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APPLICAT101. FOR CON�TRUCTI..�1 PERMIT "``'"'" <br /> TO BE COMPLETED IN INK—PLEASE PRINT � <br /> ���•t„ <br /> cuv n����� --�1 <br /> everQtt f HEATINGSYSTEM [.1GAS ELECTRIC U � <br /> BUILDING DEPARTMENT <br /> 259-8810 ,/ MECHANICAL PLUMBING SIGN <br /> DEMO�.iTION COMBINATION BUILDING <br /> --- �� z�� o��o�e N,y wk <br /> own�a �n>anuuarss c , ,j5's=Stiru3 �/9- 3300 _ <br /> / r�,y+y� 15?45 <br /> �h��� ���L-K/iA�i�l'/' cilv ziv v��or�E <br /> 1�PANi MRILA�DRESS � <br /> 1 C G U �/$�'c3 J d.m <br /> S✓�J � SC.QNURsT A�V� CiTY 2iP vnONE <br /> pq6�n1[CTOqDESiGNEP MALLA��H[55 <br /> � ��iV ZIP PNONE IIGENSE• <br /> ccr+�nnicor+* mai�naoaEss SS-S?a9 �/7 cC'r12-13 .�'Z <br /> � �n �S �es re.vrii!` �rMolX-L�✓s ��Y �fiR03 3rHor+e � �E�. <br /> ��� ���� MAIL RODPE55 _ <br /> S.N.r,� <br /> (�-3G3 ��/�fy',f>e/i;a �oe. cirY z�v P�roee ucer,sE. <br /> F3 PIUM�iNGCONIRnC�OR MMLAD:1RL55 <br /> D x <br /> C M <br /> �H y cinssorH•onK , <br /> NEW ✓DDITION ALTEFPTION FEPAIR DEMOLITION WOO�STOVE/FRPLINSERT BWLDINGREIOCATI <br /> y�M CONiAGTPEP50NANDP��ONENO <br /> � <br /> �CH� �-/ �� � <br /> COHiP CT P CE O UAn JJ i��V--�� <br /> �y H �ESCPiB[WO�K fH�5 U/•A�E��AGE INVOIVED ./�� --- <br /> �4 <br /> K2N –�� z ,�xio ST�o <br /> �x� vnoroscousr;gv.qiao��+c I HEREBV CERTIFY THAT I HAVE READ AND ERAIdINED THIS <br /> �� G y� APPLIGATION AND KNOW TNE SAME TO BE TRUE AND CORHECT.AL' <br /> � PROVISIONS OF LAWS AND ORDINANCES GOVERNING l HIS TVPE OF <br /> C iEc�io[scA�rtae+o�PAa�EArv,swwnee�owonnrteeHFouaeo�iEsi WORK WILL B[COMPLETED WIiH WNETHER SPECIFIED HEREM OR <br /> � UT -/�CL L S� NOi. THE GAAN7ING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> M <br /> Q�O �o� ��_ �i�;K or qUTNORITV TO ViOLAtE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> �y _�j� e / e r' PCRFORMANCE OF CONSTRUGTION.THAT I AM AUTNORIZED OY TH[ <br /> � �WNER OF THIS PROPC-RTV TO PERFORM THE W'7RK FO(7 WN�CH <br /> C7yy ���-G y3(D�' D�G'U3 -U�O`e APPLICATION �S MADE AND I COMPLY WITH THE STATE <br /> ��� — CONiRACTORS LAW 1827 RCW AND 256200 WAC. <br /> SIGNATURED(GONTA�CiOAOR�OIHOHITEDAGENT D<�� <br /> X ��J q�/�/ G� � y, <br /> G��'-Y'`�����LLf1��'`��— <br /> �� PaOJEC1ADORC55 App�I��811S���FS5VG6N5EN�AN�BUS�^1ESSNMAE <br /> 3� S � MECMANICAL <br /> PLUMBING TYPE OF EOUIPMENT FEE <br /> NU. TYPE OF FIXTUPE OR ITEM FEE NO. <br /> WNGR CLOSET(701LE�� NC—NHNDLG UNITS—HP. <br /> FORCED AIR SYS7EMS—BJ.U. Id EA. _. <br /> , �� -_ BA7HTUB UNIT HEATERS—B.T.U. M <br /> LAVATORVIWASH�ASIN) CLOTHES CRVERS <br /> �, SHOW C^ VEN7ILATION FAN <br /> � KITCHEV SINK&DISP ' —�� <br /> --;— RANGEHOOD <br /> . � DISHWA`.HER WATER NEATER <br /> I _ _ LAUNDHV TRAV WppD STOVE <br /> � CLOTHES WASHER <br /> _ METAL FIREPIACE 8 CHIMN <br /> � URINAL FIREPLJ�CE INSERT <br /> ORINHING FOUNTAIN � �— <br /> I �/� _ , HEAT PUMP <br /> FLOOR DPAIN i GAS PIPINC <br /> �ACKFLOW Pf7EYLNTERS ---�— E%HAUST FAN <br /> ROOF DRAIN3-RAINLEADERS <br /> SINK(SEFNCE—BAR,ETC.) _ <br /> w� —� _� <br /> SUBTOTAI S <br /> SUO TOTAL b PERMIT S �_. <br /> I ��. — PERMIT 5 - TOTALFEE 5 <br /> � TOTAL FEE $ <br /> FOR OFFICE USE ONLY: ��� <br /> � !EE RCCE�PiNO ///��� <br /> , PlPNO1LC NUMOER , I � ��� <br /> �npy�A'N HEARSElOACN/ S��;K � ^ ' �J�`� � / n�� <br /> � � [� ll J �/� fEE <br /> USf ZOlIE � LOl AREP <br /> vacArvT site FEES VALUATION <br /> Reuaoir+c ���0�5 —�71—�,DO <br /> ierf of Conis ALLowhBiE tvFFatCONs�ACiunL n¢u���r_. '�^^'��.�""''%x"s pLUM81N0 � <br /> �IJ —�� �a �3 _ �--•-- <br /> SiJt OF Ht NO O�SIOAiES ePSEMBIT MEGHANICAL _ <br /> i25 S�ADJ� 'r / p <br /> 590 SF GAR ADD�TIONAL PLAN CNECK � <br /> OCGUP�Nf,VlOAO FlRESPRNHLCRSNEOD MEIGNTLIMILAl1ON <br /> �� �0 O1NER ��— <br /> � y � sa <br /> ���nso oAsa�ar+K�ens stnteoui�ovicsui�c�intv�c <br /> n�.Arr i3r ri�.rvsnvrnoveorr CITY Of EVERETT PUouC WORhs <br /> r�,L LOCALSALES ��� I;ya <br /> �/ �J �, TAX CODE IS 3105 rorni <br />