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APPLICATIQ" � FOR CONSTRUCT' 1N PERMIT � <br />Ti. _.' COMPLETED IN BLACK INK—PLEASE PRINT <br />BUILDING DEPARTMENT <br />259-8810 <br />DEMO�ITION COMBINATION <br />y51An pApLTESS <br />!i-;' .� 3/07 C, <br />HEATING SYSTEM: J GAS <br />1lrynNt • e�ni�,lnonE55 ---� <br />Sa In G <br />nr.c�arttcroaorsr��,ryin �,�aii nnnnFss .—. _ <br />G NJJ Arc%ifecfs 272Z C.16 <br />--+-- ----�`-- <br />, r+en�i curJrneaou •ooaess <br />-r s ., � �, , , �ii` �� a , � r i �. I <br />apORE55 <br />� <br />eooaess <br />BUILDING <br />cnv <br />e . � �Ye <br />cnr <br />_. Eve, <br />��:m <br />� .+L_ <br />;IIY <br />J__ __ _ ----- <br />MECHANICAL PLUMBIYG SIGN <br />7�� vHONF <br />F 98�01 303-l103 �Q;c�C Vi��lauel'� <br />tm — —� P��ONE <br />�' Pr�OryE N /� ` ' � <br />�8�i0� �Z.s9" �.S�Id / !I FG /V (G�iSG/� <br />� ��' ���ONF STeiE LICENSE � <br />TIP <br />UCENSE � <br />�"T ZIP PHONE Sr�iEIiCENSE• <br />CONiRRCT PPI. E OF WtIAK � <br />�'df�Mw.'�e_� I S, C00 <br />DES�t+ iBE WORn AND SOUARE FOOLAGE IN .VFD � <br />_tipprex. 2s0 r��°` A�d.(i'�ien '�o <br />Pinaview ecrew, in Bui l.ir� <br />_�ene - sf'.r� <br />rr�ni•OSEO uSE OF BwiDiNG <br />___N.O__l�Or/�ro.0 �Fssoc, o-Ffr�� <br />LFG,II.DE RiPipNOFPAOPERTVSNOWNBEIOWON�iiPCHi}yOCOPIE51 <br />iar eioc� or — <br />S�� A�Ft�h�,� <br />ID <br />COHSiFUCLqHLO�NIENDEd �DORESS.TkLEPNONENUMBEH <br />YXOJECTAOOqESS^ ^ O � �IB / rI / IRCG� .S� �, <br />�� � <br />PLUMBINO <br />NO. TYPE OF FIXTIIRF (]R ITF/J eee <br />CLOSET <br />LAVATORY�WASN <br />SHOWER <br />KITCHEN SINK g ( <br />DISHWASHEf± <br />GLOTHES WASHEF <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DFAINS—FAWLEADE <br />SINN �SERVICE—BAR. ETC.) <br />PERMIT $ <br />FOR OFFICE USE ONLY: <br />FqON1SETB�CK PER115EIB�CN <br />2�� � �o <br />USEIONC IOTRREA <br />fVPF Of �pNSt NO OF STORIES <br />� / / <br />54E Oi AL� fiRE SPRiNMLERS REOD <br />2 s2 _ Nv <br />OCCUPANCY�OAD �iqEAURMPEOD <br />3 NO <br />RF�SON <br />ih�n�l B�� I PipNS�PPR EOflV <br />%'1___ <br />i �'^'� in_4 _ <br />�vn�n�irv�avrvnrvunNrykNO M�k A� ' <br />� /V%1 <br />iS7- I SGG <br />I HEREBV CERTIFV THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TFUE AND CORRECT. ALL <br />FROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br />WORK WILL BE COMPLETED WI?H WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRAN7ING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS Of ANV <br />OTHER STATE OR LOCAL LAW REGULATING CONSTqUCTION OR THE <br />PERFORMANCE OF CONSTRUC710N. THAT 1 AM AUTHORI2ED BV 7HE <br />ONlNER GF THiS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLV WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC <br />�� .� ,.� .�-���4=-�.9-�79-95 <br />s�� .eruin o�re <br />��„—� :.�,..,�,�„�, �„ <br />---......._.._ <br />NO. TVPc OF EOUIPMENT <br />A�C—AHNDLG UNITS—H,P <br />FOFCE�AIRSVSTEMS—BTU. M E.A. <br />UNITHEATFRS—BTU M <br />�CLOTHFS URVF,�S <br />VENTILATION f-AN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE �WOOD BURNINGI <br />FAN <br />� �� <br />SIUFSFtN4f.N PL�Nf.HFQNUMpER <br />S ,� <br />VACANT SILE FEES <br />VES .✓ NO <br />BUILDING <br />Of[iy0yn y00/P�1'I.uM1GUryne ___ _ � <br />li9n : <br />PLUMBING <br />BAS[IAENf <br />VES / MECHANICAL <br />HHaHT UMitAnON A�OIiIONAL PLAN CHECK <br />_._.... ____.__.. ._ . _ OTHFR <br />STATE BUILDING SURCHARGE <br />CIiY OF EVERETT PU�IIC WORKS <br />LOCALSALES <br />TAX CODE IS 3105 Tor�i <br />SUB TOTAI S <br />PERMIT S <br />TOTAL FEE S <br />_ � <br />iFE � RECEIPINO <br />/ <br />VALUATION FEE <br />/2 �%�.(00 <br />�_ <br />�` � / !j'i <br />— i--- <br />L' <br />.,i�-: _ <br />