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M�:1 <br /> APPLICATIO� FOR CONSTRUCT'�1Ni PERMIT ���� . <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT � � <br /> LHEATING SYSTEM: ❑GAS IJ ELECTRIC �J _ .--_--.—� <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> � DEMOLITION COMB�NATION BUILDING MECHANICAL PLUMBING _SIGN <br /> x� o—�vN� �� r.in��nonacss � arv zi� �ncr�E <br /> A �76yx _� Un .�ll� N,c�� /3:� C����-r �v' ri��/ _ <br /> J�p,�qt ) � AINlAODfi[5S ( GTY / IIP PMONE <br /> a y � ((��/(j�� �G��.__._ G�t � �.L,4 .,, � <br /> H ��L1�.:!. � <br /> ARCnIt[LTpppESiGN[���SS QiY lla PIIONE <br /> H� � ` <br /> fC C� <br /> 1-3 � GENERALCONTRACLOR MAiiA00RE55 CITV 21P PHORE SiAiELICENSE� <br /> �'O+tlNhtl <br /> � ~ IdECN�NiGRLCONTPACT R MFILFO�RESS CIiY 21P PHONE STATEJCENSE� <br /> � �� �� � <br /> PLUMAINGCONiR4CTOR MAIIA�DRES$ GITY ZIP �MONE SiFT[LICENSE+ <br /> OH <br /> MryO �y-1 <br /> M C� V CLASSOFIVORK ', <br /> n' � n5 NEW ADDITION ALTERATION FEPiJR DEMC�ITION WOODSTOVEiFRPL INSERT BUILDING RELOCATION �, <br /> X H "�Ti COHTACT PEPSON ANp PNONE NO i <br /> � yz _ <br /> CONiRACT PRICE OF WORK <br /> �y y DCSC4iIPE1y'ORKANDSOUAREFOOTRGEINVOLVED — <br /> �dy ����.�L�v ,� ����- <br /> , <br /> C� ❑ reoras us�QF9UILDING i HEREBY CERTIPY THAT I HAVE READ AND EXAMINED THIS <br /> zy '�,'� .N� /,L� e.�� �J �} APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> y �� v�� PROVISIONS OF LAINS AND ORDINANCES GOVERNING THIS TYPE OF <br /> y � y L[GAL�ESCR�I TIONOFPROPERiV�SHOWNBEl01VOBATtAC��POURCOPIES� yyORK WILL BE COMPLETED WITH WHETHER SPECIRED HEREIN OR <br /> ior e�ocrc oF NOT. THE GRANTIN6 OF A fERM1T DOES NOT PRES�IME TO GNE <br /> AUTHOHITY TO VIOLATE OH CANCEL THE PROVISIONS OF ANV <br /> OTHEI; STATE OR LOCAL LAW REGULATWG CONSTRUCTION n9 TH[ <br /> ���y�;,.. _ _ . PERFORMANCE OF CONSTRUC710N.THAT I AM�UiHORIZEC THE <br /> . OWNER OP THIS PROPERTV TO PEPFORM THE WORK F... :HICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18?7 RCW AND 29ti200 WAC. <br /> / � ' <br /> 1 / <br /> x t_- /` 'y 1 .� ��_-. '7 ��,3 � <br /> -r:ew�y. —� c.er <br /> PIIOJECTA[1�RESS "/�/A � ___ _ <br /> ���� �L .C-.C.f �l <br /> PLUMBING ' � MECHANICAL� <br /> N0. TYPE OF FIXTURE OR ITEM FEE �lO. TYPE OF EOUIPMENT FEE <br /> �/��� WATER CLOSET�TOILET) A�C—A�HNDLG UNITS—H.P. — __� _ <br /> ` BATHTUB FORCED AIR SVSTEMS—B.T.U. M E.A. �__ <br /> � LAVATORV(WASH BASIN� i UNIT HEATERS—B.T.U. M <br /> 1, ' — CLOTHES DRYERS — <br /> SHOWER — <br /> 1 �� KITCHEN SINK&DISP VENTILATION FAN <br /> '�,�� DISHWASHER RANGE HOOD I <br /> '�. LAUNDRYTRAY WATER HEATER i <br /> CLOTHES WASHER WOOD STOVE <br /> METAL FIREPLACE 8 CHIMNEY ' <br /> 1 '�I _ �RINKING FOUNTAIN FIREPLACE INSERT T_ <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING I <br /> � ROOF DFiAINS—RAINL[ADERS EXHAUST FAN <br /> 'I�I SINK�SERVICE—BAR,ETC.) — <br /> / =y I <br /> i � — --T-- <br /> �'� <br /> SUBTOTAL S SUBTOTAL 5 <br /> i PERMIT 5 PERMIT S <br /> TOTALFEE 5 TOTALFEE S —� <br /> �l �.�� FOR OFFICE USE ONLY: ___ <br /> � iNONi5El0ACK REARS[ipACK SIOES@I[14GK PLANCnCCKNuI.'q[(i �L[ RECLIPTIJO <br /> ,3�y,�j ��c ,rc��/ <br /> , <br /> usezoNe iotaaen vacnr�rsrte FEES VALUATION FEE <br /> � <br /> f3UIL�ING _ <br /> 11P[0�G01115 FLLOIYABL[ lYPEOf L01bt ACII1At amaev.. r�a o�[��•:�..^.��r..,� — ' - - ��- - — <br /> � ��2 ��-� �� �' rwra[31NG _ <br /> ;iiLOFBLO(i NOAFSTORIES OASEMENT MECHANICAL <br /> Ik.' �• � <br /> OCCUVANCYLOAD F�RESPPNKI[(iSREOV MEiGNiLIMITAi�UN �DDITIONALPLANCHECK _ i <br /> � _ SPRINK�ER �r�� ;�� � <br /> HI.ASON FOR SPRINKLERS — � <br /> STNE DUILDINO S'URGHAIiGE i <br /> u;tnnEBY riaNsaaraoveoov CITY OF EVERETT PUpLIC WORKS �� <br /> LOCALSALES <br /> �7� L ��/� Tnx cooe is 3ios WTAL <br /> �l <br />