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THOM"'- <br />APPLICAT14./ FOR CONSTRUCT.JN PERMIT <br />TO BE COMPLETED IN BLACK INK —PLEASE PRINT <br />( �HEATING S\"STEM' AG J ULECTA!C ❑ <br />BUILDING DEPARTMLNT 1---- <br />259-8810 <br />_ DEMOLITION COMBINATION BUILDING XMECIIANICAL PLUMBING — SIGN <br />--------------- <br />rn': NEP vaI ADCFES+ ��--' ZIP PMGtiE <br />�v�c Hthu►c�� �zq-33sT ��r. -- 33.9—?043 --- <br />tENPNT HAiL 4iDRE55 i•Tr =hCNE <br />ARGHrtECT CR OES'GNEP, tJA_AJCyE$5 ~— C1:'r F'iG'tE ---_• <br />G.AII ADDnESS - C:TV LCENSE —I--- <br />GENERAL, O LIAACTO- •c <br />1t7 Thp1AAs G BAIR CONDIT"'NO PHo ,[ 5L4iC UCEr:SEA _..._— <br />r.IEC P➢eAL ,TRFGTCF 'JAIL AD sN,E,,� Wppi!ftW�r1 v <br />wood nville WA 98072 4 _ <br />FLLJHeING <br />./ .. ..pain nFMC)l ITION WOODSTOV'. FRPL INSERT 51-iLDING RFLOCATION <br />NtW ruui IIV., ��„�," ,., ,. .._...... - <br />_—._. <br />COIL -RAC' PPICE O: WOF,K— <br />CESC9iEE WORK AND SOJARE FCFoTAfE I`.vOi!'E_ <br />f Leg TD w0i�g A p <br />=90POSECUSE OFPpapiNO <br />- <br />g01TPC"E�SCn 41 q-rX�C�NX°/h] <br />-- - — <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICA71014 AND KNOW THE SAML- TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OR <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT DRESUME TO GIVE <br />AUTHOR!TY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY T'HE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I :OMPLY WIFH THE 3'FATE- <br />CONTRACTOFIS !.AW 1S27 RCW AND 296.200 W'AC. <br />s-1-Cc:cRPiI_vcF=RCFEFTeELc.v.aar-Ac,=^.v�ccrlES, <br />leG <br />„^T y <br />— <br />-- — <br />__ .. <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />MECMAiJICAL <br />N0. TYPE OF EQUIPMENT FEE <br />WATER CLOSET_ (TOILET; <br />BATHTUB <br />_ <br />_ <br />A: —A HNDLC9 UNITS— H.P <br />FORCED AIR SYSTEMS—B.T,U. E.A. <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS-9.T U. M <br />_ <br />SHOWER — <br />CLOTHES DRYERS_ <br />VENTILATION FAN <br />RANGE HOOD___ <br />KITCHEN 9INK & 015P <br />r <br />DISHWASHER <br />_ <br />LAUNDRY TRAY <br />i <br />d <br />WATER HEATER <br />— <br />CLOTHES WASHER <br />WOOD STOVE <br />— <br />URINAL <br />_ _ <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACE INSERT <br />DRINKING FOUNTAIN <br />_ <br />_ _— <br />FLOOR DRAIN <br />' <br />HEAT PUMP_-- <br />BACKFLOW PREVENTERS <br />_ <br />GAS PIPING <br />ROOF DRAINS—RAINLEAI7E95 <br />EXHAUST FAN�_— <br />SWK (SERVICE —BAR, ETC.; <br />_ <br />SUBTOTAL $ <br />SUB TOTA-SIG <br />C` <br />PERMIT $ <br />r <br />PERMIT y <br />—..ad <br />_ <br />TOTAL FEE 4 <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />iaON'yE tga,b— i <br />PEAF SE72ACk <br />51DC-5[TBAC/ <br />FV: A':n_-�•IUt•IBE4 <br />= <br />vE:C'_C';:? '_ <br />uE°zo•.E <br />LOTASEA <br />vaG%.�5'TE <br />FEES <br />ATION <br />FEE <br />BUILDING <br />_ <br />.-CECC'R5 .AlLCWARLE <br />T`Ff CP CCAjT, ACTUAL <br />:CG'-�>= <br />AO. GI MIUNt--'—PLUMBING_ <br />SZE OF 5L <br />NOO=S-OFI US <br />5ASEPARNT <br />MECHANICAL]!VALL <br />_— <br />�— <br />.DITIpNgL PLAN CyFGf.^ <br />o!'cu=ANcv LOAD I FIRE SPFNn.ERS REOC E 3n. vvli„7�'vn <br />REASON FOR SPFMKLEPS <br />SPRINKLER <br />— <br />STATE BUILDING SUPCHARG. <br />INTAKE 6Y PLANS APPPCVED Ev <br />CITY OF EVERETT <br />iLOCAL SALES — <br />TAX CODE IS 3105 <br />PUBLIC WORKS <br />TOTAL <br />u <br />