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APPLBCAT. JN F'OR COF�lSTRIiL .'IOtd PERM9�' �� <br /> TO BE COMPLETED IN BLACK !NK—PLEASE PRINT <br /> BUILDING DEPARTMENT HEATING SYSTEM: � GAS ❑ELECTRIC ❑ —� <br /> 259-8610 <br /> ❑ DEMOLITION L_I COMBINA710N I I BUILDING I I MECHANIG4L i i PLUMBING I I SIGN <br /> OWNER MAtL/DORESS �IiV Z�P PHONE <br /> HOUSING AUTHORITY OP THE CITY OF EVGRITT 1401 POPLAR LVERETT, 98201 (20G) 258-922) <br /> TENNIi IAAILAOOfl[SS GIiV Z�V PI�OrvE <br /> ARGNITEGTOR�ES�GNEl1 MAILACORE55 CIiY Z�P YHONF <br /> THE DYKEPIAN 1602 HEWITT AVE EVERETT 98201 ?.59-3101 <br /> r.er�eru contnncroa ianu nooness citv zm ruo�+[ smie ucEus[i <br /> x�y FUN' S CO3 I\c 1600 S . GRAHA,t ST SEATTLE, 98108 (206) 764-0170 Yi1NSCI�09;CU <br /> � rn�_Hariicn�eoNrnncion unanooness crtv zir ruo�+[ srnteucc�sc� <br /> �aN <br /> ,�'z'� SAPIE AS ASOVE <br /> a�-?� PLUMpINGG011TR4Ci0R AI�I�pU�flESS GIiY ZiP PHOHG STAi[�ILFNSE� <br /> snriE ns naovE <br /> yZ H � anss oF wonK <br /> K y"�,tl ❑ NEW ❑ ADOITION ; I �LTERATION I I REPAIR I I DEMOLITION I I WOOOSTOVE/FRPL INSERT I I �UILDING RELOCATION <br /> .�iy �-�-1 h] , coumcr reasoN nNo r�uoNe r:o <br /> y~ CONiMLT PRiCE OF WOHK <br /> �3 r <br /> � Z 3 oescnme wonn nr+o sounne rooTnce u+vo�veo <br /> HC <br /> aaovoscouseorouamr�c i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> H ['7 O APPLIGATION AND KNOW TII[SAML=70 BE TRUE AND CORRGCL ALL <br /> 'n� � �ew�o[scnirnouoFveoacarv�sr+ovmuetowoennnc�iFouncooiesl PROVISIGNSOFLAWSANDOHCWANCE530VEFIJINGTHISTYPEOF <br /> �y H 'r�' WORK WILL�E COMPLETED 1YITH WHETFI[R SPECIFIED HEREIN OR <br /> � y z . ior o�ocK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRES�IME TO GIV[ <br /> H y AUTHORITY TO VIOLATE OR CANCEL THE PROVISIGNS OF ANY <br /> � p� OTHER STATF OR LOCAI LAW REGUTATING CONSTRUCTION OR THE <br /> �""� PEf7FOR1.tAtdCE OP CGiJSTRUCI;JN.THAT I AM AUTHORIZED 6Y TH[ <br /> nq dq� OVJNER CF TIiIS PROPERTY �O P[RFORM TH[ WORK FOR WHIGH <br /> 3. C�1� — APPLICATION IS MAD6 AND I COhiPLY VlIT41 THE STATE <br /> z y� � CONTHACTOF7S IAVJ 10�I RCW AND 2'JG200 WAG. <br /> H O V� _. <br /> x �L �'L 1}�ll� Il•�'��— <br /> anu[craoon[ss .�'�+�+��^�� ue�c <br /> 13�� �7'" 1 vnw�.� <br /> PLUMBIN3 NECHANICAL� ' <br /> NO. TYPE OF FIXTUtiE OR ITEM FEE NO. TYPE OF[OUIPhtENi FEE <br /> �«r � _ WAi EH CLOSET(TOILET) NC—NHNDLG UNITS—H.P. <br /> � OAi HTU� ' Ll FORCED�IR SVSTEPdS—�.T.U. M EA. --�— <br /> ��;� LA�ATORY(WASH 6ASIN) —r- UNIT H[AT[RS—�.T.U. Id '— <br /> SHUV:ER CLO7HE5 DRVERS <br /> "'` � KIT;HEN SINK i UISP �� ;pQ VENTILATION FAN _ ; <br /> � ""� DIBHWASHER � RANGC-HOOD �- <br /> . LAUNDRY iRAY L� WATER HGAT6R <br /> ��-�. �,., _ CLO1N85 WASHER � _ WOOD STOVE <br /> �,� , URIN4L ' MET�L FIREPLACE 8 CHIMNEY <br /> DRINKING FOUNTAIN FIREPL.l�C[INSERT <br /> FLOOR�RAIN HEAT PUMP �— <br /> � �+� ` BACKFLOW PREVENTERS ; GASPIPWG <br /> ROOF DFiAINS—RAINLEAD[RS —T-_� E%HAUST FAN <br /> SINK(SERVICE—BAR,ETC.) <br /> _._T'—— <br /> -cN.. ,.,i — <br /> — _—�_— <br /> f ��� SU�TOTAL S ' SUB TOTAL $ <br /> �"' P[P."d1T $ —��p[� PEPMIT $ <br /> TOTALFEE S TOiALFL=B $ J+%j �G2� <br /> - FOR OFFICE USE ONLY: <br /> ' FFlONTSETO�GN fiCAp5Lt0ALK 5�0[SEIpACK VLANCHCC^NNUMpGII P[[ IICG[iPt1lO. <br /> ,�'S� <br /> usezcr+e iornnen wcnr+rsrte FEES VALUATION FEE <br /> --�— <br /> DUILOING <br /> LYPEOILONtS.AllOVUDIf IYPEOIC'aN51.�L1U�t rcuur�xcr iqqwiplm�ux��is -- <br /> ciwr � PLUldlttY� <br /> , Sll[OFOLDG. ��O.OFS70N[5 UAS[MEN� M@GHpNIGAL <br /> OGGUP,WCYLOAD F:B[51'RNKLERSRLOO IIG�GIIi4tdliAilON �ODITIONALPIANCHLCK <br /> SPRINKLGR <br /> ' P[n50NFOf151'f11NHL[!IS — -�T <br /> STA7E 6UI�DING SURCVIARGG <br /> inmH�ov rinnsnraivwEoov CITY OF EVERETT t�uoucwo�rcs <br /> LC�AL SIILES <br /> fAX CORE IS 3105 *aT�� �_ � <br />