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APPLICATIO�� FOR CONSTRUCTI.�N PERMIT �N\�" <br /> TO BE COMPLETED IN OLACK INK—PLEASE PRINT , <br /> HEATING SYSTEM' ❑GAS ❑EL[CTRIC U <br /> BUILDING DEPARTMENT <br /> 259-8810 SIGN <br /> DEMOJ_ITION . COMBINATION BUILDING t � MECHANICAL � PLUMBING <br /> <' . .F"'•'_ SF��Y PNOrvE p 5 JS�-C.P2 <br /> owuea;t, =•—e_ reni�nooness JJO i�� _ .oE' cnr G2-�0�� � � <br /> �y«��raat�raN �f83S ENE2r,R�Nwy ��� 4�203 3 <br /> TENANi IAAILA��PE55 LrtY ZIP P ON � <br /> � � � n�<p a�, �-cosruM.����y�g.�s�-vFcr,f�t�N ►,.�4�, CNsterr 43'a�3 3 2—�&i o <br /> I� 4RCHRECtOq0E51GNER IAARAODRE55 <br /> LIiY 2�P PHO,lC <br /> CH CItY ZIP PHON[ $iAiELICENSE/ <br /> M$� H N� GENEPALCONLPAGIOH MAILA�OPESS <br /> r IE �� ��N Inx PD g�x 5z65 LYN�wecn WA 48o�/b 7':U•RR3S 6�RH rJc.eB3cS <br /> H L H CRY Z P P ONC TRC L CE l E <br /> K (1 iAEC11ANICALCOHifiRCTOfl 6�NLADORE55 <br /> H p <br /> �q hl �q QLY ZIP PHONE StALEUCENS[d <br /> N H PLW.Ip�rvGGONiR�GTOR M1NRAD�RE55 <br /> � F] � LLASSOF WORN <br /> M � � bLNEW . I ADDITION �, �� ALTERATION ' REPAIR � � DEMOLITION WOODSTOVEiFRPL INSEPT BUILOING RELOCATION <br /> �o��r��v��N��P�o�:E�,o L 776-883 <br /> M , � <br /> � y � CONiBTCTVRIC[OFWOP I O. <br /> M y OESGPiB[WORKANDSOUaf1EF tnGEWVOWED -- <br /> g y H � L 11 17,_ 8� 1LCkHiNMF� /.rn�� ibnl <br /> f� o N PpOPO5E0U5EOF�uallwG n i HEREBY CERTIPY THAT I HAVE REAO AND EXAMINED THIS <br /> � � � ��1 A'1 �- \CCTFN( S - APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND OR�INANCES GOVERNING THIS NPE OF <br /> H y !Eca�oescaiauorvoFvaoaeatt�s��owNoe�owoannncnrouncowes� yyOFK VJILL BE COMPLETE�WITH WHETHER SPECIFIED HEREIN OR <br /> O <br /> � � �or aocn oF NOT. THE GRANTING OF A PERMIT DOES NOT PFESUME TO <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW PEGULATING CONSTRUCTION OR THE <br /> PEPFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFOFM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> x A,�_ �lr 7��92- <br /> s�cvnwn� �1 �oe.e <br /> PROIELTA�D�E55 1 1 )��SZ <br /> r•i! /�tG� W brvlfu5�4E5P-icilb[NO <br /> `V�,J�.���vui MECHANICAL <br /> PLUMBING FEE <br /> FEE NO. TYPE OF E�UIPIAENT <br /> i�-i ryp, TYPE OF FI%TURE OR ITEM q�C-0.MNDLG UNITS-H.P. _ <br /> WATER CLOSET(TOIIET) <br /> � BATHTUB FORC[D AIR SYSTEMS-O.T.U. M E.A. <br /> � � � __ LAVATORV(WASH BASIN) UNIT HEATERS-B.T.U. M <br /> SHOWEF CLOTHESDRVEPS <br /> �� KITCHEN SINK 8 DISP VENTILATION FAN <br /> i �� DISHWASHER 1, WATERHEATER <br /> . IAl1NDRYTFiAV --i— yy000STOVE <br /> , CLOTHES WASHER <br /> � METAL FIREPLACE 8 CHIMNEY <br /> i ' �1� � URINAL FIREPLACE INSERT <br /> � I a� � DRINKINGFOUNTAIN — <br /> � FLOOR ORAIN — <br /> HEAT PUMP <br /> � �� BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS-RAINLEADERS EXHAUST FAN <br /> �I !'� SINK(SERVICE-BAR,ETC.) ! <br /> �—�— <br /> < �� <br /> I °�1� � — SUBTOTAL S <br /> SUBTOTAL 5 <br /> I PERMIT 5 <br /> i PERMIT $ —'— <br /> I ' TOTALFEE 5 TOTALfEE S <br /> ( �`1'�� FOR OFFICE USE ONLY: � L-"— �7 SF� <br /> \ FRONi5ET0ALN AEAPSETBAC= SIpESEiBACK PLA!lCNECHNUI.IBER FEE PECEIPTNO. <br /> � S-37 S�-� , <br /> USE ONE� <br /> �prq��q vacnrrtsrte FEES VALUATION FEE <br /> BUILDING �9 i��� <br /> iYP0iC011I5.ALL0\'IABIE IYPEOFCOtlSfALNFL ttLnJ'cr i.�OvO'fi:LLn:GW�us PWM1IBING <br /> SQEOF9LOG NO.OFSTORi[S oASEMENi IdECHANICAL <br /> A�UITIONAL PU+N CHECN <br /> OGCUPANLYLOAD FIqESPHNNLER5PE0'0 HEIGMTLIMITPTION � <br /> � uPRINKIER <br /> PCASONFOPSPRINNLERS L i <br /> GTATE�111L01NG SURCHFRGE <br /> iNTAKEBY PIANs �p i,D, �Y CITY OF EVERETT PUBLIC WORKS ' <br /> / // LOCAL SALES <br /> TAX CODE IS 3105 TOTAL �,3 I�D <br /> � <br />