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APPLiCL1TeC l FOR �OMSTRUCT' 1N P�RMIT �� <br /> TO 8E COMPLETED IN BLACK INK—PLEASr PRINT <br /> BUILDING DEPARTMENT L HEATING SYSTEM_j�GAS _J[LEC7i+IC J ________ J <br /> 259-8810 <br /> DEMOLITION COMBINATION x BUILLD` NG jX MECHANICAL �.PLUMBING SIGN <br /> OWNEA NRI��p0�E55 ,r�,�I Gi��j� jIP PHCNi <br /> �' ' u _5/ry %1�iZ� -ia��'^' -�;v��v�N 9�2��--- <br /> N�Ni MRi�DR[SS CrtY J�c i unNE <br /> �ACMiTEGi OF DES.GNEF MML r1�peE55 LiTY +iP � pMO�IC <br /> i`,1 YJS4/ 7 /J� <br /> � � 2 s,2 - X�v n <br /> ENER�tGONiR�CTOR M�R ODRL55 CIiY 21v P��O4F 5TIEUCENSE♦ <br /> /1 �� � � �m rt:.e oo �ne,v <br /> /�Gql'/� n�i/1 CaN�}' �v /JCx 3 2/l Ev �v✓ �-1�.�-�=�--�_`11�1aZ.�— <br /> L NIC�L�.ZE�-CO���R�CTOR A��iLAODnESS Crtv ZIF P�pNE STATEUCF.NSE• <br /> 6/�¢.� 9veNn Stu�`e. SAe�'-MrcFa � EvPve /� �, . �// <br /> PIUMBiNG C NTR�CTOA M�iL Af.OAE55 CIT\ 71P �PHpNE � SL.1TE LIC�kSE� <br /> �'��✓�y; //e /'�u �N6ii��----- — -G _�s-S-S� <br /> CONTR T Pq�CF.OF Wpl1N <br /> ''I�/O.p00. �i7 � <br /> DESCFIBEWORN�NDSWIREf00t10E1NVOLVED O� � WNT�CT�F.RSONnNDPNONltq — — <br /> A�Qav� /� �t 5/ .� lL��_1� Q-� -- _ <br /> �Q�_5�—F��'f� ' � er aJi� "� 3�— 7ti l Z <br /> --- I HI:FC-BV GERYIrV THAT I HAVE READ AND EXAMINED THIS <br /> PRO?OSED USE Oi6Wl01NG APCLICATIO�AND KNOW THF SAI�E TO BE TRUE AND COiiRECT.ALL <br /> �L w �� 5/ 2 i1 l. � PRGVISIONS OF LAWS AN�QRDi"lANCES GOVERNII.O THIS TYPE OF <br /> LEG�LDESGR'Pi�NOFPROPEPTYISHOWNBElOWO r�cHiw coriesi WONK WILI BE Cf)MPLETED WIThI WHETHER fiPECiFIED HEREIN OR '� <br /> � Npi. THE GRAN iNG UF A PERMIT DOES f`ciT PRESUME TO GIVE <br /> ior� e�ocK -- oF AUTHORITY TU VIO'_ATE OR CANCEL TF,�E PROv151pNS OF ANV <br /> SNG.e7 �A?' � " q� OTHER STATE OR LGCAL L4'✓J REC7ULATING CUNSTRUJTION OA THE <br /> PERFOFlMANCE OF COtIS i RUCTIGN. iHAT I 11M AUTHORIZED BY fHF <br /> �p/f1,1! ��,��'.�L'�, _ OWNER OF THIS PFlOPPRTV TO PFRFORM THL WORK FC9 bY1!;�H <br /> r� APPLICATION IS MADE AND I COMPI.Y WITH THE STATE <br /> PRRCELiARID NUMBER <br /> {/ ' Q a o� CONTRACTORS LAW?8.27 RCW ANG 296.2C0 W�C. <br /> �� IO - Oo_C) - OP/ <br /> LONSTRUCTqN!OANLEN�EF 11pORE55.7ElEPHONF.N MBER <br /> PHOJECT ADDRES s�cv�wae rL�` '� "�---o..��— --� <br /> �o� �n�� P/ s� ��,.a„s,tiEs,<<��,_�„� - -- — <br /> PLUMBINO - MECHANICAI • <br /> NO. TYPE OF FII(TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) 0.�C-P�HNDLG UNITS-H.P. I <br /> BATHTUB r FURCEDAI�SVSTEMS--B.T.U. M E.A. <br /> /� LAVATORV(WASH BASIh) UNIT HE.4TF:RS-B.T7. M _ � I <br /> SHOWEF CLOTHES OFiYERS —� <br /> � KITCHEN SINK A DISP � VENTILATION FAN ' <br /> i ._ _ <br /> DISHWASHER i RANGEhi00D <br /> IAUNDRYTRAV WATEF HEATER � <br /> — —_ _L___ <br /> CLOTHES WASHER i WOOD STOVE ; <br /> UP'NAL METAL F�REPLACE(WOOD BURNING) � <br /> DFINKING FOUNTAIN FIREPLACE INSERT ; <br /> FLOOR DRAIN HEAT PUMP T- <br /> BACKFLOW PREVEPlTERS GAS PIPING ; <br /> ROOF DRAINS-RAINLEADEFS EICHAUST FAN <br /> SINK�SERVICE-BAF,ETQI ' <br /> '- --- ----i— -- <br /> � <br /> -- —+-- <br /> ----- � <br /> SUBTOTAL $ SUBTOTAL S ' <br /> —_- _�_—. <br /> PERMIT $ PERMIi $ <br /> TOTAL FEE $ TOTALFEE $ � <br /> FOR OFFICE USC• ONLY: ��7, � - <br /> FRON�i�CN ��/ R�SE7N��� SiDE5E1�N " PUNCHECNNI�pF L/ FEEC// ��� AECEIPLNO � <br /> --.sa � �. <br /> usezoNe iotane• vncnNrsnF FEES VALUOTION FEE <br /> � "' � � �32 VES NO BUII�ING 1 ' �"� � <br /> iwEo�cox5r NoovSrneiEs r�� . � r�x��„Nc��+�s i�ti �y� �= _- __ � , <br /> _ 2 �Q� PWMBING 'r�.. _ ,'( l <br /> h'J <br /> SIZEOfBIp�i FIRESPRINNLERSRECD 9ASCMENI / � <br /> �I —� ry`,_�,_ ES v pJn MECHANICAI _ � i �' . <br /> 5 �A� " — v A�DITIOA4LPLANCHECN (a ' � � <br /> OCCUPANCVIO�D FIRE�URMRf00 HEIGHiLiMItRtIDI� i <br /> J � +— <br /> O7HEP `,/ � , � <br /> PE�FJN — HU �� •\ _- <br /> STATF.BUiLDING SURCHRRGE � , <br /> w.n�e ev �PUNSAP o n e. CITY OF EVERETT PUBLIC WORNS ' <br /> � � � LOCAL SALES � <br /> rare � �,�, �.� TAX CODE IS 3105 r�rn� �-" ' <br /> , d ;/r ; <br />