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APPLICATIGiV FOR CONSTRUC7 .ON PERMIT ���� <br /> TO BE COMPLETED IN BLACK INK/—PLEASE PRINT _, <br /> �HEATING SYSTEM: rJ GnS �J ELECTRIC .� _. __.—_—_ __f � <br /> BUILDING DEPARTMENT <br /> 259-8810 � <br /> DEMOLITION COMBINATION BUILDING _ •'MECHANICAL PLUMBING SIGN <br /> r��om� <br /> c.vr:�n / 1 unaneoaess . crtv 1"' �' . .�: <br /> I�'- �:��;5 �5//'�l�,t��-� �1�. !c����-----" � �r�—G-'rt � <br /> �ity z�p PNONE <br /> 1LN4NT MAILPODRE55 <br /> �����lt <br /> AnCNREGTORDE5IGNER MAiLADDFESS <br /> CIN ZiP PHONE <br /> .y�.�� CI7Y 21P PHONE STAiEUCENSE� <br /> � G[�JEBALCONLiIACiOP MAiLADDRE55 <br /> ��.y�. PNONE $TATELICENSE� <br /> H 1.1f 4LCONTR\C MALL D E55 IT ZIP� `� � <br /> r x y .��, �� �°,�-.� ,� ,���r �,� , lr ���,�� ,�f?i�.�-> , ,, . F ���� <br /> 7 � /`/y-fj�r/,.G ( ! i-� /r tc r r I)I L � � o�E rn Eucer+se. <br /> y �� �'il:M1�O�NGCONiRACiCii IdAlt/•DDRE55 / ��� / -- <br /> K n <br /> O �Q C1A550F WORN <br /> 'i1 H'+] NEW ADDITION � tTERATION REPAIR DEMOI.ITION WOODSTOVEFRPL INSERT BUILDING RELOCATION <br /> �/1 H �� GONiAGT PEPSON AND PMONE NO ' <br /> LV Z� _ ��I • 'f• � , ��/J�'N( ��/':�� <br /> 0 CONiRACTPPICECfYlO�K / ���� <br /> y d � CSCRIPE WOPN�ND/,5�OUA�I�E�FO L1+G/E—R'N,OLV D � /�.})� /� ��,�CliKy' <br /> � �ty �_��i(�T�<<'IKf�},vu�(L""�F> ���E�T �"�`tn�•T/�°"� - � HEREBY CERTIFY THAT I HAVE REA� AND EXAMINED THIS <br /> � �+�OPOSED USE OF�UILOING <br /> 4]� C� APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> �"� G PROVISIONS Of LAWS AND ORDINA�CES GOVERNING THIS TVPE OF <br /> ZH3. <br /> � y C� icrnioescaianevo�vi�eveatvisNowNeE�owoa�rucnvouaeoviEs yyORK WILL BE COMPLETED WITH WHETHER SPEGFiED HEREIN OR <br /> �,,,�y iar i,�aK ov NOT. THE GRANTING OF A PER611T DOES NOT PRESUME TO GIVE <br /> N � p <br /> ' �UTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> g d N _�- 59 �_ 5(`5-�I����[;, OTHER STATE OR LOCAL L�W REGULATWG CONSTRUCTION OR THE <br /> q PERFOR�.IANCE OF CONSTRUCTION.THA1 I Ald AUTHORIZED BY THE <br /> � [s�� OWN[R OF THIS PROPERTV TO PEFFORht THE bVORK FOR WHICH <br /> xyy — APPLICATION IS h1ADE AN� I CO'.IPLV WITH THE STATE <br /> y Q y CONTRACTORS LA'�V t8 27 RCW AND 296200 WAC. <br /> x ,�:'�l-�r��.('�i �' J�O -�—_--- <br /> v <br /> __.._.__ nvr <br /> i�HOJECTRDOR[55 —�__" __ - .. <br /> '� � ���� � ��� MECHANICAL � <br /> PLUMBING TYPE OF E�UIPMENT FEE <br /> � � NO. TYPE OF FI%TURE OR ITEM FEE N0. <br /> !� WATER CLOSET�TOILETI_ _ __. _ _ _ . _, �C--��A HNDLG 11NITS-H.P. _ <br /> __ FORC[D AIR SYSTEh15-B.T.U. M E.A. <br /> FiATHTUB -._ ____--- _- . _ --__ ___ <br /> LA'iATORV IW�SH B�SIN) _ UNIT N[ATERS-B.T.U. M __ <br /> �, .,� — — ---- CLOTNES DRVERS - <br /> � ' SHOWER — <br /> � " KITCHEN SINK 8 DISP _ _ VEYTILATION FAN <br /> qANGEHOOD <br /> DISHWASHER —T--�J <br /> WATER HEATEF <br /> LAUNDRYTRAY y�pODSTOVE - <br /> s �.. CLOTHES WASHER — — <br /> METAL FIREPLACE&CHIMNEY _ <br /> URIN�L — <br /> �RINKING FOUNTAIN _ FI -PLACE INSERT - <br /> � S' _ FLOOR DRAIN _ EAT PUMP - <br /> BACKFLOW PREVENTERS GAS PIPING i C`% <br /> ROOF DRAINS-RAINLEADERS _ FXHAUST FAN <br /> ' '�' _ SINH(SERVICE-BAR.ETG) �_�--- _ <br /> � -- — _ <br /> '� _ _ _ _- _--_ , <br /> �" '� SUB TOL\L 5 SUB TOTAL S I'� � `� <br /> —� � PERMIT $ PERMIT 5 �r_._ <br /> _-- —— TOTAIFEE 5 <br /> ——� TOTALFEE 5 <br /> FOR OFFICE USE ONLY: _ _._ �,t��,�,,;, <br /> FFlO'lISE1EI.IGN��� �" �RL1N5[115At1✓ SIpESEi9PGK 2 <br /> rinn�r.�_c�r;ur.n�.tn �u <br /> �IJJ 7� <br /> USE ZONE <br /> LOIARLA V�CANTSIiE FEES VALUATION FEE <br /> BUILDING <br /> iYPEO�CONiS.AllO\VaELE lYPF01tON51.AC1UN. acc°�iiv nuaca�.:i'..�.�,.�� ---'--- <br /> �A'�"° PLUIdO�NG _ <br /> SIZEOFBLOG NO.OFSTORIES BASEAIENT MECHANICAL _ �'7U �_. <br /> OGCUPANCVlO'.0 FIRESPRNNLERS�E�D HFiG�ilLi�dlintioN <br /> ADDITIONAL PLAN CHECK <br /> SPRINNLEF �' <br /> _ ��'__ _ <br /> p�n50N FOH SPPRINLLRS $TAT[�UILOING$URCHARGE _ <br /> � ,,;r,,,.c Br r�inr,s n�r�novcun• CITY OF EVERETT � PUBuc woPKs <br /> LOCAL SALES <br /> TpX CODEIS 3105 rorn� <br />