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APPLICA4I..P➢ FOR CONSTRt1C'� ION PERMIT °`'''�'" <br /> meE�erg��i•.� TO BE COMPLETED IN INK—PLEASE PRiNT � <br /> aTv oF <br /> Cif�� �V��p�� FTMENT f � HEATING SYSTEM U GAS �j ELECTRIC J _—� <br /> p x 259-8810 <br /> 9 �v~i DEMOLITION COMBINATION ✓BUILDING MECHANICAL PLUMBING SIGtJ <br /> � <br /> p�yryoq IAnll PODRESS CItY ZiP PNONE <br /> K � JAMcs kv� E ll`12y- 3� rN D�e. n�.c., p �9 Mn2Ysv�«e 5az�o GSs -sy� I <br /> F] ..�J i[NnNT MAILADDRE55 CIiV LV PMON[ <br /> � y �y <br /> y � MCHITEGTOROES�GNEfl M�IIADDR[55 CIIY ZiP PHONE <br /> � x AoN Gou/JSEL�. 2812- Co�6y� EvEr2CiT tiPZo � 252 - 1 I � I �77�1�9.tp <br /> y � G[NLRALCONiFAGTO(i MAILADUR[55 CIiY ZIP 1'110NE� I LIC[NSEa <br /> z�_ <br /> o H � - l - - - - �0 VGr 2+G��U-7..���.f_W_la�U1nWDDG!�1� S.F/�.�b <br /> n�� (S] � I.iLG1ANICAICONiFACTON '.IAILRDDRE55 C11Y 2iP ���c�A,C� I�Z�� <br /> H G �Y <br /> z y� PLUMBINGCONIRAGTOR h1AILADDRE55 CiIY ZiP PHGNE LICCNS[• <br /> 9 <br /> C" <br /> ~ y anssorwoaK <br /> ��y ✓NEW ADDITION ALTERATION REPAIR DEMOUTION WOODSTOVEiFRPL INSERT BUILDING RELOCATION <br /> L+ CSQ rlan C � G� corvrnc*vEaSo��nr�nrHor+Er+o <br /> rz r �( '7 .I <br /> t, (1] CONTRI.CTPRtCEOF WORN II Z ��I� �YJ d "S 7 �� -- <br /> yy 0[SCRiBEWO�iNANO50��REFDOTAGEINVOLVEO � <br /> y � �' �C �lew Go�15TKVCTIOIJ �rl� � r�,,,�� o��,�,3 �/�„� <br /> vnor�oseouseoFeuaoiNc I HEFlEBV CERTIFV THAT I HA�D AND EXAMINED THIS <br /> X T R� - P L E X A P/a K.T h'�E N TS _ �PP��CATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> �cn�oesceicnot�oFPaoPenrv�sHowrveeiowoannncr�FouaCoaiEsl PROVISIONSOPLAWSANDORDINANCESGOVERNINGTHISTVPEOF <br /> � . N"�RK WILL BE COMPLETED\VITH WHETHER SPECIPIED HEREIN OFi <br /> n 9 S oiocrc or NOT. THE GRANTING OF A PERId1T DOES NOT PRESUME TO GNE <br /> AUTHORITV TO VIOLATE OR C�NCEL THE PROVISIONS OF ANV <br /> L�=55 T�1E S O. r2.S FT. 0 F �ST �I D��T I o h1 OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PEHFORMANCE OF CONSTRUCTION.THAT I Ald AUTHORIZED BY THE <br /> � � �jcGol(OED IN OWNER OF THIS PROPERfY TO PEHPORM TiiE WORK FOR WHICH <br /> TO BEVEIQ�Y PARK, As PeR PCi�_11— APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1027 RGW AND 296200 WA::. <br /> �/OLUMn1 9 OF �°Ct1TS O/J ��. I- ECo(Zp,S sicNnruneoFcoHrancror+oanunwHiz�oacEr+r onre <br /> TAx No• � <br /> bF SNoHoMiSN �o. 3 0-Ooo- 09�-Olo X��„� � ��,. / _ 3 /I2/ 9l � <br /> PROJ[Cl ADDR[ti5 �/�` --- <br /> PPPUCANi5Ci1POl1SkES5uCEN5[ O ANDBUSINESSNAME <br /> '�' p �1 F C RAi . - <br /> PLUMBING MECHANICAL <br /> ' ' N0. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> � WATF.Fi CLOS[T�TOILET) A�C—A.I'NDLG UNITS—H.P. <br /> '�1 BATHTUB FORCED AIR S`.'STEMS—B.T.U. M E.A. <br /> ' ' _ LAVA'ORY�WASH B4SW) i UNIT HEATERS—B T.U. M <br /> � �riOWER 1_ CLOTIiES DFYERS <br /> KITCHEN SINK 8 DISo VENTILATION FAN <br /> 1 DISHWASHER RANGE HOOD _ <br /> ' __ LAUNDRVTRAY WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> � <br /> URINAL MEIAL FIREPLACE 8 CHIMNEV <br /> tDRINKING fOUNTAIN FIREPLA(.E INSEFT <br /> � FLOOR DRAIN HEAT PUMP <br /> �I BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—RAINLEADER$ EXHAUST FAN _ <br /> '_, _ SINK ISERVICE—BAR.ETC.) i <br /> ' - -T <br /> '1 SUB TOTAL S SUB TOTAL 'S --� <br /> PERMIT 5 FERMIT S <br /> '- � TOTdLFEE 5 TOTALFEE 6 <br /> FOR OFFICE USE ONLY: � yf� <br /> FRONLSEi�ACN REAHSETDACN Sii)ESEipACH Pl4NCHFCN ❑Atp[R F[E �ECHPTNJ <br /> _�''J� Zd'' S ' �ti zb�o� � yNs. �s E'D <br /> ii�:r..<e+e �ornnea VACANTSIiE FEES VALUATION FEE _ <br /> JQ'.3 7 Q� oui�owc �O � a� <br /> I1fI0fL011i5�1101YPBlE iVPFOfGON51AGNAl �'N°epCr N00�6nvi�s.v:-� — / // /�-�J- <br /> -'/.. <br /> ,/ � ✓ �V rp°/ �` PLU6101NG _' <br /> V � <br /> 5¢6 OF�loG. '�0 Of SiOHiES 9A5[L�ENi h1ECHANICAL r <br /> /^' _ � __ _� y <br /> i i� <br /> cecurnr�Cv�onn FwE SPRNKLERS REO'D NEIGIIt 1 iMi�oq ADDITIONAL PLAN LMECK �� ,2�' <br /> 3 ' <br /> //J OTHER ' <br /> NEP50 FORSPRiNhlERS ��� � <br /> STATE BUILOING Sl1AGHARGE _� yS� <br /> nanr.e ov PLANS PPVPOV[�AY CITY OF EVERETT ruouc wor,Ks <br /> `n LDCALSALES "— <br /> I��' ` S'/h �N TAX CODE IS 3105 TOTAL �� ;?o '/ <br />