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AIP�LICQTiO. . FOR CONS'['R!lCT. J�1 PERMI'B' `'"'""` <br /> TO BE COMPLETED IN INK—PLEASE PRINT � <br /> ,,r,. „ <br /> ��1vci� --� - - �-- <br /> everett LHEATING SYSTEtd: J G�S J�LECTRIC cY =_ - I <br /> — _J <br /> 6UILDING DEPARTMENT <br /> 259�8810 MECHANICAL PLUMBING SIGN <br /> DEMOLITION COMBI�ATION BUILDING <br /> - f,rtr 2iv PNorvL <br /> :�:Ilf� L��IL/l1�RESti 1 -/ <br /> � _ ' . ��\V i. r \ (. � F,"`�—' �' S '�� : .J_J" � ' 1 �' � � <br /> t � 5 ��iA'� Al�y f—�� il� <br /> , ., =y— <br /> � � IAA ,.�.. z�� F��ar:E <br /> S w n� � P�aNE <br /> ,.,,,iniEC10�V�E5iGN[N MPII�ODRE55 C11V Z�P <br /> .�1�[RRl GON1R�CiOR <br /> MpItRDDFE55 CiTv 7iN PNONE lIC[NSE� <br /> s <'� �E2 <br /> �,�l:111ANICAICnviFaC10R MI.iLPp�flE55 CItY 21P PNONE LIGENSE� <br /> C�J tyLy � _ — <br /> � 1\i'�AOWGGONIPPLiOR MAILPODRE55 <br /> CIiY 21P PNOY[ IICENSE• <br /> � N �i —_�. � -- <br /> q y� nnssevwoar. — � <br /> ti � NEW ADDITDJN ALTFRATION �{ REPAIR DEMOLITION WOODSTOVEiFRPL INSERT BUILDING RELO I <br /> corvrncr r.a��N nr�o rnor�E Ho <br /> K � O Y�c,,,vrar.clraicr.or_xonrc �-+-e✓o.vi�-A_�L!��—� yOy���y — <br /> y `� !'�(SCP�pC WORK ANO SOUAF[FOOIAG[INYOl/VE�O <br /> 'i1H'TJ �_Si1aK'E .QOaF C �-/�-�-�> — <br /> y� 1 HEREBY CERTIFV THAT I HAVE READ AIJD EXAMINED THIS <br /> PrP 9tiEUue�JrnWlDd+6 <br /> � �� APPLICA710N AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> G� l7 ,icS EscniP i NOF RGPS�is�o oE�awoannncr�FouucOaiesi PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS TYPE Of <br /> WORK WILL BE COMPLElEO WITH WHETHER SPEGFIED HEREIN OR <br /> H � g v_ ,or :��, eta:K �C��•O��oF �ew C R e S NOT. THE GRANTING OF A PERMIT DOES NOT PRESUIdE TO GIV6 <br /> �� � AUTViOFiITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> r„� q OTHER STATE OR IOCAL LAW REGULATING CONSTRUCTIO!J OFi THE <br /> x H 3 PERFORMANCE OF CONSTRUCTION.THAT I AM1i AUTHORIZED BV THE <br /> Y H z OWNER OF THIS PROPERTY TO PERFOPM THE WORK FOR WHICH <br /> t� <br /> �..� y APPLICATION IS MADE AND I COMPLY NI'fH THL STAI <br /> Cy p1 CONTRACTORS LAW 182i RGW AND 296200 WAC. <br /> O H SG4ALUR60�CONiRPCIOROIiAVi��IRRE�AG[Ni UPt[ <br /> c7UCA <br /> �� " X <br /> zyv�, _ -- �` - - -- <br /> H O W �'��«�^^�'"�'�`� � nn�ucnr+r� sucEe+seuo arvoausiu[ss ve <br /> � t' C. i. , � 4 ._ .Lb< 'c�'`-' ;) � �` � — <br /> � PWM ING MECHANICAL <br /> N0. TYPE OF FIXTUHE OR ITEIA FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET!TOILETI A�C—A�HN�LG UNITS—H.P. <br /> � BATHTU6 FORCED AIR S`.'STEMS—B.T.U. M E A. <br /> � �� LAVATORV(WASH B451N� �I UNI7 HEATERS—B.iU. M _�_ <br /> �� SHOWEfi i CLOTHES DRYERS <br /> KITCHEN SINK 8 CISP VENTiLATION FAN <br /> DISHWASHER RANGE HOOD — <br /> � '�� LAUNDRYTRAV WPTER HEATER _- <br /> i i�I CLOTHES WASHER __ ti'OOD STOVE <br /> URINAL M[iAL FIREPLACE 8 CHIMNEY <br /> �RINKING FOUNiAIN FIr7EPLACE INSERi <br /> FLOOR DRAIN HEAT PUMP <br /> , '�1 � BACKFLOW PREVENTERS GAS PIPING <br /> �' ROOF DFAINS—RAWLEADERS EXHAUSTPAN — <br /> SINK�SERVICE—BAP.ETC.) <br /> ��1_•I _7_— <br /> I SUBTOTAL S SUBTOTAL S <br /> �f� — — PERMIT $ . <br /> '1� TOTALIFEE S TOTALFEE 5 <br /> FOR OFPICE USE ONLY: <br /> LHp1:i5Ci0ACK PLAII;Ci[1ACK 510[SETOACN PUNCMEf.MNI!MBEA FEL P[GPPiNO <br /> c.+-�o•,c io�nnca VAGRNLSItE FEES VALUATION FEE <br /> --r— <br /> BUILDING �6 ' b�, <br /> �.�fONt6 ALLOWABIk tYPE 01 WN51 AC10AL nccuwria no o�c.nioxcuNi�s - — <br /> �� � �Ppp° PLUMBING __ <br /> „i i: pip� NO OF STORIES BASEMENi MEGHANICAL __ <br /> � � '����'AqCYLOAD GIRESGPNrcLERiREO� ��EIGHTLOAItAIION ADDITIONALPLANCHECK _ <br /> OiMFR <br /> — _i__ _ <br /> n,n'6pN FOR SPRMKtERS '� i L} <br /> STAiL BUILDING SURCHARGE �/ <br /> nr�..� iir vinrv;�.;vnwinm' �ITYOFEVERETT pUOLIGWORNS '� <br /> 1 LOCALSRLES <br /> �— TAX GOOE IS 3105 TOTAL s� ;30 <br />