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� �•���� � a�Wi� �'I T0� 2066433475 Jf�! 17� 1892 2�13PM p412 P.B2 <br /> �`�X �GG APPLICAT JN FOR CONSTRUCTION PERMIT r�' <br /> 7 CJ�7�i 'UOU' l],�j -(�UG1(�70 BE COMPLETED IN BLqCK INK—PLEASE PRINT �';���� <br /> BUILDING DEPARTMENT HEATINO sYSTEM; c3AS U ELECTRIC U 1] <br /> 2S9•6810 ' <br /> I 1 DEMOLITION I I COMBINATION ' BUILDINQ l 1 MECHANICAL I I PLUMBING I I SIG�' <br /> OM�Fh FUM1AODRCRB CT' 3W Pj�H�O�NE t'{�t"y� ' <br /> L1 qQ <br /> TFNANT. MAM1I10DI1lS/� CRY Lr GG.Q. / OUG�c.lE � / / "�.'3�,3 <br /> �Af.NITFCIOXUCS10NFf1 MA�IAUUNl55 CIIY L� " <br /> �) Jy' PIIONF '�— <br /> �+�-"•� <br /> OGNfMLCONTpGCTOp MAM1ADDPC66 CITY 21P PHONC 9TATFI,�CCNlC1 <br /> Fc� iw+ioacomm�� �ss ' .. _ (�i�L.bA/�il� l�(7/�N <br /> Cllr 2iP rnoqv � slereuccNCF.� <br /> VIUMHINf3COHiMCTOq MAhAUDIIle! C�7Y IIP hMONC � '— <br /> 6TA7!UC[N,aF� <br /> ���65QwonK � • <br /> IEW I I qpDITION I I ALTERATIOH I I REPAIq I I DEMOLRION �I I WOOD9TQVElFRPL INSEqT I I BUILDINp RELOCATION <br /> --1����00 ��6i /e�o�No. �,�/��3�.3 <br /> CONTMGT hWC!UF VYOlIN <br /> OCSf.RNFWpqKAHb90UMlIOOTAGCI VFD � � ' •� <br /> NP�nP�trkcS�b�-, �y�raf,�,siy -- <br /> N Oro•�eouscoraurtn�No � 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> y ��_T'f-�� f GL_ APP�ICATION AND KNOW TNE SAMB TO BE TRUE AND CORRECT.ALL <br /> lEcu� ScnirnowrunnCa�a ��p�yNeE�owon�TrncxFOURCONE ' PAOVISIONSOFLAWSANDORDINANCESGOVERNINCi7HI5TYPE0F <br /> i�T� e�� � ��j�/ WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> . ••• NOT, THE 4RANTINQ OF A PERMIT DOES NOT PRESIJMC TO GIVE <br /> AUTHORITY TO VIOL�TE OR CANCEI TME PqOVISIONS OF ANY <br /> , OTHER STATE Ofi LOCAI LpW pEGULATINQ CONSTRUCTION OR 7HE <br /> P/�L� � PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOR�ZED BY THE <br /> � :i I D OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH 1HG STATE <br /> �.�j �j 'CONTRACTORS LAW iB27 RCW AND 298200 WAC. <br /> --�- � /� �. � . <br /> rhatci rconcss� � . �X,�,,,,� c�r"ry .,��,T����..3 <br /> r ��' 9 _�-5�'SYo . , __ . —. ..-- <br /> ann...a,��r �o. <br /> PWMBINO MECHANICAL <br /> N�• TYPE OF flXTURE OR ITEM FEE N0. TYPE OR EOUIPMENT FEE <br /> , WATER CLOSET OILEn � A/G-AMN04Q UNITS-M.P. , <br /> BATHIVB �� � • FORCED AIR&YSTEMS-B.T.U. M E.A. � � <br /> LAVATORY jWASH 9ASIN) � �-�'�� UNIT HEATER9-B.T.U. M � � <br /> �SHOWER �� � -~—_ � CLOTHES DRYERS '— <br /> KITCHEN SINK 6 DISP ' � VENTILATION FAN � �� � <br /> DISMWASHER � � I RANpE HOOD �— <br /> LAUNDqYTMY ; WATERHEqTER � - <br /> CLOTHES WASHER _ � Wppp STOVE � ' ' � <br /> _ _ URINAL � � � METAL F�REPLACE d CHIMNGY ��— <br /> ORINKIN6 FOUNTAIN' � FIREPLACE IN6ER7 �� � -' <br /> .. FLOOR.DRAIN � HEAT PUMP ' ....-'— <br /> BACKFLOW PREVENTER9� � (iAS PIPIN6 • � <br /> _ +ROOF DRAIN�RAINLEADERS � EXHAU6T FAN �� � ' 'T- <br /> SINK ISERVICE-BAR,ETC. � ' � <br /> �� . ' .. <br /> • _ .. _. � M ,. <br /> � ..� .-- <br /> —• .. '- , • . . <br /> . _ . � � <br /> ...,, �_ <br /> � • <br /> _„ SUB TOTAL S „� SUB TOTAL S � <br /> _. PERMIT i � PERMIT S � <br /> TOTAIFEE S ' TOTAIFEE S � <br /> FOR OFFICE USE ONLY: <br /> •IIONTSITR�CK IICApFORI(7( SIOCCG77AWf pUWGI[dfHIIMYiR �CG RkCkIr1N0. <br /> �a � � � Id 3� a <br /> ;15h z�'"C LOl IUIG V�aWt Srte �� Ffifi6 VALUATION FEE <br /> `—�Z-' euuoirm 7 4555 ��J`',�-- �. . <br /> �rrtarcoxTt.uipvrAe�6 irrcar x �ttpµ oaur,,,cr wnae�urcum� . ... <br /> •. �- � � VLUM91N6 Di <br /> ;�q �p NO.qf6TORIFS OniE GM MF.CHANICAL p <br /> /Sf�G►R1Ka�bZ ... . <br /> _ !�' <br /> � <br /> xcuvnNC,v/tO U �a[npMnFq6pEOb NeieiRurrRATWN/ ADpR10NlU,PLANCHL'CK � <br /> �V Q �J i <br /> 16 ^ FOf16VRWKIFPB � <br /> � <br /> � 'l'�'�' <br /> BTATE BUIWINO SURCMAAOE ;�D <br /> �IT�KEOY riia+snvnpovpoer 'CITY OF EVERET7 pUPIICWORN6 ~ 1 � <br /> � I�' LOCAL SALE6 � <br /> �'j Zz 5'3 TAX CODE15 3105 totn� — �D <br />