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APPLICATIC _J FOR CONSTRUC7 _ JN ►PERMIT (� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT �� <br /> � HEATING SYSTEM: j�GAS iJ ELECTRIC J ___ __ _ __ _ _ � <br /> BUILDING DEPARTMENT -- <br /> 259-8810 <br /> DEMOLITION COMBINATION X BUILDING xMECHANICAL xPLUM9ING SIGN <br /> �O ER MAILR�DRE55 CIiV IIP PMONE <br /> N rn,� '-�k� <<�,�;. 6>> �a�:����- �,,:�,� s?4��.?� . s��P �a��3 <br /> TE �NT MRIL�DDRESi CitV liP PHONE <br /> AF�itECTORDESiGNEii MFII��DNE55 I/ CI1V IIP PMONE - '/ <br /> i� �✓ � � ��'/ <br /> �E LCONiRRCTOR M4IL��DRE 5 GrtV IIP P110NE SiRTEIICENSE/ <br /> � ( �- ��K ,–� P� ��oX��Ic� �/��r Q��3 1�1�'��� ��;mn�• �a n� <br /> �MEG �NiCALCONLq�CfOR' I MAII�DDRE55 LiiV ZiP PNONE SiqTELICENSE� <br /> �A►�n He�liut; �JE��' _ �' �S <br /> PIIIM iNGGONiR�CTOfl MAIL�ODFESS f,I1Y ZiP � P��C4E SiR7ELICENS[� <br /> -�-�,— l�� ��� Pn n,rx 4�12 0►1 ¢� 9��2�r �y3-a ���� <br /> CLASS OF WORN <br /> �NEW ADDITION ALTERATION REPAIR DEMOLITION WOODSTOVEiFRPL INSERT BUILDING RELOCATION <br /> CONTAGT PEBSON RN01'1_ �nNF.N�. <br /> Q/ � � � �L 'O�� <br /> CONTqACiPNCEOFWORN Q(O< :.���' I���,�_1_��]'[��=J ' y� 1 <br /> OESCRIBE WOfIK�ND 30U�RE FOOiAfE INVOLVEO <br /> �r��zC�����o,� �� y�� ,�,.— — — — <br /> v'aoroseouseovewio�N� i HEREBV CERTIFY THAT I HAVE READ AND EXAMWk� .��IS <br /> �'� K � C APPLICATION ANU KNOW THE SAME 70 BE TRUE AND CORR iCL ALL <br /> IEG�I DESCRIPTION OF VROPERTY�SMOWN BEIOW ON�iT�LN FOUR COPIES� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> p � WORK WILL BE COMPLETED WI7H WHETHER SPEGFIED HEREIN OR <br /> LO7 I BIOCN OL 7 NOT. THE GFANTING OF A PERMIT DOES NOT PRESUME TO GNF <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANv <br /> ��— y'/./ � � �p�n�a� ��Q�� OiHER STATE.OR LOCAL LAW REGULATING CONSTFUCTION OR TFif <br /> PEPFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THC <br /> OWNFF OF T�:;S PFOPERTY TO PERFORM THE WORH FOR WHICH <br /> APPLICATION IS MADE AND I CO�dPLY WITH THE STATE <br /> COIJTRACTORS LAW 1827 RCW AND 296200 WAC <br /> x � n��_ <br /> PROJCG7ADDPE59 sn�ni i ��+�� <br /> Z1! I — ICO "(N >i 5r _ �dc=�� ��,.��z,���ss,_����;��,�o ---� — � <br /> PLUMBINO MECMANICAL <br /> NO. TYPE OF FIkTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> j WATER CLOSET(TOILE7) A'C—A�I�INDLG UNITS—H P _ <br /> BATHTUB FORCEC AIR SYSTEMS—B.T.0 M E.A. <br /> LAVATORY(WASH BASIN) UNIi HEATEFS—B.T.U, M i _ <br /> 1 SHOWER CLOTHESDRVERS <br /> KITCHEN SINK 8 DISP VENTILPTION FAN <br /> DISHWASHER RANGE 11000 <br /> LAUNDRV TRAY � WATER IIEATER <br /> ( CLOTHES WASHER � WOOD STOVE <br /> URINAI. ' ME1AL FiREPLACE 8 CHIMNEY ; <br /> DRINKIIlG FOUNTAIN FIREPLA�.^,E INSERT � <br /> FLOOR DRAIN F1EAT PI,MP <br /> BACKFLOW PFEVENTERS GAS PIP NG � <br /> ROOF DRAINS—RAINLEADERS FXHAUSf FAN � <br /> SMK(SERVICE—BAR,ETC.) ; _ _ <br /> � � <br /> --- � — <br /> -- r— <br /> SUB TOTAL $ SUU TOTAL $ <br /> PERMIT S PERMIT $ <br /> TOTAL FEE S TOTAL FEE $ <br /> FOR OFFICE USE ONLY: �' 2. 9,j ,G'?(�n�cL – � <br /> FRONTSETBACN RE�R SEiB�CN SiDE SETBRLk �LANCHECrc yR.IB � FEE 7 RE(EIPt NO <br /> �Q � 0� ���� � i� �� �� J / J.(.' � <br /> use zor�e lOT�PE� vnceN`r's�,ire( FEES VALUATION FEE <br /> �� 7 �7 `C�? BUILOING Q.� � � l�7 ;r <br /> IYF(O�COHIS �IIOWABt[ 1YVE Of CONSt AL11Ul trn�arv�� x��ni•�e�..�ycuMuS — —� � � <br /> � ' / _ J yf'°�'j° PLUMBING � <br /> —�.S F J <br /> 512E OF BLOG NO UF STORIES BASEIAFNT MECHFNICAL � � <br /> �sti5 sF ti-.w 2 No — — � <br /> S62 aA � <br /> OCCUPANGY IOAD FlqE SPRNxLEH]RFO'D HEIGMI LIMrt�bON ADDITIONAL PLAN :MECN <br /> /V A �� SPRINKIER <br /> NEASOH iOR SPRiNNLERS <br /> STATE B111L01NG SIIflCHARGE � � r <br /> INiINE B� PL�NS�PPROVEDOY CITY OF EVERETT PUBLIC WORKS � -' <br /> J �� LOCAL SAIES � , <br /> � 7 �, � TAX COOS IS 3105 TOiAL 7i <br />