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APPLICATIC 1 FOR CONSTRUCT �N PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />HEATING SYSTEM: ❑ GAS U ELECTRIC ❑ <br />BUILDING DEPARTMENT <br />259-8810 <br />DEMOLITION COMBINATCON BUILDING MECHANICAL PLUMdING SIGN <br />Q�y Eq MRILADDRE55 pTY 21P PHONE <br />� ���vl� �i CG�Jo��.� �J �90�� r.by T �U�Ue_��98�Zo / as��s-�� <br />__...... uen ennnccc Gltt ZiV PHONE <br />PLUMBING CONTRRCiOR MAIL RDORESS GTV ZIP PMONE STAiE IICENSE � <br />CLASS OF WORK � - <br />NEW � ADDITION i' ALTERATION �REPAIR DEMOLITION WOODSTOVE/FfiPL INSERT - BUILDING RELOCATION <br />\ I CONiACT PEPSON AND PHONE NO. <br />_.........._.,.,,��..�,.,..o� /7/9ff � <br />DESCPIBE V <br />� <br />PRovoseo <br />ior / tr /L eiocK Ll � z oF <br />WATER <br />FOUNTAIN <br />FOR OFFICE USE ONLY: <br />USE 20NE <br />tYPC OF LON15. ALLOWABIE <br />512E OF BIDG. <br />0('CUPRNGYlORO <br />q[p50N FOR SPRiNKLERS <br />�NTAKE BV <br />OR <br />�,p„X yo, � �� <br />i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />qTTRCN FOUR COPIES� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />,`��aL WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHEii STATE OR LOCAL V+W REGULATING CONSTRUCTION OR T4E <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPEFiTV TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPL IT THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.� WAC. <br />SUBTOTAL <br />PERMIT <br />LOTAREA <br />iYPE Of LON9. PLTURI <br />NOAF SiOFIES <br />FIRE SPRNKLERS RE <br />PLANSRPPROVEOBY <br />FORCED AIR SYSTEMS—ti. <br />UNIT HEATERS—B.T.U. M <br />FAN <br />FAN <br />SUB TOTAL $ <br />PERMIT S <br />TOTAL FEE $ <br />FEE i1ECE�PTNO. <br />VACANT SIiE YttS <br />BUILDING <br />ncNo�xtr xoorwf[uixGuurts <br />tnouv FLUMBING <br />BASEM[Ni MECHANIGAL <br />HEIGHruMnnTiON A�DITIONALPLANCHECK <br />SPRINKLER <br />STATE BUILDIN� SURCHARGE <br />CITY OF EVERETT PUBLIC WORNS <br />LOCAL SIILES <br />TAX CODEIS 3105 TOT�L <br />--s <br />� <br />� <br />� <br />