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o � Gf <br /> �I� �ATI4_1 �OR COMSTRUCT 3I� PERlIAIT �,.� <br /> JUL 2 3 I�`�3 TO BE COMPLETED IN BIACK INK—PLEASE PRINT .!+���T <br /> .,�V <br /> �1��'.......... ... . ........ ._..... ` <br /> .._...._.....__. — <br /> CITY OF EVERETT H'ATING SYSTEM: J GAS .1ELECTRIC J_ __ I <br /> BUILD�I��J��I��T -–� <br /> 259-8810 <br /> DEMOLITION COMBIN4TION BUILDING MECHANICAL �PLUMBING SIGN <br /> OfMEN MNIADOfif55 CIiY Zlp PI!01:E <br /> Dn«Y I�o..+es�T.�c. zyap Ewm��_ nJ E. �`a.ro SF•rrtG 9sio�, .tssr•377n _ <br /> 1ENAIIT 1.!MLAODRi55 C�T' ZIP PNO�IE <br /> AqCHRCCiORUE5IGNEP YAILMDFE55 CIT' ZIP PMpNE <br /> GEHE114C011iflAC10P 4AllADOflE55 CIiY ZIV PNONE SiI.TEII[E.NSE� <br /> I.�KIIANIU�'iRflAClON MNL.I0CRE55 LIiY ZIP VNONE SiRiELIGENSE� � <br /> MUMBINGCONiB�CIOfl(� ,,4uI.�D�flC55 n CIIY ZIP lnONE ^SiAi[LIGR1iEI <br /> PqG�f:c. �� rl,wy�`K.. r.Y YJ� Rf RO'29 , .l.ee(.� LJA SROAR' H82�'..LTRT riiC7FiJP1laYCii�_ <br /> CUS:O��W11N <br /> ✓NEW � AODITION ALiERATION flEPAIR DEMOLITION WOODSTOVEiFRPLINSERT � BWLDINGRELOCATION <br /> ccurec*neawrv n�+o vr�orie rio <br /> coHra�cr rmcE or waiK <br /> �rs:niae wunn aHu sounnc roo*�ce nrvavEo <br /> imoeo.eousi u�ew�o�ne I MEREBY CERTIFV THAT I HAVE READ ANO EXAMINBD THIS <br /> APPLICATION AND KNOIY THE SAME TO BE TRUE�ND CORRECL ALL <br /> :cnn�DEScaiciroNorvaovEen�seom�eE�awoAenncHrouecoa�E6� PROVISIONSOFLAWS�.NDOflDINANCESGOVEfiNINGTH15fYPEOF <br /> WOPN WILL DE COMPLGTED WITH\NHETHER SPECIFlED HEFEIN OR <br /> �.n__&ccK ov NOT.THE GRAGTING OF A PEfl1AIT DOES NUT PRESUME TO GNE <br /> AUTHORITV TO VIOLATE OA CANCEL THE ?ROVISIONS OF ANY <br /> OTHER ST•�TE OR LOGAL LAW FEGULATING LONSTPUCTION OR TH[ <br /> -- PERFORh1ANCE OF CONSTRl1C'ION.THFT 1 A!d AUTHORRED BY THE <br /> OWNER Of THIS PPOPERI'TO PEAFORM THE\NORK FOR WHICH <br /> - - - APPLICATION IS �dADE �ND I COMPLV WIiH THE STATE <br /> CONiflACTORS LAW 1827 RCW AND 296 200 WAC. <br /> _ _ .. _ s,:���_�� �wl�ai�9z <br /> rnoi�.c�nvoi�[�r O?t7. �— <br /> � <br /> 7�'7 y� P�ac6 6Jcacrr lcr: Rd-�S <br /> PLUMBING MECHANICAL" � <br /> N0. TYPE OF FI%TUflE OR ITEM FEE NO. TYPE OF EOIIIPMENT FEE <br /> j WATEFCLOSET(TOILETI �L NC—A�HNDLGUNIi5—HP <br /> _� BATHTL'� FOfiCEDAIRSYST[IAS—BTU. 1.1 E.A. <br /> LAVATORV�I'L15HBASIN� UNITHEFTEFS—B,TU. M <br /> / SHOINcR LLOTHESDRYEFS <br /> / KITCHENSINKBDISP VENTIL>TIDNFAN <br /> OISHWASHEB RANGE HOCO <br /> LAUNDRVTRAY WATERHEATER <br /> � GLOTHESIYASHER i p WOODSTOVE '_ _ <br /> UHINAL IdETAL FIREPLACE 6 CHIMNEY <br /> �RINKING FOUNTAIN FIflEPLACE INSERT <br /> FLOOR�RFIN HEAT PUMP <br /> [1ACNFLOW PREVENTEBS GAS PIPING <br /> FOOF ORAMS—RAINLEA�ERS E%HAl1ST FAN <br /> SINK�SERVICE—BAR,ETC.) <br /> SIJB TOTAL 5 1 I SUB TOTFL 4 <br /> PERMIT 5 ^c' o PERMIT 5 <br /> TOTALFEE $ /i/ ; TOiALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> �RUN�'.L1�PI:N PFAPSEipALY $i0E5ElBACx YIFNCMEGF�IUTAOff-15 ICE RCCCiV11:0 <br /> L J <br /> ox:air iornaEn vacnntSnE FEES VALUATION FEE <br /> emioirvc <br /> � �"C+;�SALLOW�9t[ rvRofCON5lulul: aawvcr �pwc+r':..v.:;�:�:s --- — <br /> °°pj° PWMBMG <br /> SLTOIpLOG NOOGSi0PIE5 BASEAIEM MECHANICAL <br /> uccur�n�:Grtoeo iwESVFHxiEA5PEO0 HeiGNiln'rteiion AOOITiONRLPLANCHECK <br /> SPRMKLEfl <br /> n.FA504f0l15�NiNNlERS — <br /> SiATE OUILDING SORCHARGE <br /> ,.u,-�.ro. au�ssvvaweoar CINOFEVEflETT P�I6lICW0fiN5 <br /> LOCAL SRLES <br /> TAX COOEIS 3105 To*A� � <br /> ��i'x "�.i''tt�;,��r..5' � � �.- . . . �� . , <br /> .>. -- --.... �.,. .. „i <br /> _ � YJ_ _ . � � t.. <br /> � :. 1�a'<..�'�'���'1{`�m.S.. . <br /> - ��T+a4�! 4['� �� <br />