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APPLICATIC ' 1 �PJ� CONSTRUCT' ,f�! PERMIT �;,� <br /> TO BE COMPLE7iD IN BLACK INK—PLEASE PRINT �csa�n <br /> �� <br /> RUILDIIJG DEPARTh"ENT � HEATiNG SYSTEM J 3A5 J ELECTRIC J _ ___ <br />� 259�8610 <br /> DE��OLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> owr:ea � �nni�cooacss -.-. - v«rs:�. <br /> '����q" � fn ��" S.ZG ? 4�� ,, �.• ` 1� s- • • 3r y <br /> 1LIJR�i1 MAILFJDpE55 G�IY 71F pHpry[ --- <br /> ('Lu,�� ��« lc J'm.� <br /> iRCNrtccra�uEs�crvEN u�nwoaess cm zw wwtiE -- <br /> IGLNERALGOGtlAACTOR IAAR/�DD9E55 CRV 21P PHpNE STl'EUGENSEt <br /> ME(:HAN�COYTRALiOR M�iLADDiiES$ C11Y 21P pHpryE StATEL��EN$Et <br /> PLl1E1BMG iR�CTOA MARADDRE55 CITv 7iP AMpHE STaTELiGENSEi <br /> .�.C�,'C�u ...r�.-,� -.�.,� JO Z � �.� �_ �09�/z 37 1-��PTc�/—/z 3 /3/J <br /> CONiA�CT Pq�8 JF WOF_� - <br /> DE6CFIB��$pUA -F00T4GE INVOLVED CONTAGi PEF�1�1 Ai�U PL�6G <br /> � t�� � � <br /> I HEREBV CERTIPY THAT � HAVE READ AND EXAMINED T�i�F, <br /> -��o^oseD usE oFeu/g,{'�_n�c / APPLICATIOM AND KNOW THE SAME TO BE TRUE AND CORRECT. !�.I <br /> /°t' C {�,a-✓...,.G PROVISIONS OF LAWS AND ORDINANCES GOVERNING THI$TVPE Gr <br /> .�.�,h!�ESCRIPTIONOFPROPERTv�SHOWNBELOWORATTA(:HTWOCOPIES� WOHK WILL BE COMPLETED WITH WHETHER SPECIFIED NEREIN Cif. <br /> NOt THE GRANTING OF A PERMIT DOES NOT PRESUME TO Glv[ <br /> - .� o�ocrc ov — AUTHORItY TO VIOLATE OR 0.ANCEL THE PROVISIONS OF t,'+'Y <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OH i i+F� <br /> PERFORMANCE OF CONSTRUCTION.iHAT I hM AUTHORIZED�V i b+.f <br /> OWNER OF THIS PRGPERTY TO PERFORM THE WORK FOR WHICi+ <br /> — APPLICATION IS MADE AND I COMPLY WITH THE STATG <br /> ��-�<.�i.iaz i o.rvurnoea CONTRACTORS LAW 70.27 RCW AND 296200 WAC. <br /> Cc;.>'�;IJGilpr�I pnq LENGCR.ADDPESS.:ELEPHONE NUMBER ��- / � <br /> PROJECTADDRESS — x,—��� L� � . �� _ , z- 3 ' �Y <br /> 2 �o� �� ls � � -- - - - - <br /> PLUMBING MECHANICAL � <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> 2 INATER CLOSET ITOILETI A.'C—A'HNDLG UNI15—H.P <br /> �ATHTUB FORCEDAIRSYSTLMS—B.T.U. M E.A- <br /> _� LAVATORY(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> SHOWER CIOTHESDRYERS �— <br /> I_� KITCHEN SINK 8 DISP VENTILATION FAN <br /> f� DISHWASHER RANGE HOOD <br /> _� LAUNDRVTHAY � WATER HEATER <br /> CLOTHES WASHER i WOOD STOVE <br /> _ UFRJAL ' MET/,L FIREP';,CE(WOOD BURNINGI � <br /> DRINKMG FOUNTAIN FIREPL4CE INSEF T ' <br /> �� FLOOR DRAIN 1 HEAT PUMP �— _ <br /> _ �ACKfLOW P(iP/ENTERS GAS PIPING —�—� <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> SINK 15ERVIGE—BAR.ETC.1 <br /> � <br /> _ SUB TOTAL $ L ; SUB TOTAI $ <br /> PERMIT $ Q(j � PERMIT $ <br /> TOTAI FEE $ TOTAL FEE 5 <br /> FOR OFFICE USE ONLY: <br /> ��n;niSETpALN REARSFTpq(:N SIDESETB4LN PU�NGi�C�K.fiUA�CR Ff.E HECEi�iRD <br /> 3� �/ <br /> rr: ;�:�vc iornnen VnCANTSITE FEES VALUATION FEE <br /> i7 YES .- NO puaoiuG <br /> . ..�CONST NO.OF 6TORIES occuou�n rvo Or mmuupmi.�6 �_- <br /> enauv PLUMBIIJG <br /> ��TF UI FLDG. FIPESPRINKLEflSREOD BASEMENi MECHANICAL <br /> �, YES !� NO <br /> � ....'��n!��y�pp0 FIFEAIAqMREQ'� HEIGNTL14ItAT1ON ADDITIONALPLANCHECK � <br /> OTH[(7 <br /> _ --_— _._' "_— � <br /> ... . ..�i _—'—._ --� . <br /> STATE BIIILDING SURCHARGE ' <br /> ' "' � � I �'IANSAPPROVEOB� CITY OF EVERETT PU�UC WOfiKS <br /> I LOCAL SALES <br /> ,,, TAX COOE IS 3105 TOTAL <br />