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/�PPL'f��i►TIL ; Fl)R CONSTRUCT' 1N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PIEASE PRINT �'� <br /> BUILDl:^JG DEPAR7MENT HEA7ING SVSTEM .�GAS ,.J ELECTFIC J I <br /> '- -- - � <br /> 259 Bfi'� -- --- -- ----- <br /> DEMOLI7IQN COMB�NATION BUILDING MECHANICAL PLUMBING SIGN <br /> —------- <br /> owpFn� / 6Uil nPnn1� .._____._ ._ . . . ---. --_.__—_ _ __ _ _'_.-- <br /> ��`f(/lUj'l� irtr nr —v—��roa _ -... . ._ —_____—_—._—_ <br /> �rvnH� --�/1�i%Q No>>U.� /�-�3/�/=:y7'��-1dZ_/17. .t''L �o / <br /> M�„a„�,�Fs,, �l_f , (f%u 98:t7s 7 y3 3v 3 <br /> 71P P1H)NE <br /> •��UaikClpqOES�GNFF M��IADORE55 -- <br /> �Q �y��� � � ) CrtV lii' PN/ON�Fj p <br /> �Y!_I�.]j] / lu.cl/17'7Q/!'LIV �V'�O - �O p� <br /> t� NFRAI C(NJiqACiOR M�q�UDRF.55 CITY plp <br /> '��11.J �/ P�����E SGiF IIGENSE� <br /> Ifl Y�Y77LL��.'rK . /33/'/-47ieP.�. /yJtl.t%'/tru /n./. <br /> M[C��RNiC4 6CNIR�CiU� MMI �ODNF.SS --" Crtv � _._'--�p 7y � ?`� � I ���E N�7�/y 4 <br /> 1��� P��nNf 5l�TF t iCENSE/ <br /> aiUlABni(iCJNiR�CTOR MNI�lARE55 (:i�v <br /> Z1P ��E Si�TE LIf.ENSE• <br /> -.CNiRECTPRICEOFWONM D - "- <br /> -_ �-�1 �� <br /> P SCPo9E WppY�ND 5�%lAR[F(R)TAf I'INVO�vf 0 CONT�C�G p$pN�ND PHUNE NO I� <br /> N�.� J�al�Ica.0----- ����f�l/J U_ Nn� 7Si3 - 34 3/ <br /> _ _ i7 9s ,��� _ -----�'_�v.6,c�'i. 9Su_iG7� _ i <br /> oaoroseouseovPui� ---- � HEREBV CEPTIFV THAT I HAVE READ AND EXO,MWED THIS I <br /> �^1��� APPLICATION Afrf'HNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> ����__._. PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS ir'i_ (ic <br /> iFcei.orse/ei�vnrn�peraoeenrvisNcv�� Fiowor✓+erta�cr:rvmeories� WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HFfiERI C�R <br /> <<>�--�� oi.pr.� ._ pp 11�yj�� _ NOT ?HE GRANTIPIG OF A PEFMIT DOES NOT PflESUME TO GNF <br /> � �/� ��- . AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> �Z'��e�i(t1eG�_ ___ OTHER STA7E OR LOCAL LAW REGUTATING CONSTRUCTION OR THE <br /> �j Z — PERFORAIAP�CE OF CONSTRUCfION THAT I AM AUTHORIZED BV THE <br /> �,� C� �Z' Q C� t:% --O O � � � OWNER OP "iHIS PROPERTY TO PEFFORM THE WORK FOR WHICH <br /> P�prEi�AMiuNUMneR Z'Oa lyS=��S�-- APPLICAIIpN IS �4ADE AND I COMPLV WITH THE STA7E <br /> /��'Ja _������� �� y y a�n j� CONiRAC��,JRS LAW �827 RCW AND 296.200 WAC <br /> +�s ��� <br /> �AHSiRI l/f�t)1!IO�N IENDE9 ADORFSS iq h PHONE NI II.IflFN / <br /> PROJECT ApD�ES�' �,---------- — __ /K`� ���'.L' �� c� �� <br /> l0 �)� /D� �S' L� . /� <br /> _ PLUMBING MECHANICAL � I <br /> N0. TYPE OP FI%TUHE OR ITEM FEE NO. TYPE OP EOUIPMENT <br /> ? WA7ER CLOSET�TOILET� �CE <br /> -- — -----__ ' A�C—A HNDLG U"'ITS—HP. <br /> "� BATHTUB � � j FORCEU AIR SVSTEMS—BS.0 M EA. <br /> LAVATORV�WASH BASIN) — --T � -- — _.__ <br /> UM1ITHEATERS—B.TU. M <br /> SHOWEF � CLOTHES DRYERS -- <br /> KI7CHEN SINN 8 DISP � VENTILATIpN FAN � <br /> DISHWASHER � — <br /> � ' RANGE HOOD T - <br /> � LAUNDRV TRAV y— —1— - � <br /> CLOTHES WASHER I WATER HEATER ---� <br /> WOOD STOVE <br /> UFINAL METAL FIFEPLACE(WOpO BURNING� <br /> DRINKING FOUNTAIN FIRFPLACE INSERT — <br /> FLOOR DRAIP� HE,�T PUMP �— <br /> BACKFLOW PAEVENTEqS ' GAS PIPING "- <br /> _ POOFORAINS-�RAINLEADERS EXHAUSTFAN — <br /> SINK �SERViCF BAR,E7C� —' �.0 �� — --. <br /> — —T <br /> ___ _ __ _ ____ SUB T07AL a SUB TOTAL S <br /> PERMIT S -- ----- —1-- - <br /> -- ----------- — PERMIT ,� <br /> _ TOTAL FEE S TOTAL FEE $ � <br /> FOR OFFICE USE ONLV: , , � <br /> FRON/SETBAC.N REI1RSEtBAf,M S�DESF.TB�C�N P(�NfHFcnNUMAffi �EF HFI.FiP'h;� <br /> �" �'�' s ��`"- � 3 77c��� /�>��G/ <br /> usr�9Nf. � LOT�RE� veceqt srte FEES VALUATIOk FEE <br /> r � -- <br /> VES NO <br /> fvPF pf CON51 NO OF SipqiE9 M r� BUILDING (" - �-- /` _ _.l � <br /> _�I��YJ-'_ , , � <br /> �J�I— ,��. , N, ,,� ---- - _ _ __ —... <br /> � �� �. '� �� PWMBING �� �',� <br /> SJF�O�I9L[]O } FiqE SPRINNLERS�'1f.OD 9�SEMFNI � � -- <br /> I747 f �A/t � ^�C�' VES �YNO MECHANICAI '--_ _—'_ �/� i� ,�. 'l <br /> OGCIID�NCYLOAD FlFEQARMREOD MEIGHi;IMitAiifY� A�DITIONALPLANCHECK <br /> J� � Z�, . — _ � ��'��- <br /> ��rnso�� --- � -- - -_ q7HER -- �C� � -i <br /> —_ ' r'____ <br /> SIhIEBWIDINC�SUHCHAqQE ��/ �, � <br /> _.- _. -/ <br /> ��,�..rm VlANS�PPROVF.�PY CITYOFEVERETf rufaiicwor�Ks ' <br /> �� LOCAL SALES ?� '� <br /> u��E�_ `, � �: TAX COOE 1�3105 roT�� � � <br /> 7 1 '.�1 <br />