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� <br /> ; � <br /> APPLICATIO�FOR CONSTRUCT�N PERMITe/ � � i ' <br /> TO BE COMPLETED IN BLACK INK,�PLEASE PRINT `�r i� i <br /> '��� NEATING SVSTEM: ,GAS J EIECTRIC U ____ ___. _ _ I � _�,�rc � ! <br /> BUILDING DEPAFlTMENT �---- --_� __ J � <br /> � � 259�8810 , ,� <br /> y�= DEMOLITION _ COMBINATION BUILDING •�MECHANICAL PLUMBING SIGN <br /> ��� Q\VM tn �u4�tt��. C rv .6 4'qONE � � <br /> 1��� � �•���, . ��.:L. �: 1 / r�� .�:�'_ � ('( ._ � _ _�. � -�.__—.L_�i_t�/'. � � . . `; . <br /> ^ 11NANi AIAM1ADfr�.:. Ul� ' � IIV P�NYIE � � — <br /> � <br /> 3� _' ��( =•" � I <br /> � �n('uttELTOnDES�GNER 4AR�OOpE55 cirv =p p�prrt <br /> �+ r,ENEMIGp�fMf,iOq WII.�OOREA9 I� „Cirv TIP PIqNE SUfFIIGEN9EI <br /> ��� +r °� I <br /> Qy NEGUNK'AL CONiqA��R yAN�DppE% , GTy 11► i11pg 41�iE lFEN3[I <br /> �" M� �.'/', � , . //=:�ztt ri'r=�= il•'-•%fj:� .��`:t. , . �t�i�%l: �G-/,FP:� I7r��;tr��.�'%�'.�jY,. <br /> sy ✓tVUB�rvOCONTMC W10..1ppRE45 C�rr� pHp� / St�iEIiCENSE� i <br /> ru - � - - _ � <br /> H a�ssocwaaR �J I <br /> !��A NF.W � A�DITION � ALTEHATION qEPAIR �EMOLITION � WCODSTOVE'FRPL INSERT BUILDING RELOCATION � <br /> Q <br /> �C ' =?-- cONr�ttvERShcuaJo�ENO <br /> �A ���T% . � f�,�r , _._;� i <br /> c�Nrax r vn:CE ty wOnK � <br /> fA L�SCP�@f Mqnl�Ip Sd1U�E fIXyAOE 1y.'qtVf0 / '/ <br /> �{�, / / �/ / �, [, // �. �. .. <br /> �'._1.E�y" �L-f'+ A:tKli/ l d�•�.tL�S/F�.r /.Pt�!�.i� //:�:i.. �� �r - -�!C!-�� ' <br /> � <br /> on000sro�seaou�o.m 1 HEREBY CERTIFV THAT I HAVE READ AND EXAMINEO THIS � � <br /> APPiICAT10`!AND K�JOW THE S0.ME TO BE TRUE AND CORRECT ALL <br /> lEMlpESCFIVTqNpRVWV[pTY�$IqW1�p[�pWq1�TT1CNtppllCpC(51 PROVISIONSOPLAWSANDOR�iNANCESGOVERNINGTHISTYPEOF <br /> 'NORK WIIL BE COti1PlETEO WITH WHETHER SPECIFIED HEHEIN OR <br /> 1Oi �OG" � N07. THE GRANTING OF A PERAl1T OOES NOT PRESUME TO GIVE <br /> ./,, /�J ""� jJ�� f l � -y� AUTHORITV TO VIOLATE OR CANCEI THE PROYISIONS OF ANY <br /> f'� ` C L(.Ly / C(,(,i��—(_.��`C(.�(.i �� OTNEii STATE OR LOCAL lAW REGULAT�MG CONSTRUCTION OR THE <br /> " PERFORAIANCt OF CONSiRUCT10N THAT I A61 AUTHORIZED BY THE � <br /> OWNER OF 7NIS FROPERTY TO PERFORM THE WORI( FOA WNICH <br /> APPUCAiiON IS 6�ADE AND I CO!.iPLV WITM THE STATE <br /> CONTRACTORS LAV/!9 2.'RCW AND 296 200 WAC <br /> �Q ���� � i� 1 <br /> F � �� vnaEGt�rrnts5 ---- x ,�{!����%aINLL-L_F��Y it�7:li I >�� . i�� <br /> C � , , rw <br /> i � , . /- l�. - i�'I'."i.'. : � � ' �_ <br /> �I PLUMBING� ' MECHANICAL � <br /> i <br /> � � NO. TYVE OF FIXTURE OH REM FEE NO. TYPE OF EOUIPMEM . - FEE <br /> � - WATERCIQSET�T04Eii _ - AC-AHNDIGU�WiS ��A _ <br /> BATNTUB �..�. �-�`�``- <br /> i� PORCEDAIHSvSiE � -BiU �61 EA. <br /> i � , LAVATORV IWASH BASIN) UWT HEAiERg B T U A� <br /> SHOWER CLUTHES DRVERS� � <br /> KITCHEN SINK a DISP i VENTILATION FAN <br /> IDiSNWA$HER � RANGc HO00 <br /> �� LAUNORV TRAV ' WATER HEATER <br /> C�OTt1ES WASHER YIOOD STOVE <br /> ; URINAL h1ETAL FIREPUCE 8 CH�MNEY <br /> 1 � DRINKINIi FOUNTAIN � FIREPLACE INSERI <br /> S�I�I � FLOOR ORAIN f HEAT PUMP <br /> 9AC1(FLOW PREVENTERS GAS PIPING � <br /> qOOFDRAINS-RAINIEADERS EXHAUSTfAN <br /> `_ SiNK�SERVICE-BAR.ETC.I ; � <br /> ��� - <br /> � <br /> �l �`V SUBTOTAL S SUBTOTAI S <br /> \ _ PEFMIT S PERMIT S <br /> iOTALFEE S TOIAIFEE S <br /> FOR OFFICE USE ONLY: <br /> - -- _ _ — — <br /> .,n�n'gr'na�.. r.,U.sln•.��.�- S:c45F1Mrw—_' _ r:�Vf.•�t�'.� <br /> fkE PECE�vflq <br /> 3(07� <br /> ���tuHe ioune� wc.wTs�ic FEES VALUATIOH FEE <br /> BV'lC/llkl ' <br /> MldCU1R4lOM4lf MIpCCOT�C�WI Omws+ 1oOtwr.ia:.a�t .- __ ._"" _ <br /> � PlU61flMC� — — - — . <br /> 5�1EpR06 N00�370kEs LISEKNT AIEGIWOCAI . W <br /> txCUI�MC�LO�D tNE$PIM�Ip[/pq(pp IIqM«ltl}�TqN AOpITIOIUIPUNCH£CK <br /> _ _ ___ SvqMixLER . <br /> i�c a�a rOl15rN�MLEW _ _ <br /> ��•rafEFtU0.DnJO5UPLW1P6E ' — —_ <br /> • ' ^A/°"^"O'KO�'' CITY OF EVERETT ; .�i��qKs <br /> IOCALSAIES <br /> TAK COOE IS 3105 rou� <br />