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APPLICATI� FOR CONSTRUCTr"�N PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />BUILDING DEPARTMENT HEA7ING SYSTEM. J GAS J ELEGTR�C J <br />�--------- ------ _ _ __ l <br />259�8810 <br />DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br />��-�•-J��4��� �,�, s�5/l��/�� S,t, _� ' rr (.�Gi ; <br />�� �f � IA4il nOf�RFSti <br />Cilv J�v P ��ull <br />,,,�,,, � _�-,.�a <br />�„ <br />_S�ME _ _- -- -- - — — _ - -- <br />PqiHnFCtORDFSifNFn MA4nDplIFSS irtv _.__. J��;_--- _ . vra,ryl _—_ ______ _ . <br />�-�uST -�—{ !y� �T�.t_ _�l/`/ELL _ - - - _-- <br />r.iuvnaromnn�rrni Mu�ennaF�sqs r.�rv n• - ��� �F s�nrrirer�st.. /1GiLL�t1[- <br />��1.. ��/W , ,�A _ �C1/�__�1-9�y�3 ,15��1� <br />IAI��n4Ni(.MCON'f1�lION MAl1�Dl�IFS� ti� (�� iC I�npl S�AIEUCENSEI <br />�4�i1AB�NFf�H11fUCiOR MAtlAppqFSS <br />i nn�r,F �r wonK <br />7 � J <br />PROPOSFD 115E OL BUILOING <br />.—_____-- _—___—.__-_--_ ___ . __- _... <br />(;��v lit� r-non� STNEiK:ENSEr <br />°d ,�L_In� (..��5r_ �TTs�r_�l��t�4?—�.i) <br />� f,(INtALI PAItiOp PNP PI� 1N! NO <br />LEGAL O/C�SCRiPTION OG PROPERlV �SHOWN BEI OW OR Pi IcpCC�� LWO' C�OIP�iE1S�. ,`,'� <br />I rlr �PY�— PLIX:N r)F �!Y/ Jf1�/1/L..�[ <br />Cahe.T __ _ 1�_a� � _a��J_. <br />�1.(�-LAJSJ-Y�_.S1QQ.� .__-._ <br />nnRCF� t�rip HWAflFR <br />GONSLqUCLiONIO�NLENDFII �f10RES5 tEl[PMOHFNUMAFR <br />PLUMBIN� <br />NU. <br />LAVATORV IWASH BASIN) <br />SHOWER <br />NITCHEN SINK 8 DISP <br />DISNWASHEH <br />LAUNDRVTRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />�'� OOR DRAIN <br />BACKFLOW PREVEN?ERS <br />ROOF URAINS—RAINLEADERS <br />SINK 1SERVICE—BAR. ETC.1 <br />FEE <br />i HERFBV CERiIFV iHA7 I HAVE HEAD AND El(AMINED THIS <br />APPLICATION hND KNOW THE SAME TO BE TRUE AND CORRECT ALI. <br />PROVISIONS OF LAWS AND ORDINANCES G(JVERNING THIS TVPE OF <br />WORK WILL BE COMPLETED WITN WHETHER SPECIFIED HEREIN Ofl <br />NOT. THE GRANTINi7 OF A PERMIT DOES NOT PRESUME TO CIVE <br />AUTHORITV 10 VIOLATE OR CANCEI THE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PEFFORh1ANCE OF CONSTRUCTION THA1 I AM AUTHORIZED BV THE <br />OWNEF OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br />APPUCATI IS MADE AND COMPJrV WITH THE STATE <br />C�MT�ACT qS LAW 1827 RCW A 96 2 WAC <br />\ ' 2 <br />1�` __2-�o-9y <br />.a� mq <br />, �,,,� <br />.A. 111 _�_'i� w* �_-- -- -- <br />MECHANICAL <br />A G -A HNDLG UNITS—H.P <br />FOiiCED AIR SVSTEMS—B.iU M EA. <br />UNI7 HEAtERS—B?.U. M <br />CLOTHES DRVERS --� <br />VENTILATION FAN <br />RANGEHOOD � � <br />WATER HFATEfi � � <br />WOOD STOVE <br />METAL FIREPLACE �WOOD BUHNINO) <br />FIFEPIACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUST FAN <br />SUB TOTAL S <br />— -- -- -- --- � � — <br />PERMIT E � <br />-- _.._--- ------- -- ---- <br />TOTAL FEE S <br />FOFi OFFICE USE ONLY: <br />_- <br />FRnry1����r� i RFuiSfiB�f.l( ...""��—��SIDFSFIPRIM /�—�� PlpN1InNInqWAOf�n <br />� C� <br />❑9E ZONFc <br />�--�— <br />1vPf 0lfM151 <br />�.� <br />S�ZE OF Bl� <br />396 S,f. <br />IX;CUPANCVIOAp <br />�//'� — <br />RE�40N <br />lOT �REA <br />FIqE SPNINM�EPS NEO'D <br />l� <br />FiRt IU�PM HEOD <br />A/� <br />--- -- ...— -- <br />INT�KE Bv Pt�NS ��Py�vE(��Fl� <br />o�rF 7/Z y <br />SUBTOTAL S <br />PERMIT E <br />TOTAL FEE E . <br />1F� � RFCF�Vi NU <br />y�..da <br />ver.eNtsrte FEE9 <br />VES NO <br />___. PUIIDWG <br />�in r��'Ml '� � ' ' . . __ _ _ <br />M.('JDUM�� . <br />PLUMBMG <br />� — . .. . — _ . . <br />B�SEMENr MECHANICAL <br />vES ✓o <br />NEI�Ni LIMIT�I1py ADDRIONRL PLAN CHECN <br />.___Z/ <br />�_..___._ OTHER <br />STA7E BUILDING SURCHARGf <br />iCITY OF EVEflETT vunuc wonKs <br />LOCALSALES <br />TAX COUE IS 3105 TOT�� <br />i <br />