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APPLICATIO_ . FOR CONlSTRUCT. .1N PERM11� ��" <br /> TO BE COMPLETED III BLACK INK—PLEASE PRINT "��� <br /> HEATING SYSTEM: .1 GAS J ELEGTRIC J__ __ _ --- �I <br /> BUILDING DEPARIMLNT <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDIhG MECHANICAL PLUMBINC SIGN <br /> �.>:rtIFH �AARADDRE55 G�TY 1�° �E <br /> �tbD;s zwz r�eaJ�., Pn--c� E�.�•�++- � �.�v+ ''r2o-� <br /> � �„� 1ENnNT IAPILR��FESS qtV .IP VNONE <br /> � K <br /> tE y <br /> ARC���TECTOFDES�GNER �dRRpDDRE55 QTv 2iP PHONE <br /> � y222 y 5 �.•.re T�r.s. '�c Ai�- � �b3� Sluf-c,-1`�-vR- N� _ ;rt-[a�.d., u11`� �b z3 -Mz� <br /> H � � GpICRALGONiHA iOR MAILRDORE55 GTY ZIP PNUNE $TAi[UCENSE/ <br /> O G O �'LC�ANICRLCONTRAGTOH MMIADDRE55 CiTV ZIP fi�ONE SiAiEUCr��Sfv <br /> '� y ;L-;� �zp 2iS IS'�` ('Tve- L'�VY�a.d�,t)?� q�' J33 Pi22 -8b 0 L-boo� 33l ` <br /> � � � t�WMBIkGCOIl1RACTOR MAiIADORE55 GIiV ]IP PIIONE SiAiCI�CR�L[ • ��� <br /> 1-�zo r�`x �rm� <br /> �, unssorwa+� � ISzI'HK— <br /> � � � NEW ADDITION ✓ALTERATION REPAIF DEMOLITION WOODSTOVE/FRPL INSERT BUILDING RELOCATION <br /> � y � GONTRGT PENSON RND PNONE NO <br /> y CONTRRCT PRICE OF WOR" <br /> ~ y OESCHIBE WOHK�ND SOUA�E FOOTPGE INVOIVED <br /> N <br /> M <br /> O V� <br /> �y � � raoroseouseoFeuaorc+c i HEREBY CERTIFV THAT I HAV[ Rf_AD AND EXAMINED THIS <br /> APPUCATION AND KNOW THE$AME TO BE TPUE AIJD CORFECT.ALL <br /> T � y PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVP[Of <br /> IFGALDESGRIiTIONOFVNOPERttISNOMMOELOWORAiTRCMFWHCOPIES� yyORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN O« <br /> �ot BLOCK ov NOT. THE GRANTING OF A PERMIT DOES NOT PRES�RdE Tb GIVF <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCT�ION OR TH[ <br /> . PERFORMANCE OF CONSTRUCIIGN.THAT 1 Ald AUTHORI2ED 8V TH[ <br /> OWNEF OF THIS PROPERTV 7p PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MAUE AND I CCMPLV WITH THE STAT[ <br /> CONTRACTORS LAW 1827 RCW ND 296.200 WAC. <br /> 1--i <br /> x �,��_va���. l�� /° 3� �/1 <br /> — - i �:.,F <br /> r=r�odcci aoo�css _—� __ <br /> FWMBING MECHANICAL <br /> /�� —__ .- __ -- <br /> � NO. TYPE OF FIXTURE OH ITEM FEE ' NO. 7YPE OF EOUIPMENT FEE <br /> � WATER GL06ET ITOI�CT) / - A C- A HNDLG 111JITS—H P. <br /> BATHTU6 " FORCED AiR SVSTEMS—B.T U. M E.A. __ <br /> � 2 LAVATOP.V fWASH BASIN� � UNIT HEATERS—B.T.U. M � <br /> I — — __�—_ <br /> CLOTHES DRVERS <br /> '�1f SHOWER 5 _ VENTILATION FAN <br /> �� KITCHEN SINK 8 DISP � -- <br /> D�SHWASHER � RANGE HOOD . <br /> . LAUIJDRYTRAV .Si = WATERHEATER <br /> �� CLOTNES WASHER WOOD STOVE . <br /> I !� URINAL METAL FIREPLACE 8 CHIMNEV ._ <br /> � DRINKING FOUNTAM FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> ' BACKFLOW PREVENTERS GAS PIPING <br /> �I�I ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> SINK(SERVICE—BAR,ETC.) <br /> i '��. -- _'��— � <br /> � � <br /> �w <br /> SUB TOTAL $ — SUB TOTAL $ _ �- <br /> . PERMIT $ PEAMIT $ � <br /> TOTALFEE $ ?OTALFEE $ — <br /> �� _�' — _ <br /> FOR OFFICE U5E ONLY: <br /> a[c[mr No <br /> IPO��15E1BACN �EAflSEiBPCK SIpESEiNIGk PLRNO�FC+IluMOFR ��fl. <br /> usezoNe LOTRREA ��CANTSIiE FEES VALUATION FEE <br /> BUILDING <br /> Irr[G�COM6.QlOWliBIE iYPEOfCONSi.�LipRl acGunxcr NoaoNnur�pux�s -- ----- _/„ ! <br /> �^� � PLUMBING lJ�T <br /> ',�)f Of BIDG. No.OF 6TORIES BASEMENi MECHANICAL 7 �� <br /> pSCUPANCYLOAD HRESPRNKlER5NE0'D HEIGXiLIMRATIpN <br /> A�DITIONAL PLAN CHECK � <br /> � <br /> SPfiMY,LER � <br /> - — —_—_ --�— <br /> f�(n50N POH 6PPMKLEF4 <br /> STATE BUII.OING SURCHARGE <br /> ima�e er r�nnsnraaoveoav CITY Of EVERETT PUBLIC WORNS I <br /> � l LOCALSALES — <br /> I TAX CODE IS 31�5 TOT^�- 7� �� '� <br />