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� APPLICATIC"`I FOR CONSTRUCT�`�N PERMIT ���� <br /> �~ TO BE COMPLETED IN BLACK INK—PLEASE PRINT �w✓—tv�rr <br /> BUILDING DEPARTMENT � HEATING SYSTEM: J GAS J ELECTRIC J <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING �IGN <br /> OWNER r,IpILADDRE55 ]irv .'iP PHONE <br /> SrJn n/il/�/� f�h�f/1�i� �c�o i����k��A�� �vF-r�� 9�?�i 33i- 5`3-/�� <br /> TRJANTp� !+AILAODRE55 CiiV ?.IP PHONE <br /> S/1/i�!6 <br /> AR�HIiECTOF�E9GNEH uAIIRDDPE55 ��.TV ZiP PuONE <br /> �o I <br /> GENEPnLCONTRACTOR b�nILADDRE55 �ITV 2iP pHpNE StnTELICENSE• <br /> fl LFfffi D�JIEX!/% J��1/ C � /v'L77t1�iFl .C��i[�D 13FL(F!/'ct" 1E:[�� — y � n(i� ,��Vt1�i a i�oc F <br /> MECHANiCALCONT9ACfOR M1IAILRD�HE55 C•�iY ZIP PMONE STATELICENSEv <br /> � PWIABiNGCONiRPCipR IAAILAD�RE55 UiI ZIP PHONE STRTELICENS[� <br /> LUSS OF WO iN <br /> x NEW ADDITION ALTERATION FEPAIR DEMOLITION WOUDSTO "�FRPL INSERT BUILDING RELOCATION <br /> /�� CONiAGT PEPSON PNU P/nOINIE NO ^ '�—r / <br /> C�NTRACiPRICEOFIYOFN �(�[J� � 1/�/ �/y c �L _�5 3�Cj(e�l�5/ <br /> DESCRIBE WORN aNO50UARE FOOTAGE INVOLVED � <br /> LJAL[.- 1;90U�V7'F'U 5!�/�/ L�/n.i; �.� + L 1_ <br /> oaovoseouseoFewimr�c I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> (��.�/�� APPLICATION AND KNOW THE SAIdE TO BE TRUE AND CCRRECT ALL <br /> ieca�oescairnoNovaaoaenrvisNowruae�owoaanncHFouacoa��es PROVISIONSOFIAWSANDORDINANCESGOVERNINGTHISTVPEOF <br /> WORK WILL BE COMPLETED WI7H WHETHEF SPECIFIED HEFiEIN OR <br /> ; �oi e�ocK oF NOT. THE GRANTWG OF A PER611T DOES NOT PRESUME TO GIVE <br /> AUTHOF17V TO VIOLATE OR CANCEL THE PRO`/ISIONS CF ANV <br /> - OTHER STAiE OR LOCAL LAW REGULATING CONSTRUCTICN OR THE <br /> � PEPFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK POR VJHICH <br /> , APPLICATION IS tdADE AND I COh1PLY WITH THE a7ATE <br /> CONTRACTORS L 'J 18.27 RCW AND 296200 WAC. <br /> � � <br /> �',% � -� r7 <br /> ' X r��'�i �� J�'�` .�� / �-. <br /> PRQIECTApDRE55 sG *����[ p�iE <br /> 3oav �u c � , ��..,��=��Es<,.:f�=E.,� <br /> PLUMBING MECMANICAL <br /> NO. TVPE OF FIXTURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILET) AiC—AMNDLG UNITS—HP. <br /> BATHTUB FORCED AIR SVSTEMS—B.T.U. M E.A. <br /> LAVATORV�WASri BASIN) UNIT HEATERS—B.T.U. M � <br /> � SHOWER CLOTHES DRYERS <br /> KITCHEN SINK 8 DISP VENTILATION FAN <br /> DISH WASH[R RANGE HOOD <br /> LAUN�RYTRAY WATEF HEATER � <br /> CLOTHES WASIIER WOOD STOVE <br /> URINAL METAL FIREPLACE 8 CHI1dNEY <br /> DRINKING FOUNTAIN FIREPLACE INSERT � <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPINC <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> SINK�SERVICE—BAR.ETC.) <br /> SUB TOTAL 5 SUB TOTAL $ � <br /> PERMIT $ PERMIT $ <br /> TOTAL F�E S TOTAL FEE $ � <br /> FOR OFFICE USE ONLY: <br /> K.U':�oEiOacn l6rri5Eid..GN SiucSEihnCn PLAp�nEGnFam'ocn FEE .iLEI,-T�..: <br /> :r -a <br /> usemrueI naen VACRNiSRE / FEES VALUATION FEE <br /> C� 1 Zy� iT BUIL�ING `% ' G po <br /> iVPEO�COt115.AllOWABIE P.'PEOfCOHSiACiUAI o:Cu>urzr i,00�LMYu!GcxnS <br /> �pOJP PLUMOING <br /> SIZEOFBLDG. NOAFSiOflIES BTSEMENT MECHANICAL I <br /> oCLUPANCVLOAD FiRESPRNKLERSREO'0 HEIGNTUM1IITATION ADDITIONALPLANCHECK " <br /> SPRINKLER <br /> REASON FOR SPRMrcLERS <br /> STATE BUILDING SURCHARGE C�L �—t <br /> iNiAKE BY PLAN APPROVEO BV CITY OF EVERETT PUBLIC WORKS <br /> ` �1Z LOCALSALES <br /> TAX CODE IS 3105 TOTAL ��� � <br />