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APPLICATI�y FpR CONSTRUCT��N PERMIT �' <br />TO BE COMPLETED IN BLACK INK—pLEASE PRINT �� "„'" <br />_ i <br />BUILDING DEPARTMENT HEATING SYS7EM <br />� �jGAS - �--------------� <br />254 8810 J EL[CTRIC J <br />DEMOLI710N � COMBINATION <br />v;�,�;, — -- --___ __ = BUILDING - MECHANICAL <br />�� ''"" "' b11 �� •' PLUMBING SIGN <br />� / � Lli\ lIP <br />. iL �" '�:.� ✓n ;%r.c� i;/i N/� c '- v� r�oNe ----- <br />�FNANi � �—�y /L._iC__... Y.. �linc� �/,VJ•J!� <br />MML�ODRE55 —_��— ZIP —_ _ �.r�'�(,�7 % ���7 � <br />Gliv <br />, _��_ �HONE _ <br />C"4 <br />— -�/� S�� 9 — <br />nrsc.nia=woaK� osouanFroor,�ce <br />_.��n�.� 1!)il / f� <br />��0� <br />����P=5EDU5'OFflUT� / D <br />iecu <br />ior_ <br />� PROPERtY �SIpWp BELOW OF ARACH /T Wp CqPIESi <br />- ALOCN OF S/�:/lLLGft <br />�t C_ <br />�'GRCt1. T�x I O Nl1MBER <br />CONFTpUf.t�ONLO�NLENOER.�ppRESS iEIF.PNpryE NUM <br />PROJECT AUDRESS ��I- <br />2y�st-/ninY � <br />PLUMBING <br />_ NU. TYPE OF FIXTUHE Oq ITEM <br />_J WA7ER CLOSET �TOILETi _ <br />__Jj BATHTUB �� <br />7 LAVATORV (VyqSH BASINI / // <br />7C SHOWER — <br />KITCHEN SINK 8 DISP - - <br />� DISHWqSHER � <br />LAUNDRV TRAV----� <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNiAIN <br />PERMIT <br />FOR OFFICE USE ONLY: <br />Fq(411 Sf LflACN ����� q! Afl �,I Iqql'N <br />Ilti! SUN� � 101 qfi� � <br />'mtn,irpN61 ^ NOO�qp.s <br />� n1___ Z <br />'1'S �e�nc5� ni�csvniNrcieasAea�o <br />4s-� sr_,C.�� A/v <br />(l�.I.I11�AN(:Y�()r[� {II�Fhlr1(11ARFnn <br />�if nSnN <br />n��nh! Bv � PIANSnopHt)VFUPv � <br />„�,� ;��%u <br />a <br />a <br />CONT�CT PFPc <br />` ,iT% ���(/ <br />__! — _ �_�i(''�i`•l ��.-_`� ( -._. <br />64C_�_ <br />i HERFBY CERTIFY THAT I HAVE qEAD AND FXAMINED THiS <br />''f JCATION AND KNOW THE SAME TO BE TRUE AND CORqECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNWG THIS TVF[ Of <br />1YORK WILL BE COMPLETED WITH WHETHER SPECIFIED HFREIN Oq <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRES: ME TO GNF <br />AUTHOFITV 70 VIOLqTE OR CANCEL THE PROVISIONS OF ANV <br />OTHER S7AfE OR LOCAL LAW REGULATING CONSTqUCTION OR THE <br />PERFOPAIANCE OF CONSTRUC?ION. THAT I qM AUTHORIZED BV THE <br />OWNER OF THIS PROPEqTV TO PERFOqM THE WpRN FOR WHICIi <br />APPLICA710N IS MADE AND I COMPLY WITH THE S7pTE <br />CONTqACiORS LAW 1827 RCW AND 296200 WAC. <br />l <br />„,�„ , �rL���}�__ ;_ ,,.y� <br />.,.,, -- <br />_nns�u�sv,���T.��.,, — _ <br />� TYPE OF EOUIPMENT <br />A�C-q�1�NDLG UNITS-HP <br />FORCED AIR SVS; EM� M <br />UNIT HEATERS- B.'f U. F�! -- <br />CLOTHES DRVERS � � <br />navGEH000 � <br />WATFR HEATER <br />WOOD STOVE <br />METAL F---- �REP —, <br />FIFiEPLAI;E INSERT <br />HEAT PUAAP <br />GAS PIPING <br />E%HAUSTFAN %/ <br />SUB TOTAL $ <br />PEf1MIT g <br />iOTAL FEE $ <br />�SIpF.5Ei8ACh � �'���'�'� <br />PIANCHEf, NUMOFII � F. <br />� —�� � �O .3�� .�5 <br />ver,�Nr s FEES <br />VES Np VALUATION <br />�r;�„ary . ., BUILDING ��'..�_� <br />,,,, <br />. ___ <br />�� --____ <br />' PLUMBING - <br />nnsrMrr�� - � — <br />VES �/N� MECHANICAL -- <br />NEm�n u�.mnnq� AODITIONAL PLAN CHECK —� --� �� <br />'___ZS ..__. . OTHFR <br />S1AtE flU1L[)ING SURCHARG[ <br />CIiY OF EVERETT rum ic wonKs — <br />LOCALSALES <br />TA)( COUE IS 3105 rorA� <br />T <br />ci<ns_t, O � hvq <br />aECFIPINO <br />� <br />F�— <br />�`�r�7;�� <br />� — <br />—�—'—_ _ <br />- '/� �' <br />� <br />�,.GO b2 <br />