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APPLICATI� . FOR CONSTRUCT.JN PERMIT "'e`�`t <br /> r�e E�rro�Mn TO BE COMPLETED IP7INK=PLEASE PRINT � j <br /> �+ CITY GF <br /> �[+7 � eve rett HEATING SYSTEM� 0 GAS J ELECTRIC ❑ � � <br /> p� x BUfLDWG DEPARTMENT I <br /> 9 y y 259-8810 <br /> � DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> FC-+� 3 /� <br /> H N OWNER �G��V S�ADDRC55 �� „V..A\ �� C�� 7 _ _ � VMONE��^ ���� <br /> tCy � �i�� JT� � <br /> O rT. O TENIWT 1A�LLLpDBE55 /� L CR/V�// ZP �H�E I <br /> �(n �"i ���) �'�/rl �/�"P . <br /> ��� ARCNiTEGTd1�E51GNER NAttRDDNE55 GITY 2F PNONE i' <br /> O M��y GENER�A/L,GONTH�LTOA MARI�D�RE55 Crtv 2iF pMONE LiCENSEIr <br /> M L�*1 O [(�Y1� d�3'. n ' '''- ir' i ii i.'v.r`c «� �i�`���-�/ //��i/�f- .ir .��C�� I <br /> �„ n cm nv �rorve �k�se. <br /> MELHANICN.CONTRAGi(Ni IMRMDAE55 <br /> 9H�t4 �y FLUMBINOCONTtUCTOR MA611DDPESS Ci1V 21P PNONE LICENSE• �� <br /> C�i� y <br /> H cussoFwa+K <br /> n C� '] NEW �/DITION �... ALTEFATION . �. REPAIH � DEMOUTION '. WOODSTOVFJFRPL INSEHT � . BUILDING RELOCATION <br /> � �y� r LONTACTPERSONAN�PHONENp I <br /> �� ���0 <br /> y O y LONTR�CiPRiCGOFWOBrc <br /> SCRIDEWO ANpS �AE TRGE�NVOLVED <br /> 1`hSia�� ��Q� 1 t�F f QS � 5. � <br /> vaoroseouseoF i rt+c I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS , <br /> Q���C¢ APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL � <br /> �ecuoEsceivnouovvnoPeAivisNowueE�owonnn�cNFa�ncowEs� PROVISIONSOFIAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREiN OR <br /> �oT oi�,c oF NOi. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL I�HE PROVISIONS OF ANV � <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR lHE �I <br /> PERFORIv1ANCE OF CONSTRUCTION.iHAT I AM AUTHORIZED BV THE I <br /> OWNER OF THIS PROPERTY TO PERfORM THE WORK FOR WHICH <br /> APPLICATION IS MA�E AND I COMPLV WITH THE STATE <br /> CONTRAGTORS LAW 18.27 RCW AND 296.20�WAC. <br /> SIGNAiU9EOFCONTRACiORORAUtNOPi2CDAG[NT �ATE <br /> � PPOJECrnpp��E55 / � ����T������G � ( � LO � 1 � � <br /> " `�/� �• , � �/ ( � APPUGAViSU 01151NESSL'�GCNSENO I.NDBUSMESSN4UE <br /> ' ' Z� 1� <br /> PLUMBING MECHANICAL <br /> � FEE <br /> NO. TYPE OF FI%TURE Ofl ITEM FEE NO. TYPE OF EOUIPMENT <br /> f 1 _ WATER CLOSET(TOILET) f�'C�AiHNDLG UNITS—H.P. <br /> �ATHTU� FORCED AIR SYST[MS—B.i.U. M E.A. ' <br /> '�I LAVATORY(WASH OASIN) UNIT HEATERS—D.T.U. M y <br /> SHOWER CLOTHESDRYERS � <br /> f 1 KITCHEN SINK 8 DISP VENTILATION FAN � <br /> DISHWASHEii � RANGE HDOD i <br /> 1�' LAUNDRY TRAY � WATER HEATER <br /> CLOTHES WASHER WOODSTOVE ' � <br /> f� METAL FIREPLACE 8 CHIMNEV <br /> �t URINAL � ' <br /> ' DRINKING FOUNTAIN FIREPLACE INSERT � <br /> � PLOOR DRAIN HEAT PUMP ' <br /> '� BACKFLOW PREVENTERS GAS PIPING I <br /> ROOF DFAINS—RAINLEADERS � E%HAUST FAN <br /> t ' I <br /> SINK�SERVICE--BAR.ETG.) � <br /> � <br /> I�' ; �� <br /> ' SUBTOTAL $ ' SUBTOTAL S /� � <br /> -- PERMIT $ PERMIT S / <br /> TOiALFEE $ TOTALFEE $ � <br /> FOR OFFICE USE ONLY: <br /> RECEIPT N0. <br /> FPONTSCiBACK REARSETOnGK SID[SET9ALK PLANCHEGNNpM�ER � �EE <br /> VSE20NE iornne� VACANT61tE FEES VALUATION fEE <br /> BUILDING � <br /> ttROFCONiS.�IION'�BIE 1VPEMCONSI.FGTUAL occuwem �waow�i�ivcue,:s <br /> cnn�v PLUMBING <br /> SVEOFBIDG. NO.Of5t0111E5 BASEMENT MECHANIGAL <br /> OCCIIPANGVL4�0 fIPESPPKKLER5flE00 HEIGHTLIMITAt10N <br /> ADDITIONAL PLAN CHECK , <br /> OTNEfl <br /> REASONFOHSPRiNNLERS <br /> StATB OUILDING SURCHARGE <br /> ni,n.c nv ruNs�rraoveoev CITY OF EVERETT auauc tvoares <br /> LOCAL SALES <br /> TAX C�OEIS 3105 rora� <br />