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APPLICATIC` 1 FOR CONSTRUCT' )N PERMIT ��► <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT � <br /> 6UILDING DEPkRTMENT � HEATING SVSTEM: �j GAS J ELECTRIC _I i <br /> 259-6810 <br /> DEMOLITION COMBINATION � ;� ! BUILDING I 1 MECHANICAL PLUMBING SIGN <br /> nrrvEa r.•nn i.o�atss Citv ZiP � ' pr.o�i[ <br /> .ei �-����/L j'D�� ErXu�7 r.r,m �l`�Z�� Zoc 2�s,��s� <br /> 'C4FNT n `e^ �. p'�qE' GITV ZiV PVq11E <br /> �(�JL�// <br /> c r�Hirecfoa� iaai�nooa��----'-�� ���E I=E d [!ae <br /> diY :.1 pHpryE i <br /> ��1� l�etvn��tiG- SfqTi (,e ��,i� <br /> CSNERqLLONTRACiOR rAAILA0DRC55 �ITY ZiP PNpNE ST�TEUGENSEY <br /> -�,��a1iL_E�,i. F_ue cF �T , i..n zoG z� uar4 <br /> ^�!CHANICAI GONTNACTOR MAII AODRESS CITV ZIO PMONE 5 ATE LiCENSE� <br /> EiJL�C�ii S��EiaiEiAL ��OCfA°2. ��tc�i► � ue '�62S�zi43y E</�ESry� lf�ll�F' <br /> FLIJ�deINGCONTRRGTOR IAAILMDFESS �IiY IIG PHONE S1AtELIGENSf.a <br /> CONTPALr nav�c.g wOw. <br /> � 7FD0, Od c `l1� <br /> OESCR�E W(`^:.pND SOU�RE FOOTAGE INVOLVED �� �pryT0.CT PERSON ANU PIIONE N0. <br /> 8,,-� M�i,�r_-u! as �. � 3 -- <br /> i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSEDUSEOFBUIIAMG APPLICATION AND KNOW THE SAME TO BE TRUE AND COR17EC7. qLL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> LCGALDESLRIPTIONOFPROPENTV�SI1pWN8ELOWORATT�CHTWpCpPIES� WORK WILL BE COMPLETED WITH WHETHER SPEGFIED HEREIN OR <br /> ior e�ocK pF NOT. THE GRANTING OF A PEP1dlT DOES NOT PRESUNE TO GNE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHEfl STATE OR LOCAL LAW REGULATING CONSTRIJCT10N OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED EV THE <br /> OWNEF OF 7NIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> P�R�EL TA%Ib.NUTABEH <br /> APPLICATION IS MADE AND I COMPLV W�TH THE STATE <br /> CONTRACTO(iS LAW 1827 RCW AND 2 200 WAC. <br /> [:�T';iP�CTIO�J IOAN LENDER.l1DDRESS TEL[PNOt1E IIUId6EF <br /> PflOJECT DDRESS ' �� ��� ��t �/ / �_,y-- <br /> n � nnrz <br /> '/ I I ,r—ri.:�:�r..—si,.i ,—'ruu � �j . _ — <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> VJATEACLOSET(TOILET) � q'C—A;HNDLGUNITS—H.P. ' <br /> �ATHTUB FORCED AIR SYSTEMS-6.T.U. M E.A. � <br /> LAVATORY(WASH BASIN) UNIT HEAI�ERS-8.CU. M <br /> SHOWER CLOTHESDRYERS ' <br /> KITCHEt�SINK 8 DISP i VENTiLATION FAN <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY � WATLR HEATER <br /> CLOTHES WASNER � WOOD STOVE ' � <br /> URINAI ' METAL FlFEPLACE(WOOU BURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOH DRAIN � HEAT PUMP <br /> OACKFLOW PREVENTEFS ; GAS PIPING � <br /> ROOF DRAIIJS—RAINLEADERS � [XHAUST FAN <br /> SINK!SEfiVICE—BAR.ETC.) � �" - <br /> � - <br /> � <br /> _ SUB TOTAL 5 SU6 TOTAL $ <br /> _ PERMIT $ PERMIT $ ' � � <br /> TOTAL FEE $ TOTAL FEE 5 � <br /> FOR OFFICE USE ONLY: - <br /> n�ONiSETBRCK FEARSETBAGK SID[SET�AGK FL/.NCHECKNI/MBGR FEE REC[mTHO <br /> � 3Z � <br /> u�:rzo!ae �oraRen vncnNtsih FEES VALUATION fEE <br /> ❑ YES ❑ NO BUILDING <br /> IY�i Oi CONST. NO OF STOPIE9 pauv4vCr MO at w/FUMG Wn5 — <br /> `p�P PLUMo:NG <br /> ',IZE OF BLIX'i. FlPE SPPMKLE05 REO'U BASEMEHT MECHANICAL . <br /> ❑ YES ❑ �'^ �_ . <br /> nr',uCqNGY LOAD F1RE�LARId REOD HEIOHT UMITATION ADDITIONAL PLAN CHECK <br /> 0T41EF <br /> ranSON �__ <br /> SiATE�UILDING 3URCHARG� <br /> vnnr.e uv- r��nrra n�rno•✓eo ov CITY OF EVERETT auouc woaKs <br /> JM LOCAL SALES <br /> nrae � ?� TAX CODE IS 3105 roTa� <br />