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� � .'�C <br />�Hx[Hu <br />�i y '� <br />�N"�I <br />VJ Mrr <br />[�O� <br />ON <br />H/��g <br />y�Y (i <br />9H� <br />Y <br />t �-+ H <br />gy <br />C] C7 y <br />�x � Csl <br />HOtn <br />� <br />1 <br />I �� <br />APPLICAT14.1 FOR COi�ISTRIJCT_ �N PERMIT ��� <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT � <br />HEATING SYSTEM: �J GAS J ELECTRIG J_ � <br />9UILDING DEPARTMENT I � <br />259-8810 <br />DEMOLITION COMBINATION BUILDING L�MECHANICAL PLUMBING SIGN <br />C1:•.C� I.IAILADUR65 Gil 6� o110M1L <br />. r. `� _, - t' <br />\\ ..,�� `� �" � - �C=� 'y.._ . ` t .. �, _ `� �`. <br />..ft'NI . \�A�iLADDHE55 L�IV IiP `�I�JN[ <br />�u�O�rtCCTOfi�E51GNER A�ARA�ORE55 GITY 2iP FNONE <br />cipF�IntCONIRAGTOP MnRADDRE55 CiTV 2iP PMONE STPTEUCENSE• <br />l'.[IC Ni •l�1ACi0� A14�LNO�PE55 GIIY ZIP PNONE (� �\. @�t6}ICENSFt�.`".--i ., <br />( -4 � ,� C - J <'. �LC.,h �r,� � cc�� c � � , }- �, �� hC ,� _ `. <br />�WiA�WGCONTRACTOR 1.1r111A00RE55 CITV 2iP P��ONE STATEIiC[NSE• <br />CLASS OF \40RN <br />NEW ADDITION ,��LTER� <br />curiii�ncraniceoFwonK �~`\\�. <br />D[ SC�ii6E WOPR AND 5011nRE FOpTPG[ iHVOWE[ <br />�.. �\�. t <br />anoroseouseoFow�oA+c\ \ `� <br />� �� -.. `�c- � \�.;-_: <br />�EGAL O[SCRIPTION OF PBOPERiV �SMOWN BELOI <br />LOi�-A1 �� BLOCN C�C`�n OF <br />rpo�[ctnDor�Ess <br />' . 1:.�. "�. .. < < �.. \_\ �' _ <br />PLUMBING <br />NO. TVPE OF FIXTURE OR ITEM <br />WATEfl CLOSET ITOILET) <br />BATHTUB <br />L�VATORY�WASH BASIN) <br />SHOWER <br />KITCH°� SINK 8 DISP <br />DISHWl.SHER <br />LAUNDRYTRAY <br />_ DRINKING FOUNTAIN <br />I �� FLOOR DRAIN <br />1 BACKFLOW PFEVENTERS <br />ROOF DRAINS—RAINLEAC <br />SINK�SERVICE—BAR.ETC <br />I SUBTOTAL <br />PERMIT <br />TOTALFEE <br />FOR OFFICE USE ONLY: <br />FROtliS[i�ALK REPRSE1p�CN <br />1191ZUNE LOLAREA <br />1•� t Ol LpN15. RIIOWABLE 1YPE Of LOH9. RCtUAI <br />Sitf OF OLDG. NOAF STORIES <br />ncCUCANCYLOPD FIRESPPNMLERSR[00 <br />Pt �SON (OR SPRiNNLEPS <br />rtnnn[n'� � r�nr�;nrreovcoov <br />REPAIR OEMOLITION WOODSTOVEFRPL INSERT BUILDING RELOCATION <br />ICONiAGTAERSJNFNOPHONENO <br />.AA� c- �< c��C F� c_t �.�. Cl.��i :A <br />FEE <br />i HEREBV CEflTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TqUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PFESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL TH[ 2ROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORIdANCE OF CONSTFiUCTION. THAT I Ald AUTHORIZED BV THE <br />OWNER OF THIS PFOPERTY TO PERFORM THF 6YORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLV WITH THE STA7E <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />. � <br />X � . � ,� � _ � i � r'C'. . � V � '�.i�. <br />:[ nmi <br />..\\'\' : \ <br />.ru. <br />MECHANICAL�' � <br />�O. TYPE OFEOUIPMENT fEE <br />A C—A'HNDL ; UNITS—H.P. <br />� FORCEDAIRSVSTEMS—B.T.U. . ._y,. <br />UNIT HEATERS—B.T.U. M � <br />CLOTHES DRV[RS ' <br />� � � � 9Yi�97 <br />fIREPLACE <br />HEAT PUMP <br />GAS PIPING <br />VACANiSRE FEES <br />OUILDING <br />acuraxcr nomovrn��.sr.��� <br />�901" PLUMBING <br />BASEMENT MECHANICAL <br />HEIGHiLIMITATION AODITiONALPLANCHECK <br />SPRINKLER <br />ST�TE OUILDING SURCHARGE <br />CITY OF EVERETT aueuc wo��Ks <br />LOCALSALES <br />TAX COUE IS 3105 TOTAL <br />PERMIT <br />�[[ � aECEivr Ho <br />