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�►PPLI�CA41�.�� ��1� CONSTRtJ�'► .ON PEFaIlI�IT `'`'`'�c" <br /> m.�e�-��r,�ce� TO BE COMPLETED IN INK—PLEASE PRINT � <br /> GTV Of —_--.—�� <br /> eve rett HEATING SYSTEM: ❑GAS ❑cLECTRIC J __—_- <br /> BUILDING DEFARTMENT <br /> 259-B810 <br /> DEMOLITION COMBINATION � BUILDING MECHANICAL PLU�dBING SIGN � <br /> PHONE 7 5 � <br /> 01VNEfl,/ A1RI' ApORE55 . iTY Z � // ' � /, <br /> YSE'//pj fjnJD ✓��N`�= C�l'!J/�L�� �-S� 0��5� �',7 ''z`�uQ l.�U,-�- C��s-P'` C� �a y� ��', <br /> --� MRIL RDORESa CITV 21P PMONE <br /> iL"JANT <br /> nRCHiTEG10FDESIGNER M41LA��(iE55 CITY Z�� PHONE <br /> ��� / RAL COy�RAQOP MAIL ADDRE55 <br /> ��ry ZIP PNGNE LICENSE N <br /> t�n� C �i�''C:� �Ji�a-�tis��l�Jz +�n�� e J�a-o-l�o� -k-SGi �G~F Lu=e� �f�a��r .�n!(�cce- J�N,�y�o <br /> LItY ZIP PHONE� y_Jy"y UELENSEA <br /> A�.� GECHANICALCONTPNCTOR NAILADDRESS 1 <br /> H <br /> ��[/� �Ry ZIP PMOtiE LICENSE Y <br /> PLUTABINGCONTRACTOR IA�ILADOFE55 <br /> H �� <br /> FC O C��SSOFWOPK " <br /> O x O NEW � ADDITION � � ALTERATION u REPAIR DEMOLITION � 4VOODSTOVBFRPL INSERT -� 6UU.DING RELOCATIO <br /> r� p.{� CGNiACTP�RpSO�N�AN�DFHONENO�7 � <br /> C/�H -¢DDO �� 07t�-e�K., C {�/Iv.�/a�c�N Z5%- ��//�� <br /> x �, CpllTRAGT PRIGE OF IYOFK <br /> OESCRIB WOBKRNOSOUAREFCAi�GEINVO� �t <br /> o H t7 <br /> � OC7 veoaose useoFeua +c I HEREBV CERTIFY THAT 1 HAVE FEAD AND EXAMWED THIS <br /> H G7 O , .Q -� SY I� APPLICATION AND h:NOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> �" n � � � 'J PROVISIONS OF LAWS AND ORDINANCES GOVERNWG THIS TVPE OF <br /> i�cn�oescaianoNocPAOPea*v(sHownee�owoaf�T�ACNFOURLOPIES) y,�ORK WILL BE COMPLETFD W�TH VJHETHFR SP[GFIED HEREIN OR <br /> � - DO <br /> ry z, �p{�s�-�9 6�OGK T7 OF il NOT. TFIE GRANTING OF A PERA"IT DOES NOT PRESUME TO GIVE <br /> H y AUTHORIIY TO VIOLATE OR G1NCEl THE PROVISIONS OF ANV <br /> �y OTHEF STP.TE OR LOGAL LAW REGUTATING CONSTRUCTION OR THE <br /> � <br /> O H PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> � �� OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHIGH <br /> r qpPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> L�7 CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> zy� SiGNATUREOFCONTP.ACiORORAUTNOfi2E0AGENT ORTE <br /> H O N w iy <br /> 2.�_ �.�rrr� X il� ��� ��FJ�l4�-S-C�� �� � <br /> �?0� on�-�-���� � � <br /> PnpAECTrDDRE55 pppLiC<N�SC�IY��SiNESSUCEN5EN0 ANDaI151NE55NAME <br /> � PLUMBING MECHnNICAL <br /> � FEE <br /> NO. TYPE OF FI%TURE OR ITEM FEE N0. TYPE OF EOUIPMENT <br /> ��� _ WATER f,LOPET(TOILETj WC—A/HNDLG UNITS—H.P. <br /> �' BATHTUB FORCED AIF S`.'STEMS—B.T.U. M E.A. <br /> LAVATORY(WASH BASIKI UNIT HEATERS—B.T.U. A7 <br /> SHOWER CLOTHES DRVERS <br /> '" VENTILATION FAN <br /> i �� KITCHEIJ SINK 8 DISP _ <br /> � DISNWASHER RAN6E HOOD <br /> LAUNDFlV TFAY WATER HEATEFi <br /> '�vr CLOTHES WASHER WOOD STOVE <br /> �.�i URINAL METAL FIREPLACE 8 CHIMNEV <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT Pl1MP <br /> '�"� GAS PIPING <br /> I � � BACKFLOW PREVENTERS <br /> ROOF DRAINS—AAINLEADERS FXHAI�ST FAN <br /> SINK(SEflVICE—BAR,ETG) <br /> �.:+��,.i <br /> SUO TOTAL 5 SUB TOTAL 5 , <br /> �"'� PERMIT S PERMIT S <br /> TGTALFEE 5 TOTALFEE 5 <br /> � FOR OFFICE USE ONLY: <br /> R[CEIPT NO <br /> FFONTSETBACN �EARSEiBACK Si�ESETBRCN PLANCt1ECKNUM1�6ER FE[ Q' <br /> ff <br /> USEZONE LOTPRE� <br /> vaCnNrSrte FEES VALUATION FEE <br /> y�" CQ- <br /> BWLDING l -70J� (�3'� <br /> IYPEOiCC67S.AllOWABIE iVPFOiGOqSi.AC111AL �cnav� °�a��w[�m:cvw�s <br /> NLUMBING <br /> SREOF9L�G. NO.OFSTOPIES BASEMENT MECHANICAL <br /> �tPQiRS 7= 2 p <br /> e � � O Y qDDITIONALPLANCHECN ��/ <br /> UCCU�ANGlLOAD FIRESPPNHLEPSREOD HEIGNTLIMITATION <br /> I� u J OTHER <br /> R[ASON FOR SPPINNLERS <br /> STATE BUIL��N3 SURCHARGE <br /> INIAKF.IiY �'�����SAPP�D�t'��DY CITY OF EVERETT PUBLIC WORK$ . <br /> � ��L / LOCAL SALES ' <br /> �° E y, TAX COOE IS 3105 TOTAL <br />