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APPLICAT��N FOR CONSTRUC _ ION PERMlT � <br /> TO BE COMPLET[U IN BLACK INK—PLEASE PRINT Ev <br /> BUILOING DEPARTMENT HEATING SYST[M: GAS ❑LLEC7RIC ❑ 1 <br /> 259-8910 <br /> . ❑ DEMOLITION L COMBINATION f I BUILDING I I MECHANICAL I I PLUMBING I-I SIGN <br /> wm[n �uy.moncss nrv zrv r�weie <br /> HOUSI4C AUTHORITY OF TIIE CITY OF EVERETT 1401 POYLAR EVERETT WA 98201 258-9222 <br /> ruurvr unrtwoncsa crtr zm r��am <br /> enc„n[cronoeswacn unaeoon¢: �nr ¢m vnove , <br /> TNG 11YKGM,IN 1601 HEWTTT AVG EVERETT, 9820I (206) 259-316t <br /> G[NEIIµCWIMLIpII AU0.10011055 GIIY SY' IryA,^NG :iA�[LICENS[I <br /> YUN'S C0. INC 16J0 S. GRAHA:1 ST SGATTLE, 98108 (206)764-0170 YUNSCI*097CD <br /> ucci�u�kn�coHmncion �w�omcss cir zm iainrrt :uic�c�Nsc. <br /> - SAME AS AIIOVE <br /> rwuowceaannaon ueewoness cnr :m r�pr�¢ ;uic�ku+:c. <br /> SAh1E AS ABO�E <br /> � cussawavc <br /> ❑ NEW ❑ ADDITION I7 AITERATION �.� REPAIR I I JEMOLITION I I WOODSTOV[/FRPLINSERT i I DOILDINGRELOCATION <br /> I co:nncr v[n;ox um ruw�[xo. <br /> ca+rn�crrnkearwonK <br /> eescnme a�onK u�o saw.ne roouc[nrvavco <br /> rnarx[ce�. .. �v�c i HEqEOV CEqTIFV TMAT I HAVG READ AND E%AMI�iED THIS <br /> APPUCATION AND KNOY/THE SAME TO O[TRU[ANO CORl1'-CT.AlL <br /> ¢cuoesa.i•i.rriwrnovuar�v�owenetowwnneeuvouneovrtsi PftOVI510NSOFLAWSAN00R01NANCGSGOVERNINGTHI5TYP50F <br /> WORK WIIL OG COMPL[TED WITH WHETHER SPECIFI[D HBREIW l':� <br /> �or nocK ov NOT.Tkl[GRANTING OF A PEFMIT DOES NOT PRESIIME TO GNE <br /> AU7HOf71TY TO VIOLATE OR C�NCEL THE PROVISIONS OF ANY <br /> , OTH[R FTATE OP LOCAL LAVJ IlEGUL�TING CONSTRUCTION Ofl THE <br /> � PERFORMANCE Of CONSTFUCTION.THAT I AM AUTHORIZED�V THE <br /> . OWNER OF THIS PROPERTY TO P[RFORM THE WORN FOR WHICH <br /> . APPLICATION IS MAOL' AND I COMPLV WITH THE STATE <br /> � CONTMCTORS LAW 102I f1CW AND 29G200 WAC. <br /> x � A �z. �,U II•���- <br /> rrmiicrwoncss . ..c�u-7 �� <br /> _� 3 Larch Street ' <br /> � PLUM�IHG MECHFNICAL�, <br /> NO. TYPE OF FIXTUIiE Oq ITEh7 FEE NO. TYPE OF[OUIPMENT FEE <br /> - � WATER CLOSET(TOILET) NfrNMNOLG UNITS—H.F. <br /> �ATHTUB ' � FORCEDAIRSYSTGMS—O.T.U. M GA. <br /> LAVATORV�WASH OASIN) �— UNIT HEATCRS—[i.TU. M <br /> ' SNOW[R �I,OTH[S�PY[RS <br /> KITCHEN SINK 8 OISP f� �� y[NTMTION PAN <br /> _ OISHW�SHEfl � pANG[Ii00D �— <br /> Ll�UN�RV TRAY �_ W�7Efi HLATLft <br /> CLOTHES WASf{[q WOOD STOVL <br /> . URINAL METAL FlREPLACL 8 CHIMNGY <br /> UqINHING FOUiJTAIN Flp[PLl�C[INSEfiT <br /> FLOORDRAIN - HEATPUMP �—� <br /> OACKPLOW f REVENTERS GAS PIPING <br /> ROOF UliAIN$—RAINLEADEflS �—� E%MAUST FAN --� <br /> SIHN(S[PVICL—�AH,GTC.) -- <br /> — �_ <br /> �— <br /> SUUTOTAL $ SU�TOTAI $ <br /> , PGRMIT S •L� �CP PERNIT $ <br /> TOTALPEE $ TOIALFEE E ''[{o <br /> . . FOR OFPIC[USE ONLY: <br /> ' f110NI5[lOACK IIWISCIN.CF SIpC.'�:IOACY. PINIC.ILCMN11MI1L11 kLL IICCCII'INO. <br /> �`� D <br /> � USEzonc winnG vnwrtsn[ FEeS VALUATION FEE <br /> OWLOWG <br /> . IYrt01CONI5,NlONApI[ IYMUffAN5L.61UN qUvn�lmcun�i <br /> �'"a'� � 1'lUlAOING <br /> I <br /> . e¢COFoioG. Ho.aciom[s o.�:uurt !nECHnWCnL <br /> OLCUPNlLYLOAO IIIIF^.AINMLC11i11[O9 IIEICJIIlIu�1A1KK1 ���ITIONAIPU�NCIIELK <br /> srmNn��n <br /> nu,onronsrnwx¢ns <br /> ST�TE OUILOING SUpCINBG[ <br /> —�— <br /> iirtuceor ruxsnn�novcuuv CITYIIFEVEflETT puuucwonns <br /> �ocni snus <br /> Tnx eooe is aios � ror�� <br />