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��P�.i�a�aor� �or� c�.�r�s°ri�ucT�e�r� ���n��Y ��,-<«,<< <br /> �� ,e L >L TO BC- COMPLETED IN INK—PLEASE PRINT � <br /> CITY OF <br /> eve rett HEATING SYSTEM: ❑GAS •`— LECTRIC ❑ __ <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> DEMOLITION COMBINATION X BUILDING MECHANICAL PLUMBING SIGN <br /> OWNER MAILADDRE55 CITV Zif' �' Y �P�MQNE7���„F <br /> %o /��f's� . C'.r• !I!Y l 0 1 S� ��< �H' 99-��r r.� 7-S�.-13�8 <br /> iENANT lAAILADORESS CITY ZIP PMONE <br /> ARCHRECTOROESIGNER CIAILRO�RESS CIiY ZIP PHONE <br /> x�r� <br /> GENERALCONTAACTOR MA�lR00RES5 LIiV Z�P PHONE LICENSEa <br /> �y Ow ^ ' '' <br /> .�.��.0 MECMqNICAL LONTRAGTOR IdFIL A�DRE55 CITY ZIP PHONE LICENSE s <br /> "�"' H <br /> ay�n <br /> H "�'�� PWIApINGCONTRACTOR IAN�AD�FE55 GITV ZiP FHONG UCENSE< <br /> y zH <br /> � y� anss oF woaK <br /> � �,.�� IJEW jZAD01TION . ALTERATION . REPAIR � � DEMOLITION WOODSTOVrJFRPL INSERT �.-. BUILDING RELOCATION <br /> y �Q� �(�/ CONiACT PEFSON AND PHONE�iO. <br /> �. O� CONTRACT PRiCE OF K'OPK 4 S D Q �O G <br /> y� pE5CRI8E WORN AND SOVARE FOOntAnGE INVOLVE� <br /> � n� �'fc� nM_•�`,�„���� . TU r� -- <br /> H �• PflOPOSEDWEOFpJILDING I HEREBY CFaTIFY THAT I HAVE FEAD AND EHAMINED THIS <br /> 4�� :'] APPLICATION AND KNOW THE SAME TO BE TRUE A:W CORRECL ALL <br /> K:--fJ= <br /> �"'� �7 — PRO\'ISIOW�OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> 'Y. y� L[GAL OESCFiPT10N O�PROPERtt ISMOWN 9ElOW OR AiTACH FOUN COPIES� <br /> a WORK WIL� BE COMPLETED WITh WHETHER SPECIFIED HEREIN OR <br /> t'� H y lOT__ BIOCK oF NOT. THF GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �y AUTHO:�iTY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> O �� S e e /7 T�P �9 1Z C C O 5� RT �S — OTHEF STA7E OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> O C7 f/� � PERFORIdANCE OF CONSTRCCTION.THAT I AM AUTHORIZED BY THE <br /> '��j �� /?�,,. a'f' PT 7 li F7' F df Ntc� �'�. S_� N w t � q�FPLIC TIONISISRMADET ANDPERCOMP V WITOH KTHOER STATE <br /> y �y f,ONTRACTORS LAW�8.27 RCW AND 296200 WAC. �/7/=/ <br /> i ��C C/� ��,.J,�.� i��.0 S'�t9.�>'Fi "n� l? To��n SD sicr+n*un -co��rnncronoaaurn�nizeoncENr oare � <br /> av< pR . rH c�„ T �_ ��� rr rrr s n i-rrpa / `�� " <br /> !N 5 41 %-T� — . !Gc„<�Gt��Z�'����'�t�'Z-. i . <br /> PRJJECTA�ORESS <br /> /// ���n� 4 qVPUCA1rt5CiiV0U5�.':ESSLiGEnS[NO.AGOBt151NE55NA1dE <br /> PLUMBINC. MECHANICAL <br /> � ` NO. 7YPE OF FIXTURE OR ITEM FEL- NO. 7YPE OF EOUIPMENT FEE <br /> � O WATER CLOSET(TOILE7) A'C—AMNDLG UNITS—H.P. � <br /> �� BATHTUB FORCED AIF SYSTEIdS—B.T.U. M E.A. � � <br /> LAVATORV(WASH BASI�,J) UNIT HEATERS—B.TU. M <br /> '�s SHOWER CLOTHES DHVERS <br /> �a s! KITCHEN SINK&DISP ���'� VENTILATION FAN <br /> DISH WASHE9 / RANGE HOOD <br /> LAUNORVI7AV ' WATERHEATER <br /> I��� CLOTHES WASi1ER --r _ WOOD STOVE �% <br /> '""� �dETAL FIPEPLACE&CMIMN[Y <br /> URINAL <br /> �RINKING FOUNThIN FIREPLACE INSE�— <br /> �+ FLOOR�RAill HEAT�PUG1P <br /> !� � BP.CKFLOW PREVE "� RS GAS PIPI <br /> ROOF DRAING— AINLEADERS EXHA T FAN <br /> SINK(SEFlV —BAR,ETC.) <br /> �o, ,a <br /> !�� SUB TOTAL $ SUB TOTAL 5 <br /> PERMIT 5 PERMIT 5 <br /> TOTALFEE 5 TOT�LFEE 5 <br /> � FOR OFFICE USE ONLY: <br /> fRONTSCiOACH pEMS[i0A K SI�ESEiBArK FInRCMECKNUAfQER F[[ RECEIPTNO <br /> 20` 2j�� S� �!/ �? L. � 8 <br /> usezo�v[ �orna=n vqcnr�rsrte FEES VALUATION FEE <br /> z. 5 oYo ^ � � <br /> DUILDING lj3}D— -`.� '00 <br /> i�VFO{C01li5ALL0VlA0_t iYPE0LG01lSLACiWL oGmrpqa r;�mUmw¢r,uN�S <br /> cnouv � ?�UMBING � <br /> - �- � 2- --:— <br /> SiZf:OFeLDG NO.oFSioBIES DnSBA[Ni � MECHANICAL � <br /> 3D SF � <br /> OCCUPAIIGV On0 FlFESPRNKLERSRLO'0 MEiGHTLiMrtpqT.ION �DDITIONALPLANCHECK � <br /> ��(0 o r OTHLR <br /> REASOI!FOfl SPRINKLERS � <br /> �,. STATL BUILDING SUfiCHARGF � � <br /> i <br /> wrnKe ov a�aNsnrrnovco ov CITY CF EVERETT PUBLIC R'ORNS <br /> LOCAL SALES I <br /> �� TAX CODE IS 31U5 TOT�-� S 8 ;9� J <br />