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APPLICATIO"1 FOR CONSTRUCT' 1N PEFiMIT ��� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING f�EPART4IENT i_HEATING SYSTEM: J GAS J ELECTR!; J i <br /> 259 8810 <br /> DEMOL�TION COMBINATION BUtLDING MECHANICAL PLUMBING SIGN I <br /> ���np qil nl�Unl titi.��� �ilv jiP��_"_' PwJN( _— _ <br /> �'�Gzt>/1"�'� �I�G'� l/arrtG9 .�� e /�,3/a- y���. W �-� 3/ <br /> _/1J_u,l:'!!rv _ '��/- f�- <br /> 'CN�NL M�R�GORESS �--' C�IV -... -. !in P�iDNC <br /> �Rb9iECtqfDE51GNER M�R�DOPE55 GiY tl�' P��q1f <br /> �iarr� /r�'u-virXl�t x� SEi�-�1���' <br /> G[NFR�tCOHtR�C10R M�ILIIDDRF55 G�y_ s Ji� vHONC $UIfLiCENSE• <br /> 7YK�� f�077GL� �1�( S14i9/F CL7 [l.GOC).� �� <br /> ��_3S/3/ /1�pf NOT � /DI NS <br /> AIF^N�NiC4l1'(NJiR�C10R MMIApDRfSti CRv piP Vr�pry��� SptEIICENSE� <br /> �WMBIN�GUNiRACTOR At�it�00RE55 filv IiP PlqryE STATELICENSE� <br /> P,ONiR11GT PRILE Of WORR ' <br /> 11f5CRIPE WWiI(�N�SOU�FE fODT�dE INVq.VED CJNiAf.i PECSON�NO PHONE NO <br /> ��—j/� �' <br /> _ ._—�_ L� �mJ�� /J <br /> �.� 15�a�-�' `��v-S� '' --- -��3;�3� <br /> � <br /> —. __—_ � HEREBV CERTiFV THAT � HAVE READ AND EXAMINED THIS <br /> vqorose use ov nuarnNc APPLICATION AND KNOW THE SAME i0 BE TqUE AND COFRECT. A:L <br /> FFOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVP[ OF <br /> iecuoescnirn r�oranove r,s��awNeei�onaTecr�Tvroconies� r WQRK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> � �J�/,,, IL.. ��It� NCT. THF GRANTiNG OF" A PERMIT DOES NU�I PRESUME TO GIVE <br /> LDI-- PIIKN - OF .rfYiL/LT� — AUTHORITV TO VIOLATE OF CANCEL THE PROVISIONS OF AMV <br /> OTHER STATE OR LOC:L LAW fiEGULATING COIJSTRUCTION OR THE <br /> pERFORMANCE OF CONSTFUCTIC;1. THAT I AM AUTHOP IZED BV THE <br /> ����— � OWNER OF THIS PfiOFEF''V TO PERFORM THE WORK :TOR WHICH <br /> - ---�� — ---- APPLICATION IS MADE AND I COMPLV WITH iHE SiATE <br /> rnn�;i:�reK io NOWeen CONTRFCTOFS LAW 1B 27 RCW AND 295 200 W!C <br /> �30� -�oo - �6 <br /> CpN �BUCTiONLO NIENuER PpDliF.Sti TfLfPHONENU1.IdfR '7S[j o'y'�f <br /> /���sl������`�3� '�`_ -it-�v=-- �_/'� �- <br /> PROJE AODPESS � �F`r � <br /> doy iv� ���_ .s� ---,.,., ., - ------- _ __ <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOl11PMENT FEE <br /> Wf TER CLOSF7(TOILET) A�C—A�HNDLG UNITS- �lP T— <br /> � BATHTUB � FORCED AIR SVSTEMS--B.TL. M E.A. _y_� <br /> LAVATORV(WASH BASIN) UNIT F=ATERS—B T.U. M <br /> SHOWER / CLOTHESDHVERS <br /> NITCHEN SINK 8 DISP VENTILATION FAN <br /> / DISHWASHFR RANGF HOOD T- <br /> LAUNDRYTFAV � j WATER HEATER <br /> CLOTHES WASNER WOCD STOVE <br /> URINAL _ �__ METAL FlRFPLACE IWnOD BURNING) <br /> DRINKING FOUNTAIN FIREPI.ACE INSERT � <br /> PLOOR DRAIN HEAT PUMP � <br /> _ BACKFLOW PREVENTERS _ � GAS PIPING __ ' <br /> ROOF DRAINS—RAINLEADERS !� EXHAUST FAN � <br /> —'r <br /> ^'C:(ISERVICE—BAFl,ETC.1 ; <br /> -- -- --- � <br /> � <br /> — T— <br /> ___� - _—� <br /> SUB TO7AL 5 ' RUB TOTAL E <br /> PEFMIT S PERMIT E <br /> TOTAL FEE 3 TOTAL FEE a <br /> FOR OFFICE USE ONLY: > lL .�C�'� ��itl �B - ;2%� r� f ', 7 <br /> 'N�N1LSEi8Af.M Pf��VSfIP�Ch , SIDESETB�CR FI�NCHFGwNI�MfiF� �fF RELEIPtqO `'���.r I ' , <br /> ^ , ��� �' / �/ � � <br /> L� � , <br /> usF 7cN[e� .,� �or nAi e wc�Nt 5ire FEES VALUATION PEE <br /> iV�� -�)�`-{I � � 7 08S � VE9 NO Bnu o�yr�� �l �. I� /: <br /> f pNSi !A�OP SiOHIFS � �rGwM�. 4n r,nNi ,v: ;�.. . Iv�{���- .—__�J_ �S <br /> uauv PLI 1.191NG � ' — <br /> _�=� - �-- _ _� -�_ - - - -- --�-�--- <br /> S¢EOfBL�f t fiqESPRINxlEnSnEOD B�SEMENT �� MECHANICAI <br /> � VE$ ✓ NO <br /> � 2. S 2 No — _ -- ---- —-- —— � <br /> ��r.r�IP\NGVl.O�D fieE�UNMRE00 NHf.NiUMrtATIt�N ADDIiIONALPLANCNECK /(�� � �� <br /> � r __ ' <br /> +{,��{���' N o j� on�en <br /> R!e5(k1 _ _. . __ . _"_'— "'-- 'T_ <br /> STFTE BUILDiNG SURCHARGE �_ � � ( <br /> ��,�.,.� ,�, N�,Hs.vrqo`q�,n. CITY OF EVERCTT PUBLIC WORNS , • ; - <br /> � LOCAL SALES <br /> „A,E ��`��yy I TAX COUE IS 3105 70TAL '�- � � — <br />