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FROM-EVERETT HUILDING DEPT� T0� 206643349b J� 17� 1992 2•13PM p412 P.B2 <br /> APPLIf:ATION FOR CONSTRUCTION PERMIT ��� <br /> TO BE COMP�ETED IN BLACK INK--PLEASE PRINT <br /> BUILDING DEPARTMENT H�TIN(3 SYS7EM: U aAs U�LEC7RIC U_� i� <br /> 259•BB10 <br /> I I DEMO 'TION I I COMBINA710N I�1 BUILDINQ l 1 MECHANICAL I I Pl.UMBIN(3 I I SIGN <br /> 0I���EH������ ������� C-T 1 I�V���' �'C/�/V / I�'��� <br /> icwJ/i'�'�F�'��'.. Wu�oonecs om nr vHMlE <br /> ARGMRFClON6r&ONCII WIAUUiIlYB CflY 21� 1110NF <br /> ���.��,o ��j,p`F�l-.�. ���n �h4_2323.�.co��I�"/�N <br /> .—.. ��,�:� �,,���, G,. �� �„� n�T����. P <br /> vwn�unwcorrtancron �� wu��uoneas cnr u rnowc � er�ieuecu�r — <br /> G�68 Or wO11K <br /> . I�1 NEW I I ADDITION I I ALTERATION I I HEPAIR I I OEMOLRION I I WOODSTOVE/FRPI.INSERT I I BUILDINp RELOCATION <br /> � ���0� 7�CfvER60 AtAM10NF� ���L�^�� <br /> CpRMCI FNICL'OF WOIIX ' � <br /> ���o�s�w�a�yu�cu�rWu�� ��roornccwvavpo <br /> Yl.dlJL_ldll.l`11 U(i11� <br /> r o orwnnrK+�� _ � I MEREBY CBRTIFY THAT 1 MAVE READ AND EXAMINED THIS <br /> APPUCATION AND KNOW THE SAMB 70 BE TRUE AND CARRBC7.ALL <br /> tEow urnouor FRTV I�����TT �+��E PROVI810N8 OF uWS AND OFiDINANCES CiOVERNINQ THIS TYPE OF <br /> WORK WILL B8 COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �oi�__, swac oF —••• NOT. THE ORANTINp OF A PERMI7 DOEB NOT PRESUMC• TO qIVE <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> Nan�br� OTHER STATE OR L.00AL lAW REGULATINQ CONS7AUCTION OR T11E <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY TNE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> , . . • • APPLICATION IS MADE AND 1 COMPLY WITH 1HE STATE <br /> /� .� WNTRACTORS LAW 18.27 RCW AND 2D8.200 WAC. <br /> /�GL.W C� �CG S - , <br /> --�- x (�.,,- � c�k�*�n.A �/ I /� <br /> MIDAkII ADIX1C31G . • LGMI W ��_NT1 ••_— <br /> airwrwu�i' Mo. <br /> PWMYINO � MECHAWICAL � <br /> NO, TYPE OF FI%TUPE OR IT6M FEE NO. TYPE OPlGUIPMENT FEE <br /> WpTEH CLOSET OILEn , � A�G-�AMNDLp UNITS-H.P. ._ � <br /> BATHI'UB ,. ' ' ' FORCEO AIR SY6TEMS--B.T.U. M E.A. _ : <br /> LAVATORY(WASH BASIN) : i ^ UNIT HEATERS-B.T.U. M � � <br /> �SHOWER � CLOTHES DRYERS ._ .. � <br /> � KI7CHEN SINK 6 DISP i VENTILA710N FAN , ��_ <br /> DISHWASHER � . � RAN�E MOOD _ ' <br /> LAUNDRYtRAY ; WATER HEATER ,� , .�_ <br /> CLOTHE6 WASHER � WOOD STOVE � _ <br /> �URINAL � ' _ METAL FIREFLACE 6 CHIMNC•V , _. <br /> DRINKING FOUN7lUIJ+ � FIREPLACE IN6ERT , ,,,.�_ <br /> FLOOR pRAIN � HEAT PUMP ' <br /> QAS PIPIN6 � <br /> BACKFLOW PREVENTER8 � ExHAU6T FAN •�— <br /> ROQF DRAIN$-MINLEADENS� _. . � <br /> SINK SEHVICE-BAR,ETC. � � � ' <br /> �• ' � <br /> � <br /> � _ .� .� <br /> . _. . � <br /> - � <br /> � •� _. � <br /> • ' � <br /> � • —�'�-- <br /> _ _. . ..._ � . <br /> SUBTOTAL S I- SUBTOTAL S„ � <br /> �� PERMIi f � PERMR � � ... <br /> � TOTALFEE S ' TOTAIFEE S � <br /> FOR OFFICE USE ONLY: O � ) <br /> �noni srrn�ac � nc�n xcrn�cx � sinc uru�tx� ruw ai��uuacn �e�e L �'y�3 J <br /> .��3/L� ♦ <br /> uSk wne � l01�n v�t S�Te � � F88S YALUATION FEE <br /> ,rz—Z � 78 Y� a���o�� �K _ �D <br /> ,macrnt.uiavuu trrcacowsi.�ttcw occw.c. .oao.cuwewn� • ._. . � 70 � � — <br /> �� � 3 ' pLUMBIN6 _ <br /> /1 � <br /> iat rali no.cX6rO.nf�F6 ensaucM MECHANICAL v ' � <br /> �#�40 ` �� — ADOITIONAI.VLANqiL'df �` <br /> �y p/� fWCGPpNMFR6RE0U MCICJ�T w� TWt�� <br /> i <br /> No � � _ <br /> �{(-1�� l. , <br /> 1EI180N BVNNI4FR{ . �/ . ) A <br /> STATE BUILDINO&URCMAROE -� '�/ <br /> _,�. � <br /> vrn�ar r�u+swvwvcuer 'gITYOFEYERETT PUPUCWOwce � '— <br /> LOCAL SALES � ; OO <br /> J� �l Z 3 2 TAX GODE IS 3105 tot�� <br /> � sEE �ntic F��t <br />