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APPLICATIC 1 FOR CON�TRUCT"-1N �+�RMIT �� <br />TO DE COMPLETED IN BLACK INK—PLEASE PRINT <br />_ - - -- - � <br />� HFATING SVSTEM� J GAS J ELECTRIC J. _ f <br />BUILDING DEPARTMENT -- <br />259 8810 <br />DEMOLITION COMBINATION <br />1FNAqt MMI �Of)Pr.sS <br />ARCHIfECTOAOF'luNfR M��L�UDAF55 <br />GFNFF�I C(kliRlf,iOn MAR RDDRE55 <br />�`M�EC,/4�MCRlCON�RP6«J�� M4il�llORE55 <br />PIUMPM(:fON1RRf.1pR �R��� <br />GONiRAGI PRICF Of WORN <br />/ ��_.___ <br />OESCRIP'_ WOpM �NO SOU�A[ faOi�GE iNVO1VED <br />PROPOSFD USF OF BUit OING <br />� LEO�lDESCF�PiiONOFPROPERTVISHOWNBEIOWOR�TT�CHTWOGOPIE3� <br />i <br />. t07 --eLOGM � — <br />BUIIDING <br />r rtv <br />� P�PCEI � Ip UMNER <br />_�?.� —�90—ODS—OGIOZ _ <br />���S�pUf,1�N1.O�NlENOFR �IlORF55 TFLEPNONENUMAFR <br />CLOSET <br />KITCHEN SINK 8 OISP <br />DISHWASHER <br />IAUNDFV THAV <br />FLOOR DRAIN <br />BACKfLOW PI <br />RpOF DRAINf <br />51NK 1SERVIC <br />—� <br />FOR OFFICF USE ONLY: <br />FP<NIl SF�B�GK RE�R SEtB�Cx <br />USF ZONF LOT �RE11 <br />rvn �u cais� NO OL STdiIE! <br />g� pp g�pp FIRE SPFINMIEi <br />OLLOPMlCY LO�O FIRE Q�RM REI <br />RE�90N <br />IN1�ME Pv <br />nnrt <br />SUB TOTAL <br />PERMIT <br />TOTAL FFE <br />REOD <br />�acnov6o ev <br />Crtv <br />CITV <br />MECHANICAL PLUMBING SIGN <br />r�r . . rrnr�r —�- <br />� 3s 3-�l�( ----- <br />Tiv rrMlf <br />j�p ^NONE <br />=�p p110NE S��TE LICENSE � <br />z�p pIKWE STATEIICENSE� <br />LITY 7iF <br />0 <br />PNUNh <br />5'dE LICENSE � <br />___ � �1�/!� 6��- <br />CONI�CL PERSON �ND 1`��ONE NO <br />1 HEREBV CERTIfV THAT I HAtiE READ AND E%AMINED THI£ <br />APPLICATION AND KNOW iHE SAME TO BE TRUE AND CORRECT. Al! <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE Of <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFlED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME ?O GIVE <br />AUTHORITV 10 VIOLAI c OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAN' REGULATING CONSTRUCTION OR TNE <br />PERFORh7ANCE OF CON57AUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THF. WOHK FOR WHIGH <br />APPLICATION IS MADE AND I COMPLV NiI�fH THE STATF <br />CON?RACTORS LAW 1827 RCW AND 296.200 WAJ <br />� 9 �.�-- <br />c..N�,inii in( <br />U�vfli[i'rtK�. � , . . <br />TYPE OF EOUIPMENT r« <br />A�C—F'HNDLG UNITS—H P __ <br />FORGED AIR SVSTEMS—B.T.0 E.A _ <br />UNIT HEATERS—B.T.U. M _ <br />CLOTHES DHVERS .. <br />VENTILATIONFAN _� - <br />qANGEHOOD _ -- <br />WATERHEATER <br />WOODSTOVE ' - <br />METAL FIREPLACE (WOOD BURNINQ) _ <br />FIREPLACE INSERT _.- <br />HEAT PUMP _ -- <br />GAS PIPING -- <br />EXHAUST FAN . -- <br />SIpE SFiB�CH PI�N O�FCM NUMI�H+ � <br />VAC�NT SITE FEES <br />- � VES N� BURoiNc <br />IIfP;o1Mv MItlM/fuiNSUM��f � - <br />��"'"1° PLUMBING <br />9�SEMENT MECMANIC�L <br />- VE5 � � NO — ---�— <br />HEI(3HTl�MIT�TION ADDITIONALPUNCMECK _ <br />__ OTHER <br />STAiE 6UILDING SURCNAR(iF <br />CITY OF EVERETT vueucwonks <br />LOCAL SALES <br />TAX COOE IS 3105 TaT^� <br />FEE <br />R(CFIPf NO <br />.—_ .— _"._—.'_�. . . <br />0 <br />