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APPLICATIO.. FaR CONSTRUCT���N PERMIT � <br />TO BE COMPLETED IN BLACK INK-PLEASE PRINT <br />BUILDING DEPARTMENT HEATING SYSTEM: /J GAS J ELECTRIC J <br />259-8810 <br />' DEMOLITION I 1 COMBINATION <br />OVJIJER ld�IL A�DRE55 <br />n�c�E�E�. ��,�. �a� � � <br />renn��r Mnaaooaess <br />�£ dF I.t/� �x-� G <br />�RCHIT[CTORpE51GItER MAIL4�OBE55 <br />Cv C� �Szo Zzo = Sw. <br />G[L'ERALCONTRAGTOR IdqILp�OPESS <br />carl SNG . g3l�J /S�� <br />tdECHnNiCALC NTR�CTOF MAILADDRE55 <br />PLUI.I�INGCONTRAQCR MAILADOflESS <br />C(T^1TRqCT PRICE OF YlORH <br />�'¢ .. d 06 - <br />D[5 R E W FK AN_O Syu npE FOOTpGE INVOLVED <br />�S 71( �r'T_ 2.✓.�✓n�e <br />�ra' ie�r7r o �✓s <br />e <br />PROPOSE� USE OF �OILG:NG <br />� 1�F�G� C B - L <br />LG�L DESGRIPTION OF PROPERiY �SMOWN pELOW OR ATL <br />LOT BLpCK OF — <br />PPPCELTAxID NOMBER <br />��� - OS3 - oSs - <br />CONSTFUCTION LOAN LENDER. PD�RE55. TGLEPMONE NUI <br />/J �'� <br />PLUMBINu' <br />O. TYPE OF FIXTURE OR I <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LA'JATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOF DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS—RAINLEADERS <br />SINK fSERVICE—BAR. ETC.1 <br />FOR OFFICE USE ONLY: <br />F(iONTSET�ACN REARSETBACH <br />IISEZONE I.OTARE4 <br />rrrEarcaNsr r+o.oFsroaiG� <br />/ — F.�R, n/ 4 <br />SIZE OF BLGG yES ���� J <br />�y 7 y ( r. �.l . <br />SUB TOTAL S <br />PERMIT $ <br />COPIES) <br />BUILDING I MECHANICGL PLUMBING <br />CIiY ZIP PMONE <br />e7T ti1RL u+v�-/� �DS 3 `F� �Z3o � <br />GIIY/� ZIP pHONE <br />Y(f%n �--� �i/�T /��u- u.�t7� 'ff �u <br />� CITY 21? FMONE <br />Nr. �K. �� . A�`6�3 6� � ��� <br />qTV <br />�� <br />CRV <br />ZIP PHONE ST4TE LICENSE n <br />-�oi�/� WA. 9�L T�oN1 <br />ZIP PHONE ST4TE LICENSE p <br />ZIP PHONE STATE LICENSE n <br />I SIGN <br />FNDP=CNENO. {7t� ���� — � � • <br />K <br />BrdZ - �f3LY7 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GGVERNING THIS TYPE CF <br />WORK WILL 6E COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVL <br />AU7"HOFITY TO VIOLAI'E OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERPORMANCE OF CONSTRUCTION. THi:I" I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PER�ORA9 'ihit VJORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAIN 1827 RCW AND 296200 WAC. <br />s�cNn�une f on�c 3 � T <br />cirr nuswess uc��+se uo — <br />MECHANICAL <br />NO. TYPE OF E�UIPMENT FEE <br />A/C—A/HNDLG UNITS—H.P. <br />FORCED AIR SYSTEMS—B.T.U. M E.A. ---�------� <br />UNIT HEATERS—B.T.U. M ; <br />CLOTHES DRYERS <br />VENTILATION FAN ' <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE � <br />METAL FIREPLACE (WOOD BURNING) <br />PIREPLACE INSERT <br />-- T— <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN � <br />SIOGSETBAGH PL�NCHECKWUb' [R FE[ <br />�� / <br />vncnNr sire FEES <br />; i YES �- NO BUIL�ING <br />oaurar;cv uuo�ov.:�oi,cm;as <br />�ceou� pWMBING <br />� {/9CuE' �ASEMENT �� r,;ECHANICAL <br />..! YES �, NO <br />i— r�EicHrurni7nnON NDDITIONAIPLANCHECK <br />1 �' I �S OTHER <br />nEnsoN <br />N0� �X�f»� STATEBUIL�INGSUfiCHARGE <br />iur,ix[ t�v PLN S�PPROVED �� CITY OF EVERE7T PUBLIC WORKS <br />�� LOCAL SALES <br />�,,,E �_3 �_�..� TAX CODE IS 3195 TOTAL <br />SUB TOTAL i <br />PERMIT S <br />TOTALFEE 5 <br />� <br />�% S�� Fc���//�5` <br />NO <br />;G;_: <br />i <br />