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FRDM�EVERETT BUILDING DFPT T0� 2066433475 TRN 17� 1992 2�13PM q412 P.02 <br /> /Q�' ���� � ^. <br /> APPLICATI.�N �OR CONSTR�iJCT10N PERMIT ���� <br /> 7 9.J3'G'GL'� -()�y�'-DODO TO sE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT HEATING SYSTEM: GAS U EIECTRIC IJ_ � <br /> 259•8810 <br /> I I DEMOLI710N I,I COMBINATION BUILDING l 1 MECHANICAL I I PLUMBING I I SIGN <br /> owy�h w�a�ooncss crtr • =w pHppt - <br /> C.c-�f/Ku � . � 14�/n i3e/,�citlr�.0�� ,�`C�Gii.� 2�'C�i7 !��F�•.�-3.�-� <br /> TFNAHT. MARAOGIIlSS CITY ZIP VII(N�E <br /> �Af•HRFCIUNUC91an:ltn � uULAUUME65 CI1V LI� NIONF � � <br /> '�f.L�."..��aS Uiv�¢2r <br /> Gl<HEM� LCONfR��TpP MAM1AfIDRCSS WTY� 21P VXON! STATFIJClHlC1 <br /> ,�%L�iu c�'.. �'�. . . C'PlLI�(/('Jl1m/�-f7/�il� <br /> uFCHANIOFLGON7MCTOR MAlAUUII[YY CI1Y 21p pXONG 67QCLICLNSEI � ' <br /> 1 <br /> PIUMBIHOCOHTMCTpH A�AILAUDIIld7 CIIY 21P MMONC 6TA1[UCCN$F� <br /> f.la63b'wonR ' ' � <br /> �NEW I I qpDITION I I AITERATION I I REPAIq I I OEMOLITION � i I WOOD9TOVE/FRPL INSEpT I I 9UILDINO RELOCATION <br /> ��/�Ja M /, �T VFR60N ANnU I'l IONF N0. <br /> Gp�TRACT VWCe UI WOfU( (Q' / /, �W. Uv ��U L�J_ /�.« .. G 4�f �3.�-3 <br /> OCSf.RI11F WpqK AHU SOUAIIC IOOT�GC FNd VF� � <br /> /YlA.rl (�5''f/'u/'a'�?Yt_ !�O(p /O Y . . .. <br /> vruros�ouscorcu�nwo I HEREBY CERTIFY THAT I HAVE READ AND EXAMIMED THIS <br /> � APPLICATION AND HNOW THE SAMB 70 BE TRUE AND CORRECT.ALL <br /> �n �F �� z���2C.�_ pROVISIONS OF LaWS AND ORDINANCES GOVERNINQ THIS TYPE OF <br /> LEGA kS�C/IIIPIIUNO�Vp(W�iv(BNOWN6ElOWOnA TnCHFWRCOPIEq �� <br /> im �f 7 _, s�xK oc ,�.1 GLI�"YIJD'� L'� ✓ NOT. THELORANT NQ OF AD ERMIT ObESENOT PRtE5UA10ET0 fiIOVE <br /> � AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE Ofl LOCAL LAW REGULATINO CONSTRUCTION OR THE <br /> � ' pEflFORMANCE OF CONSTRUCiION.SHAT I AM AUTHORREO�BY THE <br /> ��1� �� OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICM <br /> • • APPLICATION I6 MADE AND I COMPLY WITH 1NE STATE <br /> __,_��S/C-i �3 L� �CONTFiACTORS LAW 18.27 RCW AND 296200 WAC: <br /> ,�52 Z -.l4}�/1„a..S� ��.�`���,�. ��•% �93.— <br /> PNOJFI`I ADDIICSi ' � ����1.�5'� NTf . <br /> L ✓ �i<.� �' ' � "_ <br /> — (� Qq p1�YtpMMIWIN .NO. <br /> PLUMBING � MECHANICAL <br /> NO. TYPEOFFI%Tl1REORITEM FEE N0. TYPEOPEOUIPMENT - FEE <br /> WA7ER CLOSET fT01LE� _ � WC--AlHNDLp UNITS—H.P. � <br /> BATHI'UB ' • �_ FORCEDAIRSYSTEMS—B.T.U. M E.A. ; <br /> IAVATOPY(WASH BASIN) „ , �_ UNIT HEATERS—B,T,U. M ' � <br /> ��SHOwEq � _ � CLOTHES DRYERS � <br /> KIiCHEN SINK 8 DISP ' � VENTILA710N FAN ; <br /> � OISHWASHER � . � RANGE HOOD _ —�— <br /> LAUNDRYiMY �� WATERHEqTER ; <br /> � CLOTHES WASHEq �— � WOOb STOVE � � ; <br /> URINAL `� _ ' � , METAL FIREPLACE d CHIMNGY .. <br /> ORINKING FOUNTAIN i FIREPLACE IN6ERT � <br /> FLOOR�ORAIN �! HEATPUMP� � ����r— <br /> BACKFLOW PREVENTERS� ; �AS PIPING • ; <br /> �ROOF DRAINS—pAINLEADEFS � EXHAU6T FAN �� � —i� <br /> SINK(SERVICE—BAR,ETC.) � � � <br /> i <br /> y. . . <br /> � i <br /> . _. .. _. . ... ...� ..— <br /> � i <br /> _. "' _' � ' ' <br /> � <br /> . _. ._ ��— <br /> � , � <br /> SUB TOTAL S ; S110 TOTA4 S ' <br /> PERMIT S � � P6RMIT S � <br /> �• TOTAIFEE S � 70TAlFEE S ' <br /> FOR OFFICE U5E ONLY: <br /> •It0�vT5��/ �CANFFTN'�� SIO[GGTC�� pLNlCIICCNNII�%n !el�� � qtCklxlNo.O <br /> / /I <br /> !f/ � ` <br /> �St zuve � tUl nn�� ���� v�CANt site � � FEfiS VAlVAT10N FE <br /> Z SO el11LDINp /n���jD <br /> rtl01CONtS.�IlOWA1lt lYD[OfCONS1.EC1U4l �W�� �a lIwGVMIIt • •••• •— ' �l�///111 � <br /> _�_ � , � � PLUMBING _�_ ._ .. � <br /> i <br /> �1�y�r�5 S�Y No.orsro/n/iF—s OrASEMFM MF.CHANICAL 90; <br /> �( o GA � �`''��� ADOITIONAI.PIANCH�CK ' <br /> xCUDnN�Y�OAU �IPCSVpNKIFq6PE0U MEIGIITL�NITATIOt� 7 � <br /> _� A N`' � BpRINKLER l �� <br /> �Si80N F00 SPPW KI LR6 ' �' <br /> fiTATEBUILDINOSURCHAAGE / � <br /> IiANFBY FlN1SADDPpVF(�B\' i <br /> J I� C LOCAL SALES runuc woaKs �_,� <br /> � �ys TAX GOOE IS 3105 tota� "� /O�(D <br /> q�7, �'L <br />