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APPLICATI�.N FOR CONSTRUCI .ON PERIIAITu/^�� <br /> CITY OF EVERETi • RUILDING DIVISION r/ <br /> 3200 CEDAR STREET • EVFRFTT, 1VA 90201 •259-8810 � <br /> DE�NOLITIDN COIABINATION BUILDING MECHANICAL ' PLUM9iNG SIl3N <br /> PRO ECT ADpHESS �• � <br /> ��/- �J7 z' � � s F - �ao <br /> oW�+Fn Mui �unnr c i i v nr r��oHe <br /> �p����.�i� _?r� /2�iy-�/�a—_Cc�LI1GlLl,-/. f�c�(iti 7y3- �5�3/ <br /> tEN�Ni �-�—�u innnnr:s �i�r �in rr�oNt <br /> �RCHRfCTUNnE51GNFn M�i1 ��U��F�S ❑tv J�n AHONF � <br /> AENERMCONifU('ftAl NaiI �PP�l�S Cltv 10` PIqNF. ST�LEIICFNSF.• <br /> l��x� ����,�.� �-ix � �a��zy� �cr� �,�.�v� ���oF N�r� �o�nr� �� � <br /> 1AfCH�MGL CONIR�f.T;NI M�IL App'+F55 fiTY Ti� �IIONE Si�LF IlCFNSF/ <br /> PIUMBINGCONiR�ITOR M�IL�fHMESS fI1V /�P PII�NF S7AiELILENSE� <br /> CONlR�(:I ORICf.W M/OI�I( <br /> HEATING SYSTEM: juGAS ( i EIECTRIC fl <br /> DE9CRIAF.NCRN�NO IURFFOOt FINVOIVF.lP fON1nf(PFnS�i'la1DP110NFN0 <br /> �p�.� l��rn,��C Q�7� �� — <br /> �C <br /> I HEPEBV CERTIFV THAT I HAVE REAO AND EXAMINED THIS <br /> APPLICAI ION AND KNOW THE SAME TO BE TqUE AND CORRECi.ALL <br /> raoroseousr a auiidr+o PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> WORK WILI BE COMPLIED WITH WHETHER SPECIFIED HEREIN Oq <br /> LEOQDESCRtPT10NOFPMWEFIVISNOVMBEUW 11TT� 1 TVIOCOPIE51 NOT. THE ORANTING OF A PEFMIT DOES NOT PHESUME TO OIVE <br /> ior eiceK or AUTHORITV TO VIOLATE OF CANCEL THE PROVISION OF ANV . <br /> Q� ,n OTHER STATE OR IDCAL LAW PEGUTATIN(3 CONSTRUCTION OR THE <br /> PERF0I�MANCE OF CONSTRUCTION. THAT I AM AUTHORIZF,D HV THE <br /> — OWNER OF THIS PROPERTY TO PERFOFlM THE WORK FUR WHICH I <br /> APPUCATION IS MADE PND I COMPLV WITH THE STATE <br /> PAB �,T�V_llp NUMAF.R <br /> - CONTRACTORS LAW 18 27 HCW ANO 296,200 WAC. <br /> ��=�-0 � / 2'��i�//�F� /� �I <br /> CO Tq IpNLO� .FNOFf1 p F55 � P�ENU fl � /�� ���% �7� I <br /> 9[1NR1 F O�IE <br /> �� // .G(�J�� � GTVPIr5WB551N;R6FN� I <br /> PLUMBINO MECHANICAL _ � <br /> NO. TVPE OF FURURE ON ITEM fEE NO. TYPE OF FI%TURE OR ITEM FEE ' <br /> _ T <br /> WATEF CLOSET(TOILETI � A/C-AMNOLG UNITS-HP. � i <br /> 1. BATHTUB � � FORCED AIP SVS.'EMS-B T.U. M E.A. I I <br /> LAVHTORV(WASH BASIN) � HEAi PUMP � <br /> SHOWER � UNIT HEATERS-B.T.U, M <br /> KITCHEN SINN 6 DISP i CLOTHES DFVERS i <br /> � DISFIWASHER � VENTILATION FAN 1_ <br /> LAUNDRV TRAV � / RANGE HOOD i <br /> � CLOTHES WASHER WATER HEATER _ � <br /> URINAL WOJD STOVE _ � <br /> DRINKING FOUNTAIN AIETAL FIREPLACE(WOOD BUFNINC) __-� <br /> FLOOR DRAIN � 'IREPLACE INSERT(WOOD BURNING) ; <br /> BACKfLOW PREVENTERS � OAS FIREPLACE _ _�_ <br /> SINK(SERVICE -BAR,ETC.) � GAS FANdE ' _ <br /> �� � i GAS PIPING � <br /> —�_ EXNAUST FAN � <br /> _� - <br /> � ' <br /> I � i <br /> ' � — <br /> — � i <br /> i � � SUBTOTAL E ' <br />` SUBTOTAL S <br /> PERMI f E i PERMI? S � <br /> TOTALFEE S ' TOTALFEE S ' <br /> FOR OFFICE USE ONLY: <br /> pPONT SFTp/CN PFAII SFtflA('✓ � �iDF Sf��fN PUN CIIFCN NUMPFR FEE PFGEIPT NO <br /> � � a�� o� e .�. S �-lLv�a / 3n � 3� <br />' usFioNe iotene� vncu��srF FEES_ VALUATION FEE <br /> _ I�r I �'4 � �e,6 7'S �'ves ��� :,n eui�oiNr 03 6 z. ' .-? .� <br />� HEIOHIIIM,T�TIDN NOfXf1W[.11MO VZCOfOINjjlt <br /> � UNrtS I�J�J �F PIUMPIN(i __ <br /> � � to S G�rz nc,E 1 <br /> �f:CUP�NCv N^O�S10niE5 IX;CUP�NiIO�U B�SFMENt MECH�NICQ J//�/ I <br /> � 3 2- n �,.FS � - __w.�--�--- <br /> FIREAURMREOU RF�SON �IX➢PONQPL�NCHECN -i <br /> p orNen <br /> �IPESPRINNLERREOD RF�S(XI <br /> N J suTE aunon<o suac�unr,e / i"(_i <br /> � <br /> TYPEOFCONST PUNSMPROVFOflv CITYOFEVERETT PIIPlICWOPNS � — <br /> �J�-I LOCAL SALES — ,� _ <br /> �[_�J ?AX CODE IS 3105 TO7AL ` <br /> unrE 1(0 <br />