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Af�PL1�t�Ti�D► _ FOR C�I�STRUCTf �I� PERMIT �,�vf,ar , <br /> TO BE COMPLETED IN BLACK INK-PLEASE PRINI" �^"���T <br /> /� � `� �HEATING SYSTEM: �SGAS J ELECTRIC '�J ___ - - `' <br /> BUILDING DEPARTMENT — ' • <br /> 259-8810 , <br /> DEMOLITION COMBINATION X BUILDING MECHANICAL PLUMBING SIGN <br /> C'NNER IAA4 nDDRc55 GLY liP l�rl@�E <br /> .�AmES L , �.Ebl��l� �i?t�1 /�/SfPL_ 5.t�; /il. on,�,n ',7$.?;2-�i. _ '>�_ p>>�?3 - <br /> uainrvr �inannoeEss crtv z�r� �=ror�e <br /> arpliTECTOFDESIGNER MAILA�DriE55 � LILY , ZIP PHONE <br /> ���AtS�= ��<a� t� I=�oo ntE 5!h �+ K1t�kIRNc� �fQo33 227-o33v __ <br /> 1-3OH [;FNEBALGONTRACTOR MRI�AOOFE55 GTY 2iP ���ONE S1�TEL�CENSE/ <br /> �i9� .S_LEUI�c�(r, \��m�s Szo7 IBIS } P� ` w Ec�mocti,Q� q�7lo 67z-o-'-S'3 .�LFoP�� it- 17�"r� <br /> ��x 14:C11ANICALCONifl�CTOR 61AllADDRE55 CIiY 21P FHONE SiAiELICENSE� <br /> � H Assc:c. , �hn�, <Sh�;r-lM�'•h�lc'�',�c. (�o i,� ic� mon�nc� 4g�-,z 8Zz-�:�i�� �As� �Z�'• lZ�l <br /> 9HN f�LU�/91NGLONiRACTOR I.INILAppPESS CItV ZIP P110NE STAiF.LICLNS[t <br /> y �H (�L�nir� Uu�,om �+v„b�n� sNc P� ����ii� v-�\�e.N�lb �So�z 4e�-zibo Rnitii�P i IoPc— <br /> �'C n G1A550FWORK J <br /> y� X NEW � ADQL�ION ALTERATION REPAIR DEMOLITION WOODSTOVErFRPL INSERT BUILDING RELOCA7lOd <br /> oxo - - <br /> '�J H'+J conrncr vensor�nNo a��one r�o <br /> � G3 Sba <br /> v�H n��, _t'.-,✓ , � <br /> � fcor�rnnc*anicEOFwonK �1�_1-�(�C� �'�Z- C�38.' <br /> �FSCBIpE YlORK AND SOUARE FOOTAGE INVOWED <br /> O H C7 �TO Cr�16:12uLT i� 12.����2{-Atri���� �6iCCt�Ce' _ — <br /> ;tl Ol7 �-noao5iouseoFeuaort+c I HEREBY CERTIFV THAT I HAVE READ ANC E%AMINED THIS <br /> L�]�O ��hI C7�(: Fno,� 1�Dw�1\�nc, APPLICATION AND KNOW THE SAME U BE TRUE A�'D CORREC7. ALL <br /> � �rcn�oescniPnoaoFcaoaearrisHovn�oE�owoanrtncHFouacoaies PROVISIONSOFLAWSANDORDINANCESGOVERNIh�THISTVPEO�= <br /> � y z I,� WORK VJILL BE COMPLETED WITH WHETHER SPECIFIED HEREIM OH <br /> ior 1�'T oiocrc � oF PIAT OF Pl�le �S- NOT. THE GRANTMG OF A PERMIT DOES NOT PRESUME TO GIVE <br /> H y �UTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF h11� <br /> g � � ' OTHER STATE OR LOCAL LAW R[GULATWG CONSTRUCTION OR THE <br /> H ��V 13�1 0� <br /> n Cy� PERFORMANCE OF CONSTRUCTION.THAT I Ald AUTHORIZED BY 7H� <br /> � C� a-(__ r,J' ��x oF � _ 1� � .rn��v� OWNER OF THIS PROPERTV TO PERFORM THE WOR:< FOR VJHI(,N <br /> �'� �WZ- "�� APPLICATION IS MADE AND I COh1PLV WITH THE SL1T'e <br /> 2 y CA A ' I CONTFACTORS LAW 1827 FCW AND 29F200 WAC. <br /> H Op� �LnC�� I,IS__yl).f'�` �� ?4� P�r.� OF Q�i�ri.F�-t4'L<'1- <br /> 1 f2 l j� <br /> �j�u i� �s Pr"�nl,•� �c orr�4.-� ,n �k 1.�'�F �4 �u� . � _f/V11� l�t�_�l�l 7/P �9'1.2 -- <br /> r��a:�iecrncor+es p!I �'- /8� 4. �C0.�1 o�'Shb 4.�Ou�t�� . �— . __ _ <br /> ��oz '= F = SoN — — <br /> PLUMBING �MECHANICAL <br /> N0. TYPE OF FI%TURE OR ITEM FEE, NO. TVPE OF EOUIPMENT F�E <br /> ' WATEfl CLOSET(TOILET) A C-A'HNDLG UNITS-H P. <br /> f~' �' BATHTUB / ' FOHCED AIR SYSTEMS-B.T.U. M E.A. __ <br /> LAVATORY(WASH BASIN) �— UNIT HEATERS-B.TU. M _ <br /> y� � �' SHOWER CLOTHES�RYERS ' _ <br /> . . � KITCHEN SINK 8 DISP VENTILATION FAN ___ <br /> DISHWASHER RANGE HOOD _ <br /> � LAUNORY TRAY WATER NEATER _ <br /> CLOTHES WASHER WOODSTOVE _ _ <br /> ~' � URINAL METAL FIREPLACE&CHIMNEY _ <br /> DFINKING FOUNTAW FIREPLACE INSERT __ <br /> FLOOR DRAIN HEAT PUMP _ <br /> < <� BACKFLOW PR ENTERS GAS PIPING �__ . <br /> ROOF DRAI -RAINLEADERS EXHAUST FAN j� _ _ <br /> SINK�SE ICE-BAR,ETC.) , �- <br /> ��I� SUBTOTAL S SUBTOTAL S ___ _ <br /> PERMIT S PERMIT 5 <br /> TOTAL FEE S TOTAL FEE 5 <br /> ��--� FOR OFFICE USE ONLY: j% ��-� � <br /> VB01Ji5LiEACK RE(�RSEiOALK SIOESEI�ACK �'lApP1ECttN111.1PLR F[E �FCEPINJ <br /> Z6� � .S'�/O ' 3 -�s.� 3io � ,r �,o .,� <br /> usPzorve �oraF�en vncnr+rsne FEES VALUATION FEE <br /> �'Z UUILDING �Y3S __���_�_�'_� <br /> nn orcor��s nuavGgl[ ttv[�m r.fm,,v nc[uu •., m a ' ..•�_ f- <br /> ���r � '1/ � A/ ��3 /�::" PLUMBING -_ 'i_ <br /> /V -Y�• (� <br /> F rn G � L �+no�stor�it�, ❑1S[M11Hlr MECHANICAL ��� <br /> ,--� �Q T <br /> ��pm�p �nti��— �ii,i s�ei�n�;nt o u r;t�ir.m uen���n ADOITIONAL PLAN CHECN �ti i <br /> ��� / __�__ SPRINKLER — _ ' <br /> d5[R1fiP fIL'✓IIP4 — <br /> TNLI3iiIIf1ING5Ui1CnAtiG[ i ��'��.J <br /> ,,., � : � � �., _ � CITY OF EVERETT �:���,. - - ---� %O iJ <br /> I II� �� LOCAL SALES � . <br /> � <br />