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FROM�EVERETT B�ILDING DEP7"� T0� 2066433475 .T��17� 1992 2�13PM p412 P.02 <br /> ��",'�«� APPLICATIOM F�6� COIdSTRUCTION PERMIT . <br /> TO BE COMPLE'�ED IN BLACK INK-PLEASE PRINT �\vi.�rcrr <br /> �J�f�?�- QUC�-U �JS - QOUG HEATING3YSTEM: OAS �JELECTRIC U__ '] <br /> BUILDING DEPARTMENT <br /> 259•8810 <br /> I I DEMOLITION I,I COMBINATION �BUILDINQ l 1 MECHANICAL I I PLUMBING I I SIGN <br /> OWNFN Aurtnoon[!c5 crtY - zv /HONk <br /> '�'� ,�.1Pf ��/yI0 �3rJ.,�?'"`�ov F.S�!/e.v 98007 CoS��-,�_�-� <br /> TFN�Hi. � MMAODIIttS ITY LI' ill(k1E <br /> An4NrtFCTONUCSiUrt[II � uARA6UM[YS � CI1Y Lf MIONF <br /> ��(ytc C� crwyc�-r � — <br /> OCNCMLCONTRApTpR NA0.AOGRC6f CRY� L� PNONC STATFI,IClN]CI <br /> ��u G4S, OZ�Yttr , �mL Q�S Q�OY�. CALOMCI+►- .,� �7P/✓ <br /> MFGHANN'LCONTMCTOR MAI�AUUIICtlf GIY 21Y I'XDNG 61ATCLICCNSEI <br /> CIUMBIN4Cp1iMCTOR MAllWD1ilY9 COY 21P FNONC STqG4CCN,V•( <br /> f.I�ySfYwonR •• • ' •. - <br /> �NEW I I ApDITION 1 I nLTERATION I I REPAIR I I bEMOLITION � I I W00�3TOVElFRPL INSERT I I BUILDINQ RELOCATION <br /> ��p,y —7 '�r� /CON�i��'T CFRCON ANO PI IONF N0.�� �� �� // ����� (�1 ��(`) <br /> GONTRA4i YNiCro1 WOfuc !L /y����T/�/.��— , C/LL�LJ��� L'�`"+'�— ..��_� <br /> OCSf.RNFWtlRKANUSOVMCt00T�GC1 pVFfN (1 <br /> Niui Ltp7c�iS�s��+'ah ��3-� 4r N�l� <br /> rHonr•[ovacorouanwo � 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> FiLl��u I J�t APPLICATION AND KNOW TiE SAME TO BE TRUE AND CORRBCT.All <br /> IEMtUt •tloNofip(ioip NOWNBELOWOIIA7T�X�FOVpCO►IEy PHOVISIONS OF tAWS AND ORDINANCES DOVERN�NQ THI6 TYPE OF <br /> �n: 3 S _, e�xx pc �z fL,�j?�D-IY��✓o� WORK WIl.L BB COMPLET6D WI7Fi WHETHER&PECIF�ED HEREIN OR <br /> NOT� THE ORANTINO OF A PERMIT DOES NOT PRESUM6 TO CitVE <br /> ' AUTHORITY TO VIOLATE OR CANCEL TME PROVI510NS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATINO CONSTRUCTION OR THE <br /> �� ' PERFORMANCE OF CONSTRUCTION.SHAT 1 AM AUTHORIZEO BY THE <br /> ��`uZ �.L f� OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> • • APPLICATION IS MApE AND I COMPLY WITH 1HE STATE <br /> _ I��1 G l��_ � �CONTRACTORS LAW 18.27 RCW AN�286.200 WAC: <br /> ._ .. . ���,�Y�-4� N�'���9� <br /> PNpFC1 MDIICSS � •. ��j`� <br /> 3r�o7.- lSt VE �$t EYL✓e�' 1c�� _. _._ . _. ..-- <br /> anYwns.�rvwe �ro. <br /> PLUM81N0 MECHANICAL - <br /> N0. TYPE OF FIXTURE OR ITEA1 FEE NO. TYPE OP EOUIPMENT � FEE <br /> � WATER CLOSET(TOILETJ _ , � NC—AIHNOLO UNITS—H.P. , , i <br /> BATHIUB ;_;�, FORCED AIR SYSTEMS-B,LU. M E.A. _ ; <br /> IAVATORY(WASH BASIN) , —r UNIT HEATERS-B,T.U� M � <br /> ��SHOWER ' CLOTHES GRYERS . � <br /> � / KIICNEN S'NK 6 DISP • ^ i VENTILA710N FAN ,_ � <br /> OISHWASHER � RANGE HOOD -T- <br /> � LAUNDRYTMY � I WATERHEATER � , ,� <br /> CLOTHES WASHER �- WOOd STOVE __� <br /> URINA4 !� _;_ METAI FIREPLACE S CHIMNGY , � _. <br /> OhINKIN6 FOUNTAM� �- FIREPLACE IN6ERT .,,T_ <br /> FlOOR•ORAIN � HEA7PUMP _ ' <br /> �� BACKFIOW PREVENTERS� i OAS PIPIN6 , ' , , ' <br /> �ROOF DR41NS-RAINLEADERS � EXHAU6T FAN . �— <br /> SINK(SERYICE-BAR,ETC. ,�, _ � , . ' .. <br /> � <br /> � � <br /> . _. . _ .. ... ....� .._ <br /> � �- <br /> -' '" -' — � �" • <br /> _. . '.... �.. . --T— <br /> ��'� <br /> SUB TOTAL S ; SUB 70TA1 5 ' <br /> GERMIT S � PERMIT S � <br /> TOTALFEE S J— TOTALFEE E � . <br /> 'OR OFFICE USE ONLY; <br /> nLnisrrnntK� � ncnn�n�tx� sioiccm�c� rw+w�cc nuuaca �ee �� ntc ri� � <br /> � 3 . <br /> sh z� tm nn�n �� O vec.Wl Sne �� FEH6 VALUATION PEE <br /> ew�oiNo gZ Zy6 � <br /> H9CONif.1JI0WAlll txr[orcnx5t.�t�uLL acw.xcr .nan+�uwcwmi • ••• - i <br /> - J Q_�,� 3 / NLUMBINO ��. _ i <br /> :eorotno N0.(7�FTOpFS OKi�{v� MFCIIANICAL �� ; <br /> 2ZZri Sf t � , <br /> 4vs Sf GM c2" .._ , <br /> 'Gl1v�N�YlO�U fIRCSVRNNIFq6PE0U NEqIITLW17AT10N/ A�ORIONAI,PI.ANCIiL'CK � <br /> . <br /> __r� A I�'�J BPAINKLEfl ' ' <br /> � <br /> ti"ON iC 15VNWNI FP6 D�'—"— <br /> 6TATEBUILOINOSURCHAROE _ i <br /> nKcov rini+snovaUvpbOY CITYOFEVERETT pUPIICWORNS � <br /> LOCALSALE6 � <br /> J � y TAX COUE IS 3105 trotn� (n ;j <br />