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APPLICATIC�`-i FOR CONSTRUCT�"�1N PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />HEATING SYSTEM� J GAS � ELECTRIC J � <br />BUILDING DEPARTMENT <br />259-8810 <br />DEMOLITION COMBINATION x BUILDING MECHANICAL PLUMBING SIGN <br />�••�l1 a��rLA�oo1�930 L ilYi 1I,1 ��iiY �^ ���_YP.W����Oc 7%�—b�b4 <br />TEfJFNT MAILAD�R[55 � CiiY L �^' PHONE <br />pRQuiECT OR DESIGNER MAiI ADDR[SS GTY ZIP PHONE <br />GENERALWCONTR LiOR IdAiLAODRESS CITV Z�P PHONE SiATELiCENSE� <br />tAECMANICALCONiRACTOR MAlLA0�PE55 Lltt ZIP PNONE STAIELICENSE� <br />PWMBINGCONTPACTOR MAILA�DRESS CITY ZIP PHONE SiAtELIGENSE� <br />CONTRACT PRiCE OF WORN <br />ra sEo use oF auiioiNc <br />�OY\5 � 9 r11�'l `1'� <br />LEGRLC[SCRiPTION FPROPERTY <br />wt � �ceioy� � <br />the Ef 0 ot <br />L►' � Fi <br />�� rTc <br />n, r -7 <br />�p iATTPCHT' <br />oS'�� � <br />I�Qa:�F <br />a,��,goµ�o la do�o <br />PARJELntA%ID.NUMBER <br />/� <br />COYSTAUCTION LO/N L[JIp���PE55 �E <br />{� <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />ROOF <br />0 <br />ORAIN <br />FOR OFFICE USE ONLY: <br />FROHTS@t9AGrc REARSEtpACN <br />uns[ zo�+1E <br />�_ <br />IMF• �(lt �GOH�51 <br />•• �V <br />SiZE Of AIDG <br />Sl� ,f t UP�J E <br />UCCIIrpNCv LOAD <br />Ig <br />i+FnSON <br />IN1Arc[ �Y <br />NUMBEF <br />SUBTOTAL <br />PEFMIT <br />TOTALFEE <br />NO OF STORI[5 <br />FlRE 5'RiNKLERS REO'D <br />riae n� �� eo 0 <br />ND <br />PLANS ��'P?OVED 9V <br />�ATE (�/�«///%i <br />�/C—/� J,IA�i.t¢_^-�S <br />CONTACT PERSON AND PNONE NO <br />I HEREBY CERTIFY THHT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAIv1E TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAN/S AND ORDINANCES GOVERNING THIS TVPE OF <br />� WORK WILL BE COMPLETED WiTH WHETHER SPECIFIED HEREIN OR <br />� NOT. THE GRANTIN6 OF A PERMIT DOES NOT PRESUME TO GIVE <br />�r_ AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTNER STATE �R LOC�L LAW REGULA7ING CONSTRUCTION OR THE <br />— PERFOR�IANCE OF CONSTRUCTION. THAT I �M AUTHORIZED BY THE <br />� OWNER OF THIS PROPERTV TO PER�ORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />// ���� <br />v — <br />�i�r�e.un. ou[ <br />n`v0u5_yLc51�C�y4 �.� <br />FEE NO. TYPE OF EOUIPMENT <br />�r— A�C—A�HNDLG UNITS—H.P <br />FORCED AIR SYSTEMS--B.T.U. M E.A. <br />� UNIT HEATERS—B.T.U. M <br />CLOTHES DRYERS <br />�r VENTILATION FAN <br />RANGEHOOD <br />�,�„=, WATERHEATER <br />{u�-a� yy00D STOVE <br />.�— <br />� METAL FIREPLACE (WOOD BURNING) <br />FIREPLACE INSERT <br />� HEATPUMP <br />GAS PIPING <br />� EXHAUSTFAN <br />SI�ESEQT�ACK PLANCMECMtJUMBE< <EE <br />/� �.��- <br />vnw�+r sire FEES <br />� YES �- NO BWLDING <br />o_u::c, . �:r.[<<�wov.�s � <br />�� °�' � �. PLUMBING <br />gE �6��i MECHANICAL <br />YES � NO <br />nEiGr�tubuTnnON ADDIiIONAL PLAN CHECK <br />b' <br />OTHER <br />STATE BUILOING SUt±CHARGG <br />CITY OF EVERETT Pl1BLIC WORKS <br />LOCALSALES <br />TAX CODEIS 3105 rorn� <br />TOTAL <br />tl <br />