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— \ <br /> APPLICATIO. FOIR CONSTRUC7� .iN PERMIT � "'" " <br /> _ c ,.,,, TO BE COMPLETED IN INK—PLEASE PRINT � <br /> r�o� } <br /> �VQrQI� � HEATINGSYSTEM: T�GAS J -ECTRIC J _____ ___ _ <br /> BUILDING DEPARTMENT ' ----- <br /> ?59-8810 <br /> DEMOLITION COMBINATION BUILDING %MECHANICAL �(PLUMBING SIGN <br /> '.'e\EF —""— �uiIADCPE55 �. 1 Gir'I ir vaONE <br /> �; ; ' � � �I<:;� �1 ', ; �I i��,�, f��;, ���, „l��� 1 , i I,�, 35�— ul <br /> 'i•�nri� MAiL��DRESc diiv ]u, cwpNE <br /> aa�HrtEC�OACESiGNCA MaLn�DAE55 G*� )io �HONF <br /> �.;EHERALCONtRACTOR M�ILNDOPE55 CRv Zio PHONE LiCENSE• <br /> �[�H�NiU CONfN�CTOR V ILAD RE55 CI Y LP DNE / . 4CE $EI 1 I�./ n <br /> i�r�h�.���f i�Li�c�j��,- �i�o l���i �i� �-v�''���1 �aT��. Zi`�s� �'�,������ <��- <br /> � �� 'u1�A�i4GCONIFPCTOA MMl PpOAE55 Gfv 110 'Nl1NE UCENSf� <br /> H �CEi_L�2�_�'`�-'- - <br /> A �� 'USS OF WOPN <br /> a y y �NEW ADDITION ALTERATION REPAIR DEMOL�TiON WOODSTOVEPRPL INSERT BUILOING REL�`CA7ION <br /> t� '/J�G/� CUNra�i PEASGN�Hp OwONE NO <br /> � �� �JNfR�Ci PBICE OF WORN l� (�)�)l J i D� <br /> F] '�J :�ESCAiBE v/ORK�ND SOu�RE FOOLnGE iNVJIVED <br /> O �1 O � � 9 �� /1 �}'��l�/�V Q��Cl <br /> "il H 'i1 — <br /> U�F' �.,.-a�c � seo�eu�,� .-.- /� �/�/�� I � I HEPEB� CERTIFV THAT I HAVE AEAD AND EXAMINED 7N.15 <br /> � n y �. e 1���� ��Y�'� I l� — _ APPUCATION ANO KNOW THE SAIdE 70 BE TRUE AHD CORREC7.ALL <br /> i PROVISIONS OF LAWS AND ORDMAyCES GOVERNING THIS TVPE OF <br /> �� b ^ >„ c��q� ca„v.5��_»ownot.0 r+nr*ncHcwn�o.,��� <br /> WORK WILI. BE COMPLETED WITH WHETNER SPECIFIED HEREiN OR <br /> O H . wue� - e NOi. THE GPANTING OF A PEFA'iT DOES NOT PRESUME TO GIVE <br /> H (�Tf� �� " .. _�, ` _ v AUTHORITV TO VIOLA7E OR CANCEL TNE PFOVISIONS OF ANV <br /> L1� C'� �\L`� I /VV1 11 �1 � —' O7HER STA7E OR LOCAL LAVJ REGULATING CONSTRUC710N OR 7HE <br /> N � L1 J�—V���/ l--LJ PERFOAMPNCE OF CONSTRUCTION.THA7 I AM AUTHORIZED BV THE <br /> 2' H <br /> y y OWNEFl OF THIS PROPER7V TO PERFORM THE WOFK FOR WHICH <br /> t� Hy _ ______ ______. __ __ _ _— — APPLICFTION IS MADE AND I COMPL� WITN THE STA7E <br /> y CONTRAC70RSLAW.1027RCW AND296200WAC. <br /> g �� _ s���..�aF��l�.iY.a ,� �� E�r� �'urLft <br /> � � <br /> �� VJ —�.-�/n1�naess � X��LV�L �I '_�_��C�' �� r� '���L ������� <br /> H O [n ��I � � �, � I . � i. �•q _� 1 � �/� �aNucu++sc�*vo�;�.Ess�i.un� •�a A•,00ustiEssr�urE <br /> 1 ��- <br /> PLUMPING �•�ECHANICAL <br /> N0. TYPE OF FI%TURE OR ITEA1 FEE N0. TYPE Of EOUIPMENT FEE <br /> � IVATER CLOSE7�TOILETI �� A C—A NNDLG UNITS—H P <br /> 1 6ATHTUB � FOFCEDAIRS`'STE1.15—BTU �d EA — <br /> _ LqOATORV�WASH BASIN) UNiT HEATEiiS—B TL M <br /> � _, SHOWER CLOTHESDRVERS _� _ <br /> _�7 HITCHEN SINK 8 DISP � VENTILATION FAN <br /> DiSHWASMEF FANGE HOOD .. <br /> LAUNDRV TRAv ' WATER HEA'fER <br /> ' '�� CLOiHES NASNER WOOD STOVE �__ <br /> i _�1 URINAL METAI FIREPLACE 8 C��IMNEV _ <br /> DFINKING FOUNT4�N FIREPLACE INSERT <br /> FLOORORAM HEATPUMP � <br /> t1,�' BPCKFLOW PREVENTEHS � G.4S PIPRJ� <br /> ROOP DRAINS—RAINLEADERS EXHAUST FAN <br /> SINN�SERVICE—BAR.ETC r .._ <br /> � — <br /> � �•� — _ ._ —r-;,�,- <br /> SUB TOTAL S SUB TOTAL S — <br /> ' __ _____ ._ - PERMIT � 5 _ � � -- - _ __ PERMiT 5 _ <br /> �I I TOTAL FEE 5 TOTAL FEE 5 <br /> FOR OFFICE USE ONLY: <br /> ��.*SE'A>C AE�RSETBACn 9DESE*BAGK �'UNC�EG+riW.+BEa �Ef AECEi�:r�0 <br /> � .� �.e ior�aea vec.u'si*f FEES VALUATION FEE <br /> �1 W l D',•1G <br /> .. �'.'lYSaLLCW1Bl1 ivvfOtf,Ge�i1�LtUk, T u�:. v�+0�ox...•— . _.-___. _ —"_-- —._— — <br /> � •�o� � . . pLUG18WG � �� <br /> ..E OF BtpG NO OF SiORiES BASEMENi MEGHANI�AL � <br /> �.-y.naNGvIO�D �iRESOANKLERSAEOD HEiG�rtLiMnATiON ADDITIpNALPLANCMECH <br /> _--_- - <br /> 7TNER <br /> ... .NCORS�RiNtllERS -- — -- , .-. <br /> SiATE OUILDING SURC�+ARGf � <br /> . . _ —— _ '__ . _._.. _ —_--"_"'_ — �_ <br /> �'°'� �° � °��•'^"°"°����C10` CITY OP EVERETT ��ueucwoaKs <br /> ' LOCAL SALES <br /> �� TAA CODE IS 3105 TaTp� �� <br /> �, <br />