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^ <br /> APPLICATIOh FOR CONSTRUCTIr'�1 PERMIT f'VPfPI[ <br /> rnn e,b•p,m•� TO BE COMPLETED IN INK—PLEASE PRINT � <br /> cirv oF <br /> everett HEATING SYSTEM U GAS C.1 ELECTRIC ❑ � <br /> BUILDING DEPARTMENT <br /> 259-8810 — <br /> DEMOLITION COMBINATION BUILDIN(3 MECHANICAL �LIIMBING SICiN <br /> ONMER MNL�DORF55 pq� z�p p110NE <br /> sTD��'v,=� 7�� �oo'�-�� C�c=�t 9Y�o� y1- ��rS" <br /> TE �NT M�II �DORE55 CITY IIP PIqNE <br /> ARCNCECtOHDES�GNGH M�IIADORE45 dTV ZIP ppryE <br /> �<}d�b;%FAM/JLEU 4'^i3 4 cc�sTWA�I �3d� �'i'/L�f dN� �D.S� S�� - �f08�1 <br /> GENEP�LCONTR�GTOF M�II�ODFE>S CITv TIP PIqNE IIGFNSE� � <br /> MEGNMlIC�LCONTR�CTOR M�0.�DURES3 C'.19 1iP PIIOHE IICENSF.1 <br /> �VLUMBINOCONfR11CTOR M�4�ODRE55 �ItY /�rQ Z^I�P/� �J PHp1Ep IIGENSE� � �� ��Q <br /> � LL`Q��/_OGr1'S/ S[ �C�l�E'�7T `7 0 O'�� �f �]�' VR=! / v�u�-L -�[Se7ILL� <br /> `'Lu"s oFw�7nK <br /> � NEW AODITION �ALTERATION REPAIR DEMOLITION WOODSTOVFJFFPIINSERT BUILDINGRELOCATION <br /> �n, CdIT'CT PERSON� PMJNE NU <br /> GONTRACT PPICE 6'NVRN ���O�� es 'r'�Q ������—_ <br /> OESCRIBE WqIN�NU SOU�RE f00TA0 INVOLVED <br /> %C.�/fa/ T 1.�.�o�e'ociE�c�! ' T <br /> PROPOSEDUSEOFBWl01NU I HEREBV CERT!FV THAT I HAVE READ AND EXAMINED THIS <br /> OFP/C� APPI.iCAT10N ANO Y.NOW THE EAME 70 BE TqUE AND CORRECT.ALL <br /> LEOAIOESCRIPTIONOFFROPEHTYISNOWNBEItTYOR�TI�CMFOURCOPIEB� PROVISIONSOFLAWSANDORDINANCESOOVEHN�NOTHISTVPEOF <br /> WORH WILL BF COMPLETED WITH WHETHEP SPECIFIED HEREIN OR <br /> iar eiocK er __ NOT. THE GRANTING OF A PERMIT �OES NOT PqESUME TO GNE <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STA7E OR LOCAL LAW RE6ULATINQ CONSTRU(:TION OR TNE <br /> PERFORMANCE OF CONSTRUCTION. THA? I AM AUTHORIZFD BV THE <br /> OWNER OF THIS PROPENTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMNLV WITH THE STATE <br /> CGNTRACTORS LAW 1 tl.27 qCW AND 298200 WAC <br /> SIf3NA1PR�E/OJf GONTR1GTOq OR AUTMqIREO�APNT D�If�(��/I <br /> .L-��— � V <br /> PROJECT1100RE65 � � <br /> 7 � - � � � �PPIIC�NT9CITYBUSMESSlICE115EN0 �NOBUSINESSN�ME <br /> PLUMlINO MECMANICAL <br /> NO. TYPE OF FIXTURE OR REM fEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOIIET� A/C—NHNDLu'UNITS--H.P <br /> BATHTUB FORCED AIR SYSTEMS—B.LU. M E.A. <br /> LAVATORV(WASH BASIN) � UNIT HEATERS—B.TU. M <br /> SHOWER � CIOTHESDRVERS <br /> KITCHEN SINK 6 nISP VENTILATION FAN <br /> DISHWASHEF RANGE HOOD <br /> LAUNDRV TRAV WATER HEATER <br /> CLOTHES WASHER WOOD STOVE i <br /> URINAL METAL FIREPLACE 8 CHIMNEV T� <br /> DHINKING FOUNTAIN � FIREPI.ACE INSERT ; <br /> FLOOR DRAIN HEAT PUMP �— <br /> BACKFLOW PqEVENTERS ; GAS PIPING � <br />� ROOF ORAINS--RAINLEADEHS E%HAUST FAN <br /> SINK(SERVICE—BAR,ETC.) ; -� � <br /> i � <br /> 1 <br /> 1 <br /> SUB TOTAL E SU9 TOTAL S <br /> PERMIT S --r PERMIT S <br /> TOTAL FFE S TO�AL FEE S <br /> FOR OFFICE USE ONLY: <br /> FqdITSETB�CM 11FRRSFLARCN SIOESETtl�CN Pl11NCNECNNUMBER �EE RECEIPTIq <br /> USE IONE LOT�RE� V�C�HT SITE FEES WLUATION FEE <br /> BUILDING <br /> IVPEOfL0Yf5�LLOW�81F fYROiCdISTACiWI o¢uMMcr rprypY(uiM,��Mns ----- ----- — <br /> �� PLUMBING <br /> SIZE OF BLDO 1q.OF BTORIES B�SF.MENi MECN�NICAL <br /> --�_ <br /> OCCUP�NGYLO/A FIRESPPNI(LERSPEO'D MELL3HTLIMIT�TKIN ADDITIONALPUNCNECK <br /> OiHER <br /> RE�60N F011 SPRINKLER5 --— <br /> STATF.BUILDING Sl1RCHARGE <br /> iNT�eF AV PlANS�PPqOVEDBV CITY OF EVERETT PUBLIC WORNS <br /> LOCAL SALES <br /> 1 TAX COOE IS 3105 *oT�� ' <br />