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A6�PL�C�.1TIt.n1 �OR CC1t�➢�7RUC? de�6� �Ei�n116T �,,,� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT �����T <br /> IHEATING SYSTEM:�AS C_1 ELECTRIC J __ -- I <br /> BUILDING DEPARTMF'vT — <br /> 259-E810 <br /> DEMOLITIO!+ COMBINATION BUILDING p�6�ECHANICAL PLUMBING SIGN <br /> � MAILA�DfiE55 CIiY Dp PHONE <br /> /�i�{'cSmfrN Z ���iP�2��vr 9��_��3-3aiZ <br /> r r:,rn �.�a�noor+ess urr nv rHor:e <br /> hC�7H <br /> '� [L� Fv ,1n�.,iat[CroP�E9,Y.Eq rAnlLnooaFss c�iv Ziv P��LN[ <br /> � �y H -- --_. _ <br /> �yy G[t:CfiALG9NTflAQpF MRILAOOR[SS CILY Z�P PIIONE STATELILENSEY <br /> �� � ❑�QNHrCAL6CNiqAGTOR MAIL�D�RE55 UiY ZIP t'nON[ SiAIELIC@NSEe <br /> �y � 5�c� h5� so o� s32v c� `r�d� S�Z�s' �s3-33Yy S�w�,�ra� <br /> Ox � PW!dpINGCOHiBACiOR �JARMDRESS CIiY 2iP PMDti[ STAiEIICENS[t <br /> 'il H '� <br /> f/� H <br /> CLf35 OF WORK <br /> H , <br /> O y � NEW � ADDITION �LTERATION REPAIR DEMOLITION WOODSTO`JEFRPL INSERT BUILDING RELOCAI ION <br /> CONiqCT PERSpN AND PHONE NO <br /> � � g COu:f1ACTPRICEOPWOFK /��8� <br /> L�� O C�`.CRIEcWORKPND50UARff-0OIDGEIIlVC'VE� <br /> H <br /> 7.H �,..v�r-C <br /> � y ,� �?o�os[ousee=suiioir�c I HEREBY CERTIFV THAT I HAVE REA6 ?ND EXAMINED THIS <br /> p.�.y LF� APPLICATION AND KNOW THE SAME TO BF THJE AND CORRECT. ALI. <br /> gy �., ;«,�1cqiPrior+oFPaoaEeTv�sHano:ee�awoqanncHFouacoaiEs� PROVISIONS OF LAWS AND ORDINNNCE:GOVERNING THIS TYPE OF <br /> n d N WORK WILL BE CCMPLETED WITH WHETHER SFECIFIED t'EREIN OR <br /> g ior eiocrc oF NOT. THE GRA�VTING OF A PERMIT DJ[5 NOT PRESUMF TO GIVc <br /> ,��.C`� �' AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF APlY <br /> y�y � JTHER STATE OR LOCAL LAW REGULATING CONSTRUCiION OR iHE <br /> H O p� - PERFORMANCE OF CONSTRUCTION THAT I Ald AUTHORIZED BV 7HE <br /> ' - OWNER OF THIS PPOPERTV TO PERFORM THE WORK FOR WHICH <br /> _ APPLICATION IS MADE AND I COP.IPLY WITH THE STAT[ <br /> CONTRACTORS LAW 1927 RCW AND 296200 WAC. <br /> �� "'�� z-G"l Z <br /> �na�craooaess � ?'w.. - _ - w" <br /> 73Zv� 11,e —�,��...,�.� ,,� _ <br /> PLUM21�:� MECHANICAL <br /> NO. TVPE OF FIXTUHE OR ITEM FEE NO. TVPE OF EOUIP�.1ENT FEE <br /> �i ' � WATF.R CLOSET(TOILET) _ _ A�C—A-HNDLG UNITS—H.P. _ <br /> ��' BATHTUB FORCEDAIRSYSTEIdS-6.TU. tA E.A. <br /> 1 , — LAVATORY(WASH BASIN) � UNIT HEATEFS—B.T.LL fd —_ <br /> SHOWER � CLOTHES Dr�YERS <br /> ' '�� KITCHEN SINK 8 OISP VENTILATION FAN __ . <br /> r'�►' DISHWASHER RANGE HOOU <br /> LAUNDRYTRAV WATER HEATER _ <br /> � CLOTHES WASHER WOODBTOVE <br /> � '�' URINAL METAL FIREPLACE 8 CHIMNEY _ <br /> � ,s� DRI4KING FOUNTAM FIREPLACE INSERT <br /> I <br /> FLOOR DRAIN HEAT PUMF _ <br /> BACKFLOW PREVENTERS GAS PIPRJG <br /> ' ROOF DRAINS—RAINLEADERS EXHAUST FAN _ <br /> 1� SWK�SERVICE—BAR,ETC.) -- <br /> '�'- --� - <br /> SUB TOTAL S SUB TOTAL 5 %t _ , <br /> i PERMIT 5 PERMIT S %I <br /> ' '+l IU�ALFEE 5 IUCALFEE 5 �✓� <br /> I FOR OFFICE USE ONLY: __ <br /> � �ROtliS[i13AGK flLARSEipACH SIDF.SEIDACK Pl4NCHECNNW. .R IIL RECEIPiNO. <br /> ?� <br /> ulZONE LOiAREA VACANTSITE PEES VALUATION FEE <br /> �UILDING <br /> li v�Of CON15 AILONABLE 1YPE Of CONSI AL1UAl wcwn�zr xa ai m�'!.u�s�i.ns -- — -- — � <br /> caouv pWMBING <br /> F�.ti OF BLOG. NO.OF SiOHIES �ASEMENT MECHANICAL �U � O U . <br /> ��'.CUPANGYLOAD FIFESPPNKL[FSNEOD NEiGHTLiMI1Rli'vN �DORIONALPLANCHECK <br /> SPRINNLER <br /> i <br /> i�LASON fOR SPPINNLERS � <br /> 51ATE DUIL�ING SURCHARGE <br /> ',cUSE�Y PLAN3 APPf:OVf f)PY CITY OF EVERETT FUBLIC WORK$ <br /> LOCALSALES <br /> TAX COOE IS 3105 TOTA� " c', I �'� <br />