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APPLIC.4TIL+� FOR CONSTRUC7 .0�1 PERMIT ���� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT � , <br /> HEATING SYSTEM: J GAS 'J ELECTRIC �J _____—. -- J <br /> BUILDING DEPARTR4FNT � - <br /> 259-8810 <br /> DEMOLITION COMBINATION �BUILDING MECHANICAL PLUMBING SIGN <br /> 914NER M1IAIL�DDfiL55/'/' �a��a(�i . n1iG!piiT•,�(/iC�S ZIP PM�tIE <br /> �..`�.�iUN 01-V <br /> 5�:� u/i4 �1ni � �n��c/ �!b,��r ��s,lJ/,.�%� �i45��0/' �CJ(a 7S3-7SUi — <br /> rErvaHi 1� (�Y9�^`15'P3Sa �IK7/L /tJ`t L ci�v �� ir vMor�c <br /> �[)P C'� +i �e�mC� �7�L7�H kE5 F�IP.f'Pri"l' <br /> n��cwrecronoes�cHen n�.1nanooncss c�rv z�a vnor+e <br /> y H ��C� r O���u. . <br /> x�'� cer�Enn�coNrencron unn.norees� 7777 �l'�'� U� � rr�o�+e srnr�ucer�se F3 �B�l� <br /> �'yay Yl�-P� ;�DS_ ���� 7 i/�- 5�4�� 9ff/O� �CY� �L-,�rr�/�� �rzt� <br /> [�H 1AECNANICAL WNTP4CTOR MAILAODRESS .r Ui! ZIP VHONE STAiE LICCt.SE� <br /> a y v, �'yl/'� `t <br /> H �3 PWAIBINGLONiRACTOR AIRILA�OiiESS G��Y JP PNON[ STATEUCENSE+ <br /> y zH <br /> � I-3"�D C1A550F 1Y0AH <br /> � H� NEW AD�ITION �LTERATION xREPAIR DEMOLITION WOODSTOVE�FRPL INSERT BUILDING RELOCATION <br /> � �� O CONTACT PERSON ANO PNONE NO <br /> rC 7+p CONiRACT PRiCE OF WOFrc �p�� �( O --- <br /> C�� �d �[SC�NG\YOP✓.AbD50UA�EFCJi1GEo��6'[� � , <br /> _�2 v�,o�� F r P � cc� �r'�t�, <br /> anovoseouseoFeu:io4+c / ' HEREBY CERTIFV THAT I HAVE READ AND EXAMWED TNIS <br /> H <br /> G�j�� � �/�/�� �/�// APPUCATION AND KNOtN THE SAME TO BE TRUE AND CORRECT.ALl <br /> [r�! 'v V PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> xy 'L'� LEGPLOESC���'tiONOFPROP[iiiYiS�•O��ti'�Ri:IONOP4itACMFBURCC��CS� - - <br /> y Z WORK WILL BE COIdPLETED WITH VVHETH[R SPEGFIED HEREIN OR <br /> r H y ��T � � K� /gipcn // �Z cr �O �fG4.�� NOT. THE GFANTING OF A PERMIT DOES NOT PRESUWE TO GIVE <br /> =i=y-`' �-T-- qUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> N <br /> p-I L��U� n ,e�f � /�� .� �,��i _ i _ OTHER STATP nR LOCAL LALN REGULATING CONSTRUCTInN OR THE <br /> O C7 y PERFCR�dANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV TFiE <br /> r / Q L/. WNER OF THIS PROPERTV 70 PERFORM THE WORK FOR WHICH <br /> [s7 �Q .�.p.py� O�GQ���=��,/-tL!Q�hC� �-� qpp�ICATION IS h1AUE AND I COh1PLV WITH THE STATE <br /> y 0� � /� � CONTRACTOFS LAW 182i RCN'AND 290200 WAC <br /> ��� 1 p�' EU��z�{- G c ,PPC�Z��>i U_ �3 <br /> /� 1� -����v .s�'�5�-S z <br /> i � ( Ci K�C� C1� � � __. - <br /> U ��K/ �S �C�/"_..>Z. _ P ' _ - % X�s�,�-�� . _ ,. � <br /> �•;���*� qr.s�.-„ s l� (�ck� ��7y �u K1 ��7E,�F.�'1���7_G� -- --- <br /> A v <br /> PLUMBING MECHANICAL <br /> w � <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPtAENT FEE <br /> I ' _ VlATER CLOSET i70�L[i i . . . ... _ _ _ ' __ _ . A C =A H`JDLG U�llTS H P_ . __ _ _ _ ,_ <br /> BATHTUB °n�7CED AIR S�STEAIS 0 TU- �� ��� � <br /> _.___ —..:_ . -- __ __ . __—. __—_— <br /> LAVATGRY iWASn BASIN� CNIT HEAiERS-B.i.0 �d __ <br /> '"" � SHOWEH _ _ CLOTHES�RVERS ___ <br /> +r! KITCHEN SINK 8 DISP _ �ENTILATION FAN ___ <br /> DISHWASHER RANGE HOOD <br /> LAUNDRV TRAV VJATER HEATER _ <br /> CLOTHES WASHER _ _ W�D STOVE <br /> � � — MET�L FIREPLACE 8 CHIMNEY <br /> UFINAL — <br /> DRINKMG F-OUNTAIN FIREPLACE WSERT _ <br /> � `� _ FLOOR DRAIN _ HEAT PUMP _ <br /> �o! BACKFLOW PREVENTERS GAS PIPING _-- <br /> FOOF DHAINS-RAINLEAOERS EXHAUST FAN <br /> ,� SINK�SERVICE-BAR.ETC.) _�_ _ -- -� <br /> � � _ — _-- <br /> i_— _ _ <br /> w <br /> `r' � SUB TO1�l 5 SUB TOTAL S __ <br /> — PERMIT S �— PERh11T 5 <br /> TOTAL FEE 5 TOTAL FEE 5 —�_ <br /> � FOR OFFICE USE ONLY: <br /> im:�:�15[1BaCn FEa��S1.1PaCr � SIDESETOACN �- viaNGM1fa1�uU R �❑ PCYDt�1�i0 <br /> 3�.�3� <br /> l,s�_�ouE iora�iea vnenr+rsrtE FEES VALUATION FEE <br /> �UILOING 7a 7 , C� <br /> ',�'i f f.l C01115 AlOWABI[ LYR 01 G01151 ALIUAI MCq'�KY FV @:�A:'.'.\1.'.rc -- � <br /> PLUh181NG <br /> ..Ci-.0�9LDG NO OFSTORIES BASENENT MECHANICAL _ <br /> OCC�IPl�NGYIOAp FlRESPRNRIERSRE00 NE�GIrtlnAilAtiON ADDITIONALPLANCHLCK __ <br /> SPHIYKLER <br /> �;rnso•��onsrnrt�xiens — �� / — <br /> STATEUUILDINGSURCHARG[ '�/ 'S� <br /> ,;,;;.i—��;- -- - �� �viu�snvrnoveoov CITY OF EVERE7T Pl1�LICYlOFKS <br /> � LOCAL SALES <br /> I, ���L' � TAX CDOE IS 3105 TaT^� <br />