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�PP6.ICAT�On1 FOR CONSTRlICT1a�N PERMIT �'`'�"'" <br /> .,, E , „ TO BE COMPLETED IN INK—PLEASE PRINT � <br /> cnv or <br /> everett HEATINGSYSTEM: ryiGAS 7ELECTflIC J � <br /> BUILDING DEPARTMENT <br /> 253-8810 <br /> DEMOLITION COMBINATION BUILOING HIECHANICAL PLUMBING SIGN �, <br /> ow�ien ueanooness e�*r �� v��o�+t <br /> � S� � - 7/o Y%� Sf 5'E Eve�eH �SS- /9SY <br /> 'E':>r:� MNLI�ORE55 CIIY l�P PI�ONE <br /> ? l� <br /> 5 1 i1 J.� °�vlt <br /> niJullGlIXl�ESiGNFP AUM1ADDflE65 C11Y SIP PIYJNE �� y� �'1� �0� <br /> K'efi i�1{{ <br /> �'�# kw �Sil�J:�Y <br /> 6n:LMlLIX1TFACtOP MAll�00PE55 CiiV ZiP FNONE L�CFNSE• t� .�p` '.,� <br /> .� <br /> 1 1 1(S�` [{.' <br /> �nCP�R11iULCCN1PALiON NAILnD�PE55 CIiY bP oNONf UCENSE/ � Aj H�S{( .� <br /> �dg�/iJ(y7�in�1�JF T /O/3l d �,iG/yN/.�crt�KayYf' Sf���7'1� .73fir,EOOS TDC'A:Ff/x/OiO�C <br /> VW410MOCONiqTn RALLAf�Dfl[R <br /> tu55 c�wonK <br /> . NEY/ ADDITION j� ALTERAfION REPAIR . �EMOLITION WOODSTOVEFRPLINSERT BUIL�INGRELOCATION <br /> CAl1i�Ci PEPSON ANO PHCfIE NO <br /> � <br /> LONiRACiCf1R.EOFWOPN 1 - ; <br /> OFSCRiBEN'DFNANp$OUAf1EFt]O1�G[INVJIVE� ��i f�Y k 1 <br /> �r�{f' <br /> N_�,r ��_R��1 � a .;��'( <br /> vnoroseouseae �oir�c I HEFEBY GERTIFY THA i AVE READ AND E%FMINE� Tfll; �r ( �`tl"��� <br /> SF�` APPLICATION ANO HNOW T SAME TO BE TRUE AND CORRECT ALL � '���,'t�-,��'?tF' � <br /> u.cni.oescn�P*rorvarnov[ettisrawHe[�owonerrecerwnconi¢si PROVISIONSOFLAWSANOORDINANCESGOVERNINGTHISTYPEOF �� t� }. .S�f� <br /> WORK WILL BE COMPLETED W'TN WHETHER SPEGFIED HEREIN OIi F`� <br /> io� B�ocK or NOL THE GFAN7ING OF A PERIAIT OOES NOT PRESUME TO dIVE <br /> AUTHOf71TV TO VIOLATE OR CANCEL THE PHOVISIONS OF ANV <br /> OTHER STATE OR LOCPL LAW REGULATING CONSTPUCTION Oil THE <br /> PERFORMFNCE OF CONSTRUCTION.iHAT 1 AM AUTIIORRf:U BV THE <br /> OWNER OF THIS PROPEFTY TO PEPFORM THE WORN FOR JlNICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE 5fAiC <br /> CONTRACTORS LAW 18.D FCW AND 296 200 WAC. /��In/ <br /> SIGNAIUAGOFLONIRRCtOf1CH�U1��O�IZL��GENi pAiE �/ <br /> S� <br /> �� 1tl '� <br />����1�� , X <br /> ° i�� �� rr:¢*.moeEss - <br /> y L q ,f� APftIGFN15Ci1VBO5��:;5SlICCNSEtc OOV5:1iF55tA4C <br /> %in .. y 7 sr sr <br /> � � PUIMBING MECHANICAL <br />��5�'�,_.',- . N0. TVPE OF FI%TUflE Ofl ITEM FEE NO. TVPE OF EOUIPMENT PEE <br />',�..�:�('.� � WATERGLOSET�701LET� 0.'�tiHN�LGUNITS-H.P. _ <br /> i }�l��'k'.�� � BATHTU9 J FORCEDAIRS`.'STE61$-BT.U. M E.A. <br /> " 'fp:';1.:' � LAVhTORY�WASHBASIN) UNITHEATERS-BTU. M � <br /> ' `��''I SHOWER J CLOTHES�RYERS <br />� ' KITCHEN SII�K 8 DISP VENTILATION FAN , <br /> i <br />� + DISHWASHER RANGE HOOD _ <br /> ����-i;�,' LFUN�RYTRAY WFTEflHEATER _ i�t'�t :; <br /> � � CLOTHES WASHER WOOD c70VE �, p .; 51 <br /> URINAL METAL FIFEPLACE 3 CNIMNEY ` <br /> A - FIHEPIACEINSERT °�t� � : Y <br /> DRWKINGFOUNTAIN � 1 �, t��i <br /> Q� • FLOOR�RFIN HEAT PUTAP _ ,{.x <br />°I,: GASPIPING ` .�1��.� <br />��x BACKFLOIVPREVENTERS --- <br /> ry. 'I, ROOFDRAIN$-RAINLEAOE95 E%HAUSTFAN ._ <br />� SINK�SERVICE-DAfl.ETC.� - <br /> T <br /> ii <br /> ����`�{�, _ SUBTOTAL 5 SUOTOTAL 5 O '_ <br /> �F� PERMIT 5 PERMIT 5 /J'� <br /> i S TOTALFEE 5 <br /> TOTAL FEE S <br /> � <br />��,�,.���I`� `"� FOR OFFICE USE ONLY: <br /> ;�Y IIIp4i5E1BACN BERPSEi9�CN SI�ESEiBALN �LAN:NECMNUMOEfl �EC FlLE�PiNO <br />� 1 <br /> 1 � ' o-.�zorvE iotneu vnuei srte FEES �ALUATION FEE <br /> ����-r'"� ��'a BNLOMG <br /> i� ,' � hR01CONI5ALLPNABtF IYGF0ILOKSI6WA ��'L� MOf/MSmMwiS <br /> � PWMBING <br /> �� � � J j) � <br /> �4-. C� .i�EOFBLW NO�OFS10RiE5 BASEMENi MECHANICAL S� a_' �� ;� SVf'V <br /> .� — 3.�1 .,' Vr!� <br /> ..:.bPM1LVl0AD FIflESPPKKtEF5RE00 IIEIGNiLIMIi/.IION AOOITIONALPIANCHECN �i ���. S}.�,. <br /> �3 rj� , sT 2_ <br /> �� .,���;r <br /> OtNER K,",��,� �cvrl{d;l <br /> NE45pNFOPSPPWNLEPS � � �' <br /> STATEBUILOiNGSURCHARGE k ^ ' <br /> viineCOv V�R�SAPPPOVEDBY CITYOfEVEflErf PUBLICWORNS C � , <br /> LOCALSALES . ; "i �iE � <br /> , TA%COOE IS 3105 To*A� ." � �.' <br />