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FROM:CITY OF EUERETT HLDG r"' T0: 206 363 5230 RL� 17. 1993 2:40PM �523 P.�3 <br />APPLICATIQN FOE� CQ�NSTRUCTI�N PERMIT <br />TO BE COMPLETED IN BLACK iNK—PLEqSE PRINT � <br />BUIL.DING DEPARTMENT HEATING SYSTEM: ❑ GAS C] ELECTRIC U_ _.� <br />259-8810 �� '--� �— . <br />t J DEMOLITION _ I i COMBINATION f'I BUILDING (J MECHANICAL <br />ownen �PLUMIBINO ('I <br />renn'nnnavEs " _.._ SIGN <br />JtrD� �PJ]L �iO�O FL%1�L�ii�L1� (;✓`� L'�fZOI PIIONG -- <br />TFN4NI -_... . . <br />�-rT P,�A:,z "�'�°,� .. _ . .. ��F <br />r.m ri�oHc <br />- . �=c.,��aL A,J� �,C�s � �ffzo / <br />AfICI11TCCTIX1DCf.ItiNFH MMLpUU11t55 ���� _, <br />Z�� PHONE <br />co(�_ 5�2Z.�rJt_s �� ML�Oa.�,S �,0 Lue�,r�a�so 97o3S <br />GENCOAL CONTMCTOR �,IAII A[�UHhSS CITV . ..' ... <br />z�� PNpNfi SiAlE4CENSGY <br />�au���-1---- �� �� � � _..�__ �.� ��iz�4_... _.. <br />IAfClINIICALCO TRApTOq tdqqpppNE6$ �R,. <br />N�AZ��� P��E tlTAT! LICENS[ Y <br />�P1U6701Yfif.OM�jRACTpR A1AiL-A�C�D-RESS /� ')"���� -•..... ..�iTv -�...-... - . <br />•A, `�'/.//�CT i')��� I-tU/c.uyif+ JjqJ/T 'LII' PHONF STAT[LICCNSCx <br />`�'-�� %�/3� 31��/r03�C7 Cc�ABoTGo993F� <br />C(.NdTP0.CT PqIC:F OF 1VORK / /�D� _a - ..._ ' <br />._ �/ , —7" ... <br />DPSCRIFF K'OAK qNP $GUAHh FOC11ACiE INVOl�FO � <br />�/�.�J CaJV�.,�7�i�./ c�4D(s <br />Pq�PO$ER U£6(JFBUILDIN -_.... . ...._,_ <br />h��Fl P��— �onl Jc.SAZTi.�C <br />i FC�A1 U6SCk�r1lUN oF rlturtnt r �EIIOWN Oi:019 Ofi ATTAG: TWq fpPIF$J <br />i0T bIOCK - ur _..._..,_- <br />MAkGtI lAX LU. NUA7HkH <br />cw�eiHuoncu�innr;�c�m�a.noon�cs.ic�crnw��uureorA '" <br />.... ... ... ..._..._. . <br />PROJECT4DDRESS ����� <br />WATER CLOSET (TOILHI) rJ, pp ;� <br />DATI ITUD <br />LAVATORY(WASH BASIN) i ���� �� ""` - <br />SHOWFR �` <br />.. ......... . ....._....- <br />KITCHEN SINK & DISP <br />DISHWASHEH - ` <br />LAUNDRY TRAY �. . .. -.......---' <br />C! OTHES WASHEh '. . --- <br />. .....-- <br />URINAL � <br />_�._........ .._"_' � <br />UfiINKINCi FOUNTAIN - <br />FLOOR DRAIN ' <br />BACKFI OW PRFVEN7 ERS ��-� ' ' <br />ROUF DRAINS-MIMLEADERS �� � � -- <br />SINK (SERVICE-BAFl, ETC.) - <br />L'l.�` WaTu� COJC.u'TZ '...._ - <br />SUB TOIAL $ / � <br />..._. . ,. , _,- <br />-_"--" ........_ PERMIT $ � Zi <br />TOTALFEE $ /Q <br />FOH OF�FICE USE ONL�: <br />Fricxa;;�iyacn ncnn ,ctuncrc <br />U£t'LUYh LOTMCA -.___"" <br />TYFf Or f.01:5T. N0. Df STpqIES <br />61ZEUFBLDO. �IqESPR!AKIER5RE7U <br />OCQUPANCVIq�D !'IOCAIARMRf.O'D <br />ne�sa� -��----• ------- <br />MIAI(kbY PLa�SAPFFOVEUBY <br />CONTACTPFFFQYANUVHONeNO.� �"" • <br />_.. . . ._ Jo�t�4 _ SoC�v1 <br />Y......._ .�Co�—L13�-40 � <br />I HEqE6Y CEp71FY THA7 1 HAVE READ AND EXAMINE� THIS <br />APPLICATIOM AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PRDVISIONS OF LAWS pND ORDINANCES C�OVERNING THIS 7YPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN CR <br />NOT. THE OpqNTING OF A PERMIT pOES NOT PRESUME TO GIVE <br />AUTNORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL I.AW REOULATING CONSTRUCTION OH THE <br />PBRrORMANCE Op CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WOqK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WIiH THE STA7E <br />CONTRqCTORS�,A1N�,i8•QJ�F`ICW AND 2BQ.200 WAC. <br />f.�ONAipfl � <br />Crtv n iQ <br />M MANICA <br />N0. <br />� - A/C._/ <br />�__. <br />; FORCI <br />� - UNIT F <br />' CLOTF <br />� VENTII <br />' RANCI <br />' ^ WAT[F <br />; .. _. . . _.... WOOD <br />� — ���crni� <br />i - cnnni <br />i- ......_ <br />' i� <br />�_ _ <br />� <br />i <br />1 <br />� - <br />�' <br />_ __ <br />PLFt! CMhL'N NUlAtl <br />f I YES L.I NO <br />M1V]nAr�t,Y � Np pIfM14[lLiNOUYIIi <br />f.n(Un <br />u v�s n No <br />EVERETT <br />i�_''' S�G -r'i5 <br />Oq <br />� - <br />YPEOREpU1PMENT FE6 <br />iLG JNIT9-H.P. �--�— <br />R SYSTEMS-B.7.U. M E.q. , <br />�RS.-B.TU. M _....._. i <br />RYEpS , <br />�N FAN ...._- � <br />)b ... . _ _T_ <br />TER -' � <br />JE i <br />� <br />PLACESWOOD dURNING) � �-�- <br />INSERT � i <br />----�— <br />_.. _ � <br />_.�_ i <br />�N i <br />' "___��_ <br />- --_ _ � --- , <br />.'_ "' __..�__ <br />� <br />_._.... ..._.. <br />"-__ i <br />_._ T <br />I <br />SUB TOTAL $ � <br />PERMIT S ' <br />-"'----'- __' ' <br />TOTAL FEE $ � <br />FEE RCmmrun <br />UUILUING <br />Pl UMAI�:G <br />MFCHANICAL <br />,4p�IT10NAL PLAN CHE(:K <br />....._...._. _...._...._. _�_ <br />O7HEH <br />STATE 9111LDIN3 SURGHARGE <br />PUUUC WOHKb <br />fl <br />