�sTE�.�.Bo2ski 266 .-�,sGs <br /> yo02 I HEREBV C:EFTIFV THAT I HAVE READ AND E%AMINED Tr�IS <br /> ❑uoroseo us[.n euuo�mc APPLICAiION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROV�SIONS OF LAWS AND ORDINANCES GOVERNING 7HIS TYPE OF <br /> IEGAL�ESCRIPTIONOFPROPERTY15NOWNBfLOWORATT�CNIWOCOP1E51 WORN WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> iot eiocK �F NOT. THE GRANTING OF q pERM1T DOES N07 PRESUME TO GIVE <br /> AUTHORITV TO \'IOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> — PERFOR�IANGE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNE9 OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> — APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> P�qCEL TA%1 p NVMBEP CONTRACTORS LAW tB.27 RCW AND 296.200 WAC. <br /> LONSTPUCTIONIO�NIF.NDER.A0�RE5S TEIEPHONENUMBF.R �� � . n_ � � <br /> PROJECT ADD ESS ,.:�u���,i �y ��- <br /> ne,i <br /> 3�� ��SiNO ��. �J����� rirvnus�v�s:i, — <br /> PLUMBIN6 MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATEF CLOSET(TOILET) AiC—A'HNDLG UNITS—H.P. <br /> BATHTUB FORCED AIR SVSTEMS—B,T.U. M E.A. <br /> LAVATORV�WASH BASIN� UNIT HEATERS—B.T.U. M <br /> SHOWER CLOTHES DRVERS <br /> NITCHEN SINK 8 DISP VENTILATION FAN <br /> _ DISHWASHEP RANGE HOOD <br /> LAUNDRV TRAV � WATER HEATEF <br /> CIOTHES WASHER WOOD STOVE <br /> _ URINAL _ METAL FIREPLACE�WOOD BURNING� <br /> ORINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP i <br /> B�CKFLOW PREVENTERS GAS PIPING � <br /> ROOF DRAINS--RAINLEADERS EXHAUST FAN <br /> SINK(SEFVICE—BAR,ETC.) <br /> -- T <br /> �� <br /> SUB TOTAL $ SUB TOTAL $ <br /> PERMIT $ P[RMIi $ <br /> TOTALFEE $ iOTALFEE 3 <br /> FOR OFFICE USE ONLY: <br /> iRONiSEtBACR PERRSETBALN Si�F.SFiBACK PIANG�fC0.NUr.�P[R �fF RFCEIPINO <br /> ��!� � �l� <br /> use zoNe �.oi enee VAC�NT SITE FEES VALUATION FEE <br /> VES � NO BUILDING <br /> IYPFOiCONSf NOOFSTOHIES oro;��5i:� xnmpwr.�,��x;cr,.it — — - -�---� -- — — — <br /> r,Aou� pWMBING � <br /> i <br /> SiZF OF BlW FlRE SPRINNlERS REdO B�SEMENT MECHANICAL <br /> VES NO <br /> — � <br /> ocCUP�NCVIO�D FiREUAqMREOD IIEIGHTUMrtauoN ADDITIONALPLANLHECN � <br /> OTMER <br /> ��tA50N — —T— <br /> STATE BUILDING SURCHqRGE <br /> ___— _. ___. ___. ' ' <br /> �Nu��nr ni n��s nranoveo er CITY OF EVERETT PUBLIC WORNS <br /> LOCAI SALES <br /> o��F TAX CODE IS 3105 TOTAL <br />