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LotA? Eisewwaat Cn.�e'� <br />I�PPi.-�i<,,ATIC"1 FOR CONSTRUC7' 1N PEF;MIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />3UI1.'JING DEPART�9EJT � HEATING SVSTEM: � GAS U ELEC7RIC V_ � <br />'�yo �fl10 <br />: 1 DEMOI.ITIO�J ' i COMBINATION 1A' BUILDING VG MECHANICAL OE PLUMBING I' SIGN <br />t,VO:FP uea �nnness arv zin rraNe <br />•�+�1 �ii�Y�.__MP•OpHC�ox �356 SNotiom�s�� wR 90�9� P�E 'S�BS-13/ <br />fEN�NT <br />�RfVITE.!OFOESIGM1E'� M�it�OD1iF.55 I �S� I ZIP FMONE <br />Thor+��__�fF�umqt�N _�'�1�n1 SNs�+p�n�il, �wA 98A91 56898k8 _ <br />6ENERQbW�RACTON M�IL�OORF55 Qiv LF PHp�F f��TEIICEN3EI <br />�, 1,�_�hT P•v._ Clt� 1356 6ao►�oM.dti, I,�R yBs'-13i9 C�R�G /i�c6 <br />MEGM�NICAL CONiR�CT MML FM.NtSf CItY 21P PHONE O'3?�� S1QE IMI:NSE � <br />• <br />�CCnn!nl..,� L�at�.l.'..� /uanz_AIEiOie.� l�/ �iw..��ua�I�i.uAy�vn ASseciia&R7 <br />l:dK 4�Lvmb��a �'Q <br />CONTR�Ci YPiCE O% VYO�F <br />9�� y� - <br />DESCRIBE WORF �ND SOU�RE FOpT�OE INVd.VED <br />PROPOSED USE OF BUILDNI6 <br />LEML OESGRIVTION OF PqOPEATY <br />LOT.� BIOCK — <br />N E I'/ N w%y <br />�tE S � <br />P�RCEL T�N I D NIiMBEN <br />LENDER,�DDRE35. <br />OF <br />SHOWER <br />KITCHEN SINN 6 DI'� <br />OISHWASHER <br />LAUNDRVTRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTA <br />FLOOH ORAIN <br />BACKf'_OW PREVE <br />.• � <br />5 <br />'LOW �)R �TT�CH TVOCOPIES� <br />OF <br />�_ �0 7�,P.a�N <br />, ., „_ <br />ETC � <br />TOTAL S <br />M�T S <br />el FEE E <br />FOR OFFICE USE UNLY: <br />FRONT 6ETB11CK PE�R SFTB�CN <br />�' � — <br />USE IONLE l�`T �qEA <br />_J—/ <br />1VPE Of CONST OF STOqIES <br />FIRE SPRNMLER6 REdO <br />fIRE <br />P111N511p�V[u tl� <br />J <br />CITY <br />FEE <br />SETBIICN <br />/ <br />PNONE Si�TF LICENSE / <br />93� <br />L��CTPERSON�N VMDNEII� �_ b1 <br />a�� �1- <br />,.,. �_ , <br />� HEREBY CEFTIFV THAT I HAVE READ AND E%AMIN'cD THIS <br />rPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING TH�S TVPE OF <br />WnRK WILL BE COMPLETED WITN WHETHER SPECIFIED HEREIN UR <br />NOT THE GFANTING OF A PERMIT DnES NOT PRESUME TO GIVE <br />AUTHORITY 70 VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM 0,.'S'HORIZED PY THE <br />OWNER OF THIS PROPERTV TO PEFFORM THE :VORK FOR 1/HICH <br />APPLICATION IS MAOF. AND 1 COMPLV WITH THE S'.ATE <br />�"'�-vcRS LAW 1B27 RCW AND 296.200 WAC. <br />! ���_ 5 io/q3 <br />SN:N�WRf /�^CeII M�f <br />l )/IAJ Q <br />UIVBU91Nf9lIRIVN51 Mt <br />TVPE OF EOUIPMENT _ <br />A�C—AMNDLG UNITS—H.P. <br />FORCED AIF SVSTEMS--B.T.U. M E.A. <br />UNIT HEATERS—B.T.U. M <br />CLOTHES DFVERS <br />V�NTILATION FAN <br />RANCE HUOD <br />1. .iCR HEATER <br />W WD STOVE <br />METALfIREPL�ACE�WOO�D B�URNINC) <br />FIREPLACE'1'I�ern l (�/ISION�V <br />GAS PIPING <br />V�C�NTSRE � <br />"''� VES -I NO euuoiNc <br />�ra��.w, im a rwtudc �w��s --- <br />..''"0k° 1 PLUMBINQ <br />B�SEMEh! �/ <br />VES � NO <br />Hea�r uuiunori <br />�"1 � <br />CITY OF EVERETT <br />LOCALSALES <br />TAl( CODE 18 3105 <br />MECHANICAL _ <br />�DDITIORM. PIAN CNECK <br />OTHER <br />STATE BUII.OMG SURCMAROE <br />PUBLIC WOHRS <br />TOiA <br />SL'B TOTAL S <br />PERMIT S <br />TOTAL FEE S <br />lL 2� 3 <br />9a Rf <br />FEF��/^ — <br />ree <br />r <br />�: nn <br />