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, APPLICATIO.1 FOR CONSTRUCT�JN P�RMIT �,i <br /> TO BE COMPLETED IN BLAC� INK—PLEASE PRINT �Es�ic�r <br /> � HEATING SYSTEM: ..J GA� �J ELCCTRIC J _ � <br /> BUILDING DEPARTMENT — --- <br /> 'S9 8810 <br /> DEMOLITION COM9INATION BUILDING MECHANICAL PLUMjING SIGY <br /> o�vuEa uia�nooness atv Liv rr�or�E <br /> c;HARiES J��o,u,� ��.,, wN��=�tiy ���RtrT 4 �s1�� .�s5 -yso�c <br /> ifNANt MAILPDDRC55 CiiV IIP PHONE <br /> �������'„IECTORDESiGNER MAh�ODqE55 {n^// CiLV IiP PHpNE <br /> S��I'r' RK�. ROu1�INL �SI` " SN[i(i�KISH <br /> GCNERM1LLONiFACTOR MAILA�DRE55 �IiY 21P VMONE SiATELICENSE• <br /> 4�[CNANiCAIWNiRACi01i M�IIR�DNESS CiTY 2iP PHONE SiATELiCENSE• <br /> ��� <br /> �W1A:LNGCONiqACTOR MbLPDORE55 p1iY ZIP PNONE ST�iEIILENSE• <br /> A x <br /> C y y C1A550F WORK — <br /> � �� NEW ADCITION ALTEflATION x REPAIR DEMOLITION WOODSTOVEiFRPL INSEaT BUILDING RELOCATIOY <br /> F3 M CONTPCiPER$ONANDPMONENO <br /> K y � co•nanct Paice ov woa. � 7,y0e,a i <br /> O Ci'7 O ncscaiae woae nuo sounne voo*nee rtrvou�eo -- —�-- --- <br /> �VrH j:F-SiiHkF P.u�F <br /> ��� �•nor�oseouseoFeuaon+c i HEREBV CERTIFV THAT I HAVE READ ANJ EXAMINED THIS <br /> O �,�, d _ 1�E51 DFNCC APPLIChT10N AND KtJOW THE SAME TO BE TRUE AND CORRECT ALL <br /> �icn�oescniarwnorrRoaearvisrowrvee�owoutucr�Fouacooies PROVISIONSOFLAWSAN�ORDINANCESGOVERNINGTHISTVPEOF <br /> H[�eJ 7 icr e�aK oF WOfiK WILI�L COMPLETED WITH WHETHER SPEGFIED HEREIN OP <br /> NOT. THE GRANTING OF A PERIdIT DOES NOT PqESt11dE TO GIbE <br /> z N ❑ AUTHORITY 70 VIOLATE OR CAIJGEL THE PROVISIONS OF ANY <br /> OTHEf7 STATE OR LOCAL LAW REGULPTING CONSTRUC710N OR 7HF <br /> .�i y� PERFORGIANCE OF CONSTRUCTION.Th4T I AIA AU7HORIZED BY iHF <br /> H H OWNEP OF THIS PROPERTV TO PERFOhM THE WORK FOR WHICF <br /> gy —� APPLICATION IS �dADE AND I CCtiPLV WITH THE STATC <br /> H <br /> n Cy y CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> b r �l �^ <br /> yVi � .�l' � �U , � <br /> O(A rr�o�ectnooe��s X �,����� .•�b��^" _ <br /> o.n <br /> 7'—�� Y <br /> �0� CL�HuERG�-' t�cti'eT7' wa. —„�n, �.. �—�= l�— <br /> � PLUMBING � MECHANICAL�, � <br /> NO. TVPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT F[E <br /> 1 _ WATER CLOSET ITOILETI _ A G--A HNDLG UNITS—H.R _ <br /> BATHiUB FORCED AIR SVSTEMS—B.iU. M EA. <br /> �� LAVATORVIWASHBASIN) UNITHEATERS—BS.U. M _ <br /> SHOWER CLOTHES DRYERS <br /> KITCHEN SINK 8 DISP VENTILA110N FAN <br /> DISHWASNER RANGE I100D �— <br /> iLAUNDRVTRAV WATER HEATER <br /> �� CLOTHES WASHER WOOD STOVE <br /> _ URINAL MEL:L FIREPLACE g CHIMNEY <br /> DRINNiNG POUNTAIN FIREPLACE INSER- —� <br /> FLOOR DRAIN HFAT PUMP <br /> I �'� BACKfLOW PREVEN7ERS GAS PIPING <br /> ROOF DRAiNS—HAINLEADERS EXHAUST FAN <br /> SINKISERVICE—BAR.ETC.) <br /> �+� <br /> — �— <br /> ._� SUB TOTAL $ _ SUB TO1AL 5 <br /> ` PERMIT 5 PERMIT 5 <br /> TOTALF[E 5 TOTALPEE 5 �— <br /> FOR OFFICE USE ONLY: <br /> 1-ROiliS[iBACN R[�RfiEiOI�.GH SipC5Ei9ACN PL�NCHECKNUMBfR �E[ RL�. ' NO <br /> 7 � <br /> usr:orvE LOiARER vncnr�rsrtE FEES VALUATION FEE <br /> - BWLDING %� ' /V� <br /> +s�tO�CLNi6.RLLOWnBIE LVPEOICON9.ACiIIAI occuvqcY iromfre[�in,:�t��= — ��'[,' <br /> ceouo PLUIdBING � <br /> SV[OFOIDG. NO.OFSTORIES BASEIAENT MfiCHANICAL <br /> oCCUCANCVLOAD FIRESPPNKL[qSREo� HEiFNiln.nipiiON RD�ITIONALPI.ANCHFCK <br /> SPRINNLEfl <br /> RF ASON FOR SPFINNLFPS <br /> —T— <br /> STA7E OUILDING SURCHARGE � ' <br /> —�� iL�� <br /> wrn..e ev mn�isnvrn�atoor CITY OF EVERETT pUt�uC WOr�res <br /> LOCAL SIILES <br /> TA%CODE IS 3105 rorn� ,� !�; ��� <br /> � � <br />