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FROM:CITY OF EUERETT BLDG DPT T0: 3533630 r OCT 10� 1994 1�46PM p561 P.03 <br /> � APPLICATIvN FOR CONSTRUCI'ION PERMIt �✓� I <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMEN7 HEATING SYSTEM: U GAS IJ ELECTRIC _ 0_ _ ___ � <br /> ' 259•881p <br /> I 1 DEMOUTION i I COMBINATION I I BUILDING u MECHANICAL L I PLUMBING SIGN <br /> U��Wi4Cf1 �. ...•.' MAIIAL'UH6" CPY ]�� PNUII[ <br /> LZlGG.1'� u iibb'T �"�.J�___E�'�-,��_._����i�'�/�7�� <br /> •lNARi MAit JH6s5 ci�� 7iP riiaVc <br /> �E��c/ ' . � • ��/�',;N�;,-������ ��"�Y� --- <br /> ANCXnkL'1cN0[tl(iAl'n Mhil �OBi � CIIY 71P PHONb <br /> � �/_ ���NG � , , �����.Sl��. - :,�FQ '� � . <br /> Cnr �rnei coN �.iun Nnanooncss crr !u� a�+nuc nir.rr�cF <br /> J <br /> ' --- ... _. .._ .__�— . <br /> irrr.nnmc�icoviH�cion r.�n��neunese ein• r�w miai� s�m�ucce�cr� <br /> FIIIAIFINCC�i1MAC�UH �NAILAUU�IlYS CII� 71v PHONC � ::UILLICCN9�• <br /> C �� � _ - _ _ __ . <br /> �-. <br /> �a+iN�ci rnrz�t or wonK <br /> hFb'Glli�C WO�R AND 601I�R�CCSITAG(Ik10LVW fOViAGT DFNy(1.'1 A9U�HON!N0. ----... . u'— <br /> . '__' .� .. - _ . _. <br /> C� � _._. �,,�r S���x11�'.F�1 . � _. e�d�r.E �� 8a8-y5,r <br /> QL o( �A� �._�OJ7 JMfrH ST.._� i HEREBY CER7IFY 7HA�" I f1AVE HFAD AND EXAMINCD THIS <br /> Pr�nW U 'cor auaoi�q APPLIGATION AND KNOW T�iE SAME TO OC THUF ANU CURRECT.ALL <br /> f'HOVISIONS OF LAWS ANC�ORDINANCES GOVCRNIN(.;1HIS IYPE UF <br /> �i�nni neFCw�vnp�ui+�rno��emvlEiawnonowoanrinpviwpCOH�esi WORK 4VILL BE COMPLETED WITH WHEIHEH SPEGfICD IICREIN OR <br /> NOL TNE CRANTINO OF A PERA1IT DOES NOt PIiESUA1[ TO (;NE <br /> '^T—'��� °��c". '. °r - - AUTHORITY TO VIOLATE Op CnNCEL TNF PFOVISIUNS U� ANY <br /> OTHER STATE OR LOCAL LAW HEQULATING CONSTHUCIIUN UF THE <br /> -- - ' � �`— PEFIFOFIMANCE OF CONSTRUCTION.IHAT I AM AUTIIORIZCU BY 1HF ' <br /> OWNER OF THIS PROPERTY TO PERFOHM 1HE 1NOfiK �OR WIIICII I <br /> — ��• •��� - ���� APPLICATIO 5 MADE ANL) I COMPLY WITH 1HF S1ATE <br /> rence�ux�.o Nu�eoen . CONTRAC7 AW 18.27 CW AND 29pzo0 wAC. <br /> ___. . ----- . ..__.. ' ` <br /> CO!�FT4UGTIONIOANI(NC[P,TO�P�AF.TCII'VMONF NUMNFq <br /> oa�� ��� <br /> PRDJECTIDDRESS . - ...-- �... � ��-� - / I <br /> Ni(IA�IU�F IIFI <br /> (111'(�II�IN(fi�{l4LNylMV^ � •••• ••_ I� <br /> PLUMSIN� � MECHANICAL ' <br /> N0, TYPE OF FUfTURE OR ITCM FEE N0. TYPE OF EOUIPMENT FEE I <br /> WATfH CI OSF7 f101LET) � NC--MiNOLO UNITS-H.P, <br /> , _... . .... ._ � � . . . . _ ' —� . <br /> BAIHTUB ' FORCED AIR SYSTEMS-B.T.U. M E.A. ; <br /> LAVATORY(WASH HASIN) I UNIT HEAT°RS-B.T.U. M I <br /> _ __� <br /> . ..� --------.._ _ ..--'- � � CLOTHESDRYEfiS ' <br /> SHOWER � <br /> _ . .._ ` ----'— _. ._� <br /> KITCIIGN 6'NK lt DISP I VENTIlAT10N FAN � <br /> [11SHWASHE(t � RANGC NOOD � I <br /> --.. . ..__�_�. _ -� - - � <br /> LAUNORYTRAY ; WATERHEATER ' ' <br /> . �.. . . ... . � .. .. . . -•— --� � � I <br /> , CLUIHES WA6H[R _.�.._ --- WOOD STOVE .__'--__�— <br /> � URINAI ; METAL FIREPLACE(WOOD BURNING) _ ; <br /> __.- � ..'--- <br /> DRINKINO FOUNTAIN � f"IRGPLACE INSERT I <br /> • '----..._ . . .... _.. . ... .._._ <br /> � FLbOH DHAIN : � HEAT PUMP . ; <br /> , . _ . . .._ _�. . . .. .. ..-'------ -- --. . ... _ <br /> BACKFLOW PREVCNTER9 ; GAS PIPING _. ..._.--_� <br /> � .. _ <br /> ROOF URAINS-RAINLEADER5 � EXHAUSI'FAN � <br /> ... ..__�.__..._.---... . _ ._..___.. ..-�•---� <br /> _.. ...� ..... . , _.. . ..._._. <br /> SINK�SERVICE BAR,ETC.) _ ' ___ .__ . � . <br /> ... �. i <br /> � _... .____� <br /> ".' —•' ..._...__........ ._ ^-- <br /> i <br /> ' '_ _ —... i . ""_....._ __'_' <br /> i ' <br /> —__. .. ._..__ .�_._ .._. ....�_— - '_. . i . <br /> i � <br /> SUB iOTAL S ; SUB TO7Al 5 ; <br /> _.. �.._ �-- - <br /> PERMI' S i PERMIT S __T_ <br /> ._....._._... ......_. <br /> � � � TOTAL FEE 5 ' TOTAI.FFF 5 T� <br /> FOR OFFICE USE ONLY: <br /> rnoriiu�roncn PFAPFF�F�CR 51L'kGf16�CN rinr:r.ncrnH�n:nca fFF �CC�i�'�N� <br /> i � <br /> UF(70Nf VIAHU ^ YAf:ANT&Rf FEES YALUATION 'F�� <br /> C -Z� I CX��' MAK n v�s C� No nun niNr, � <br /> _ ' <br /> _. ----- • <br /> ivnc�cuns�. i+oo-sronicn �:,;�.�r �����cw,:�,��.���.,. __. __ _-----. .. .._ ---� <br /> ; <br /> �•��� riuraaiNc� � <br /> n��rormoc� -- nnrs�nr�KirnsArau O�SfIJ�NT �FCHANIGAL ' ' . <br /> � <br /> L.l YES f, NO --- ' -"'. . � .. <br /> � <br /> ^-� � -- —' ADb1T1(1NAI PIANCHECK � <br /> C1pCUIWIf.Yl0A0 �I�CM�SMpibu Xb1UN1UA117ATiON _.....__... , _ '..-....�_....... <br /> nL _ � / i . <br /> .._�*�rUN�� V111LR i <br /> neASJN S7ATF Bl11LDING SURGHARGE __ � �J' (/ • <br /> _ _ ._._ i <br /> �I�AAKCRY.-... .... "'-.. ...-rytiA APPFOVFUNv <br /> CITY OF EVERETT vUUUC WC111K$ ; <br /> �/ M, LOCALSALES � <br /> ,,,,T � �u y TAK CO�E IS 3106 rorn� <br />