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APPLICATIG�'/ FdR CONSTRUCT':"'^,N P�RM17' ���� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT � � <br /> HEATING SYSTEM: �� AS/ U ELECTRIC U__——�—� � <br /> BUILDING DEPARTMENT � <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> OK'NER MAllA0�RE55 CIiY ZiV PIIONE <br /> -� , � Y . r. <br /> G�nwvA,i� L�nFS /C'�/ 7 /1'�f�f SF C- �t' c %`(�nS' ��. ' � / �y _ <br /> TENRNT MRILqDDRE55 GIiV ZIP PHONE <br /> l'J�� <br /> �BCHIiEGiOADESIGNEP MAtIADDRE55 CITY!/ ZIP PII/ONE <br /> !/ iI� _ � �J 1..2n�� QuJ.?'��,2�� <br /> �y !�i)1 (�k.0 7X,�G�;[RS SSyU lk r �itH RcvD.N E l� �� �i0 =�� . <br /> � H GENEPPLCONiRACTOP M1IAILAC'DRE55 Cltt 21P PHONE SiATELIClNSEP <br /> r yy �I�ntAr FI�raC-s /r��/7 i�I�A�c .S:E- E�/� ° �l'S'av�' ��3Yl�I�I�/ /-Iir1��� ll� ��E <br /> � 61ECHAWCRLCONTRACTOF MRILr1DOPE55 CRY ^ ZIP VHO'!E '/ �jU STAtELICENS[♦ <br /> � n�F. ,�jp,} q n G�i�/ ��,A�IL�'�/J C���7�� �77-�('1 /� C�yn�PMl �7[J(� � i <br /> i ( l�lC. t n � z v � <br /> � y� PLUMBINGCONTR/GTOR MA4A�ORE55 CITV ZIP PMONE aTf.TELICENS[ <br /> � r�+� ��� � �%�t�'�in�/ /�n /�V � .+�` nJ S` /11�k1/'c�G ��"i27'� ��/- Y�/�/CI P,'h'/�A��-k/O�LS <br /> V7 H �LASS OF WORK <br /> y � NEW AD�ITION ALTERATION REPAIR DEMOLITION WOODSTOVEIFRPLINSERT BUIL�INGRELOCATION <br /> OH� CONiACTPFA50N4NDP//yy00NE/NO - � � <br /> CONTFAGiPRiCEOFWORN ���� / //H�-+-�-���� ����'r/��� <br /> H �g OESCRIDEWOPNANDSOl1�REFO07AGEI VOIVED ��y5� <br /> H" " ii��-�3-� s; LrJ.�1G �ybsr�uM.�-f . 4 <br /> x H� PROPOSEOUSEOfBWLDING i HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> 9 H z j-� APPLICATION AtJD KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> Cti ` <br /> ~y L@GAL�ESC�iIPt10NOFPROPERTV�SHOWNOE�OWORArtACNFOURCOPIES� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTVPEOF <br /> (A WORK WILL BE COMPLETED WITH WHETHER SPECIFI[D HEREIN OR <br /> ~ �ot� BLOCNOL�C' O J� oF �r� �1� �lrf�'�'0I� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> C� C7(� � <br /> ❑ C AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> 3 L�1� ,1.: . .,� � , ��� ���� ���(� r� '-��i � p OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> zI <br /> y� PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORI2ED BY THE <br /> y p y � � OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> ' �j�7 �k4 qPPUCATION IS MADE ANU I CO�dPLY WITH THc STATE � <br /> CONTRACTO 5-l:�W 18.27 RCW AND 296200 WAC. � <br /> X-��,��<-�� 3 3/_�� _ <br /> ,�.�F—r�— -� � �.r� <br /> rno�EcraoonEss � � <br /> /(j7 -� -�k'� J/C eirveos�r,e�tocir:�.i �.� : <br /> 'w_ PLUMBING MECHANICAL <br /> �� NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> � WATER CLOSET(TOILET� __ �__ A C—A:HNDIG UNITS—H.P. _ <br /> BATHTUB J ; —� FO�CED AIR SVSTEMS—B.T.U. M E.A. <br /> ... o, , UNIT HEATERS—B.T.U. M <br /> p � t LAVATORY(WASH BASIN) — CLOTHES DRVERS ' <br /> a �o► _� SHOWER ✓�� <br /> KITCHEN SINK 8 DISP � VENTILATION FAN . <br /> DISHWASHER _� RANGE HOOD <br /> LAUNDRV TRAY WATER HEATER <br /> �"� — � WOOD STOVE <br /> CLOTHES WASHER _ <br /> URINAL METAL FIREPLACE 8 CHIMNEY `�O' — <br /> '... ' FIREPLACE INSERT <br /> `� DRINKING FOUNTAIN � --� <br /> �-' FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS / GAS PIPING �_ <br /> �� a ROOF DRAINS—RAINLEADERS EXHAUST FAN ' <br /> e, � SINK�SERVICE—BAR,ETC.) � <br /> /� 1/ J <br /> ''�= -- 1_ I <br /> SUB TOTAL 5 �J �I— SUB TOTAL 5 — I <br /> PERMIT S PERMIT S � � <br /> TOTALFEE 5 TOTALFEE 5 I <br /> FOR OFFICE USE ONLY: l}-- .� <br /> �ROY7$ETBACK / PEAqS[Tp�,CN S�DESEIDRLII`� / � N��NG�[LHIIUMPEP FEE �nL BELEIVTNO I� <br /> i-nia, � �0 � � 3!o /�S 3�'� �/ (�33Cn5 � <br /> V��IJ I <br /> usctor+e to aee VALANT51 FEES VALUATiGiv FEE , <br /> R Z �7� euaoiNc _��'l,�C�l�t' ��i i„/'� ' <br /> � <br /> f�PEOiGON75ALlOWA9lE iVPE0ftY51.ACN0.L tttvo�tn LOoicnuu•,;'r,.�s r i <br /> �� � iW� ,`'P ° l — PLUMDING � i I <br /> _M.+�. <br /> SZ[OFF1�,D NO.OFSTORiCS OASEMENT MECHANICAL � <br /> i+:� �4�c� c�Gl y�� — � <br /> GCCIIPANGYLO�D FIRESPFNMlERSRE D MEIGHiUM11lif�ilON ADDITIONALPLANCHECN � ' � , <br /> � 1,w / i <br /> �,I {.�"����J ��� �./� SPHINKLER � <br /> fiLA50NFOFl5f'111NKLEfiS �'J,�/J'��p(,��Nr� �—�� <br /> '� STAT[OUILDINGSURCHARGE C� �i S <br /> iNLRKEBV PLANSAPPROVEDBY CITY OF EVERETT �pLIC WORKS �I(/� <br /> � T.oUr��SALosnc .�.ni /,7/. 1 :/=:� <br />