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APPLICATION FOR CONS�TRIlCTlQN PERMIT � <br /> TO BE CO...PLETED IN BLACK INK—PLE.4SE PRIN� <br /> BUILDING DEPARTMENT HEATING SVSTEM: ' GAS ❑ELECTRIC ❑ <br /> 259 BBiO <br /> �! DEMOLI710N �, i WM17BINATION '� BUILDING �iIECHANICAL �i PLUMBING L. SIGN <br /> ow�`rn I��\��,2,�o`E�I� �fpnlf� �i3v�- �v+ �?�� �3 ,�5`j -�tG3'� <br /> iC11�NT I� MA4LUOPE55 CIiY IiV FNCNE <br /> ��1 <br /> aqCJe�jEC�ONOESiGNEP YA4i1DpNE55 LILV IiG nw04E <br /> 1 � � <br /> GENEn�IIta,CiOF �ui��DDFE55 Ciiv Si> Pr�d:L Si�iE bCENSE� <br /> 1� <br /> MEC1uV1V.LLCMII9�iOq MA4MDflE55 CIiY .'IP VHplf $1�LElICEN$E• <br /> 11�UJ. c�l <br /> �1L4BiNGCCNiFI.CIOfl M�R�O�NE55 C�lv iiG pNONE S1A1El6ENYI <br /> n ir� <br /> ca+tnncr naK[or wrn. ��— - <br /> � 1�� <br /> Oe5CN4E WCI1N�NC SWAPE iC01AGE IM1NC VED fANi1Gi PENSQH AHO VN'JNE NO <br /> i HEREBY CERTIFy THPT I HAVE REP.D AND E%AMINEO THIJ <br /> oForos(�n mmmG APPLiCATICN AND KNOW THE SFME TO 81'TFUE ANO CORPECT ALL <br /> PROVISIONS OF LFWS AN�ORDINANGES GOVERNING THIS TYPE OF <br /> �EGuoEscnrauwiorvqorEn+r�vqwr�eEiowon�n.cerv+otG�msi WORK WiLL BE COMPLETED WITN WHETHEB SPECIFIED HEREIN OR <br /> NO�. THE GRANTING OF A PEFMIT�OES NOT PRESUME TO GIVE <br /> �o* eiacn o� p�TMORITV TO VIOLATE OR rpNCEL THE PFOVISIONS Of ANY <br /> OTHER STATE OR LOCAL LFW qEGULATI9G CONSTFUCTION O�i THE <br /> -- PERFOBIdANGE OF CONSTRUCTIOP!.THnT I AM AU fHOR2EL dY TME <br /> OWNER 0=THIS PROPER'V TO PEiiFORM THE VIpRK FOR WHICH <br /> APPLICATION IS IAA�E AND I CUMPLY WITH THE STATE <br /> veaCE�rpe i o NUMe[n CONTRApTpRS LwW 1821 RC W RND 29E200 WAC. <br /> �pN.iqUPMN�Ow LENDEn.I.ODUESi IEIFVeONE NUUBFF <br /> X• ��� � �� ,� 8�719.� <br /> PROJECT AOOR 55 "• "'� <br /> �lil ni � P.�'C, ----- -- - <br /> PLUMBING MECNANICqL <br /> ND. TVPEOFFI%TUREORITEM FEE N0. TYPEOFEOUIPMEN7 FEE -- <br /> WFTER CLOSET IT�ILEi) ��C—f�t�N�LG UNITS—M P <br /> BATHTUB FORCEDA�RSYSTEUS—BTU. M EA. <br /> IAVATORY(WASlIBASIN� UNITHeATF.PS—BiU. M <br /> SHOWER CLOiHFS DRVERS <br /> NITCHEN SINK 8 OISP VENTIL�TiON FPN <br /> DISHMASNER FFIJGE MOOD <br /> LAUN�RY TRAY N/ATER MEAT[R <br /> CLOTHES WASHEF WOOD STOVE <br /> URINAL METAL FIREPLACE�Yl000 BURNING� <br /> URINNING FOURTAIN FIREPLACE INSERi <br /> fLOOR�RAIN • MEATPUMP <br /> BFCKFLOWPREVENTEFS ' GASPIPING <br /> ROO�DRAINS—RAIN�EAqEF7 � E%HAUSTGAN T <br /> SiNK�SERVICE—BAR.ETCJ � <br /> T <br /> SUBTOTAL S ' SUB TOTAL 5 <br /> - ---'—' "-- PEFMIT S —�— -- —�----" �ERMIT 5 <br /> TOTAL FEE 5 ' TOTAL FEE 5 <br /> FOR OFFICE USE ONLY: <br /> fFONi5Ei81.CN PF�FS[1LACM S�OESEipA[M VUNCNKxNUMtlEfl �EE AECEIPiNO <br /> ���I��.-�. <br /> usEaa+e im�nEe vewvrsi*F F'EES VALUATION PEE <br /> "� YES �. NO Buaoi�+G <br /> � <br /> xacoxsi Noors.on�Es x�:,..x. .c�o«i�:,��rv�s <br /> ���� PWMBiNG <br /> SLEC�BIW liNF.SVNMRLER5PE0O BASEMENf �AECHANIGL <br /> G VES .' NO ;-/-�� _ <br /> CCGUPANCYlOAO RFENAflMRE00 MEbHiUYIiAIION AD�ITiONqLpIANGHECR <br /> OTNER . <br /> A[ESON <br /> SiAtE 6URDING SORCHRRGE <br /> �NI�NEBV LANS��PXOVEDBY CITY Of EVERETT PUBlIC1YORN5 <br /> LOCALSALES --—_� <br /> o.,� TRX COOE IS 3105 tarn� <br />