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ti <br /> d a APPLICATIOti FOR CONSTRUCT►�N PERMIT �°e'P'� <br /> �ro E.�.��� TO BE COMPLETED IN INK—PLEASE PRINT � <br /> cm oc <br /> everett HEATINGSVSTEM: ❑GAS ❑ELECTRIC ':l <br /> BUILDING DEPARTMENT <br /> 259•8810 <br /> DqEMOLITION COMBINATION BUILDING �MECMANICAL PLUMBING SIGN <br /> pqryp uelmoa[ss cm � i:r �'bM� <br /> _��/d �/�[�S - ��f�✓C. d` E �E✓eYP.tC 98,148 �3.�9=f1e5_�— <br /> 1fN4li M1R/J'DPE55 LRV 1R VHCME <br /> AFCHREC!Oi1DE5GNCR N�:LADOPESS CIIV IiP PM�ME <br /> GENFPµ plifiACLOP MIILADD�ES$ LITV ZIp VIq11E LICENSE• <br /> �/nl�ii 1f� ivnl � 9 �/an5 H�ibuaa.11 AvG.� Evi 99ao� a��ys,2 VRLLENG�53L1 <br /> MKNiW LLNIPAC�OF M�ILAODR65 GIIV ZIV FIqNC lKENSH <br /> ttU40�NGCWIDI.CLOI1 NIµ��UR65 CIIY SiV ��ANC UCENSE• <br /> f.l�$SO!WOPV <br /> NEW ADDITION ALTERATION . � flEPAIP �EMO!ITION WOODSTOVEFRPLINSERT BWLDINGRELOCATION <br /> '/,, /�/� COM�Li PEN5011 AIID V�qNE'10 <br /> CONIP�LTPFILEOfWIXIR��f�'�W <br /> p(XIIAC W(N�x�1�OSWAPE fOJ1AGE INVIXVEO <br /> Cas cr�nv�vsian of (dat�' <br /> rnwnscow[orxuamNc 1 MEREBV CERTIFY THAi I HAVE READ ANO EXAMINEO THIS <br /> �F� APPLICATION AND NNOW iNE SAME TO BE TRUE ANU COPRECL ALL <br /> tcwio[univreworvnarinrvisnw��nEtowon�neteramcorirs PROVISIONSOFIAWSAN00RDINANCESGOVEflNINGTHISTVPEOF <br /> WORK WILL BE COMPLETEO WIT�i WHETHER SPEGFIED HEREIN OR <br /> io� P�oca a' NOT.THE GRANTING OF A PER611T DOE.S NOT PRESl1ME TO GIVE <br /> AUTHORITV TO VIOLATE OR CANCEL TNE PROVISIONS OF ANV <br /> OTHEfl STATE Ofl LOCPL LAW REGULAiING CONSTFUCTION OF7 THE <br /> PERFORMANCE OF CONSTRUCTION,TMAT I AM AUTHORIZED BY THE <br /> OWNER OF TMIS PPOPEfiTV TO PERFORM THE YlORN FOR WHICH <br /> APPLICATION IS MAOE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 5827 RCW AND 296200 WAC. <br /> $IGNI.II'AEOFCp11PACtCflON�1111qH11E�ALENi OAif <br /> X �L G29 <br /> reacnwoetss — - <br /> '�,05-' �� A✓Q• G•G• � "rPu sn�rau cssucr�srr+ou:oeusw �Mc � <br /> /1 OJ L <br /> PLUMBING MECHRNICAL <br /> NO. TVPE OF Fl%TURE Ofl ITEM FEE NO. TYPE OF EOUIYMENT FEE <br /> WATER CLOSET�TOIL ET� N�NHNDLG UNITS—H.P. <br /> BAtHTUB FORCEDAIRS`.'STEMS—B.TU. M E.A. <br /> LAVATOflV�WASH BASIN) UNIT HEATERS—A TA. M <br /> SHOWER CLOTMESDRVEflS _ <br /> KITCMEN SINK d DISP VENTILAiION FAN <br /> DISHWASIIEF RANGE HOOD <br /> LAUN�RV TRAY WATER HLATER <br /> CIOiHES WASHEF WOOD STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEV <br /> DRINNING FOUNTAM FIREP�ACE IUSERT <br /> FLOOF DPAIN HEAT PUMP <br /> BACNFLOW PREVENiERS GAS PIPING <br /> ROOF DRAINS—RAINLF.ADERS E%HAUST FAN <br /> SINK�SEHVICE—BAR.ETC.) _ <br /> SUBTOTAL S SUDTOTAL S <br /> PERMIT E PERMIT S /S <br /> TOTAL FEE E T07AL FEE f .3U ' <br /> FOF OFFICE USE ONLY: <br /> iRCNi5fl0�CX NEAP50P�C8 fiWY5E1BACN PIANGNECKNL'MpEP fEE PKEiP11q <br /> 3 Sa <br /> usFzorvE �or+n[A v�c�.ursrtE FEES VALU�TON FEE <br /> OUII�ING <br /> IYV(01C0.Y15�ll�NABII IYRIXNH5��L104 ttlin4� wp:vAuwnN�'S <br /> 4°" PLUMBING <br /> LIE OF BLDG NO Of SiOFi[5 6ASEMENi MECNGNICR y//f � J U ' � <br /> OCCIIv.WGv\Uep 1�NE:VFxelFP5RE0U NEGN1O4ii�iqx ADDIiIONALPIANCME;JK <br /> O1MEP <br /> RE�SCNfOflSVNiNRlEBS � <br /> St�tE BllIL01NG SLRCN�RGE <br /> rv�nx[ev MeHsevrAOVEDBr ��NQF�Ep� PUBUf,WORkS <br /> LOCIIL SALES <br /> T�7f COOE IS 3105 TOTQ ,3G� r <br />