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AP�LICATIOl� FOR CONSTRUrYION �ERMIT �� <br /> TO BE C�_..PLETED IN BLACK INK—PLEA£� PRIh <br /> ( ---------�------- ---- – <br /> BUILDING DEPARTMENT HEATING SYSTEM: �GAS IJ ELECTFIC �J __ ___ I <br /> I <br /> 259�8810 <br /> � � DEMOUTION y�Q COMBINATION', I 1:BUILDING ' ❑MECHl,NICAL E1,PLUMBIKG � � SIGr� <br /> – --- — — —_ __ . _ . <br /> OWtI(f1 MNL��f1(IfSS C�iY E V�n��j�I�P PIIONE <br /> C -' h -> w <br /> a ' ,[ `,;.. 8 �0� ..33 i-_�?Oi <br /> �h_�is_._Znr�e u�/z, uriU ��'C.�/`��n � ";) e� - — -- <br /> _ __. <br /> irr+nwt MNt�DUf1E55 cirr zm m�or+e <br /> dtipinPC1U(10E:IGNER hINLAUDfi[55 G17V ZIP PIIONE <br /> /l��L' c�,�sfrvc��*on �o,,� ��cr�7 9�����,s�_%{ ,.�1:G✓A_H�.�i �jf�s=q.i°�/`� _ ._._ _ <br /> r,rNcnni.corrinnr,ion l Mm�nnunrss cnv zm �� P�ror+e o�...P JCENSF.� <br /> �pL C�,v-�v�Pi:�n �-ot.��/007�/7°liL'?� Ji��bYlr-ll C-�� 91ds'/ �.��5'-11.�'�/�/ Ll��.�Gv['fc�,�`l_.('/(1_._. <br /> �u'C���N�CnLi101!'PnCTOn M41LA •AF.SS CitY 21P PHONE ST�IEL�CEIISE� <br /> � � �. <br /> riiiiminccomnnr.ion MM��UDRESS CIIV IIP �HOMF. STrI1EU0EN�''/ � <br /> ('OIlIMCi PRICE Of N'UHN /� /^ ��" — --•-. . ... <br /> ��(L !Y`� � ' <br /> pfGPfliR[WOf1K�Hp SOUnnF fOOl�f.[INV(N VEII CONi4Ci PER50H��lU P11nNE tlp. , <br /> CDi�s�cv�. �C'G/ aalo � JCe�Sid:i��� C,'r/'f�- �� i ��rr g.�- y��/�– ---._ <br /> i /,� <br /> �J�D�� lY -3� ���v i NEREAV CERTIFY THAT I HAVE READ AND F.RAMWFD TVIIS <br /> ^nnroseousr oreu nNr qFF'I�CATION AND KNOW THE SAME TO BE TRUE AND CORRFCT.ALL <br /> �-� :� Re+-, p"��! ����� �.� . . PROVISIONS OF LAWS AND ORDINANC'S GOVERNING THIS TYPE OF <br /> ��;ni scmruorvorrnoren Isrwwr+eei0'//ORATI�CN7WOCOPIES� W(�RK WILL BE COMPLETED WITN WHETHEFl SPECIKIED HEFEIN OR � <br /> �// �p�q� ��' fn;�.(��,�_ NC��L THE 6RANTIN6 OF A PEHMIT:006S,NOT,PpE3UME TO GNG <br /> irn--�-:s-- eiocK oF p.UTHORITY TO VIOLATE ��R CAKCEL THE PROVISIONS OF APIY <br /> /��•�i��� /J���1 j�� � � � Ol'HER SiATE OR LOCAL U1V REGIiLATING CONSTRUCTION:OR 7'fE <br /> . . (L <c pERFORIdANCF OF CONSTRUL'TION.THAT I AM AUTHQRIZED Bti THF <br /> OWIJEN pF THIS PROPERT`/ .TO pEF�FORM�fHE�WQRK'FOR WHICH <br /> — APPUCATION IS MADE ANq I COMPLY WITH ,TNE .ST�TE <br /> � �ncei rnx i o NUMeen CCNTRACTORS LAW 18.27 Rt'vt' bND 296.200 WAC. � <br /> CMJSIOUC 710N LO�N LENUER AUDPESS,TElEP11fNlE NUMBFR ry <br /> � �„ � ��{�1 � ...+ C� i <br /> `r� � ---J/i''_S`-�—,� ��/���/�,_. <br /> PROJEI'�7 ADURESS � � sicN�mne �� ,. �"�� � <br /> L�IS S� �Q C'� cirveusmessucr�serw -- _�'� ------_��- <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FU(TURE OR 1TEM FEE NO.; , � TVPE OF EOUIPMENT FEE <br /> � WATER CLOSET(TOILET) � A/C—A/HNDLG UNITS—H.P. _ __ <br /> ' � BATHTUP '; � � / FORCED AIR SYSTENS—B.T.U. M E.A. �___ <br /> /�- _ LAVATC AV(WASH BASIN) � UNIT HEATERS—B.T.U. M �__ <br /> SHOWER ' CLOTNESDRYERS __ __;__ <br /> -�- - <br /> � KITCHEN SINF ".GISP ' _ ' � � i' � � VENTILATION FAN ' <br /> -�-- <br /> 1_ DISHWASHER � � HANGE HOOD _ _ �__ <br /> j LAUNDRY TRAY ; WATER HEATER i_._ <br /> _J CIOTHES WASHER � WOOD 9TOVE .Y_ <br /> URINAL -� �:'�� i � , ,METqLFIREPLACE(V?mOfTBORHINB)Eif1, �__ <br /> DRINKING FOUNTAIN i FIREPLACE INSERT � <br /> —r-- <br /> FLOOR DRAIN ' HEAT PUMP ' .. <br /> BACKFLOW PREVENTERS i� . GAS PIPING i <br /> --t-- <br /> AOOF DRAINS—RAINLEADERS � E%HAU5T FAN __ <br /> _ SINK(SERVICE—BAR,ETC.) i -�--- <br /> — , � <br /> ---- -- � — ------- �- - <br /> .— .---:-- — — � . __ <br /> � <br /> SUB TOTAt $ ; SUB TOTAL $ _ �.__ <br /> PERMIT $ � PERMIT $ _. __ <br /> TOTAL FEE $ ' TOTAL FEE $ <br /> FOR OFFICE USE ONLY: ���Co•�'� <br /> fmltlfSfiP�CK R[ARSEIBACK Slf)ESETA�GK PLANCIIEGNN flEfl FEE �Ef.flPltlq �f <br /> 2 �� 'z_5� '�. 5 � ��xr' /�,,��J� //c�/��J <br /> ���r�orue i.oi nnen VM.ANL SIiE FEES VALUATION FEE <br /> r— <br /> ��� _� Z � � y�'ves f � No �UILDING ��� 7 D� ;�v <br /> P�ff11fC011S1 NOOF 10RIF5 OCfIi��Ncv NOMIFNfI1�ii,ux05 — � <br /> t.num p�UMBING �� i G��� I <br /> —rJ _ I ( - —�---/, <br /> "IlF oP qLDR. �illE SPPINKLEPS REO'U B�SF.MEHf MECHANICAI �� 'O�/ <br /> 22�o s'` + , / n ves �N'�io -f---- <br /> -���-�R' --�v� AODI110NALPLANCHECK i.? <br /> tN;f.OMNCY I.U�D FIRE�OL�PM PEO'0 ��EIGHi�L�MpIIA�ON � � � <br /> _'-J�-fQ —_ ��— KJ 07HF.R —_' ��� �_'_�.�� <br /> nrncnr! r— <br /> STATE BUILDING SURCl1ARGE <br /> ._--��s�.� <br /> i <br /> nnm�r nr � rinNe nrrnoveoer CITY OF EUERETT Pl1BLIC WORKS ,..JC� ,�`' :�� <br /> �J F� LOCAL SALES <br /> n,,,F� 2,.� 9 TAX CODE IS 31U5 torn� �� ; � f <br />