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,- - <br /> � �.N FOR CONSTRUC'. �ON PERMIT e"e�P'c <br /> rr,e e,b „ey � O TO 8E COMPLETEb IN INK—PLEASE PRINT � <br /> CITV O <br /> eV �AY 17199t HEATING SYSTEM: U GAS �ELECTRIC U —� <br /> BUILDING DEPARTMENT . ...... <br /> 259•eet0 CITY OF EVERETT <br /> DEMOL14�Ai Permit Cc��BINATION BUILDING �(1iAECHANICAL PLUMBINQ SIGN <br /> OMMER �y/ MAIL�ODRESS CIiV c ZIP PHpNE '�L <br /> 7�N� M��L�OD�AVZ�S � K �Y I�]O� IIP��LL STE E���G� ��I <br /> SsLJe2 lAK /90� - �lo'�+� 5T S,F . E��rr 48acR�z y,�, <br /> 11 UTECTORDESIQNE� Mllu,00 ;�� � �������� ���0 E ������ �/� <br /> P S <br /> a• 1r� T�U VOf�.7�/!.� 1 33a� c SrKk 21P ���/ / E � ICENSEI <br /> �,r� r. � � �-4� <br /> MECNI�NIC��P`{I�VL��DDIO����7�� LITr�/r// LC Z��/� /�7�OL/fil7 A���NSE� ��r�� III��� <br /> /I�� ! ��� <br /> N/G�J <br /> PLUMBINOCONiR�CTO M� Gi�V 11P P110NE LIGENSE� <br /> C1�580F WORN <br /> ' �. NEW � AOOITION xALTERATION REPAIR DEMOLITION WOODSTOVE/FRPL INSERT � BUILDING RELOCATION <br /> � I L�,O� CON7ACTPEP �NDPNONENO - /�� � ��.��� X/�O <br /> CONTRACT PRICE OF WORIt � <br /> ESCRIBE WdIN�N ai�ne vooua INVOLVEO <br /> �EOcA� �XrsT A�k. w /�f�w � <br /> PROPOSEOUSEOFBUIIDING I HEREBV CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> C� APPLICAT�ON AND KNOW THE SAME TO BE TFUE AND CORRECT.ALl <br /> LEO�L DE6CRIPTIONOF VROVEBTV�SNOWN BELOW OR�TT�CH FWqCOPIEB� PHOVISI04S OF LAWS AN�OHOINANCES OOVERNINO THIS TVPE OF <br /> WORK WILL BE COMPLETED WITH WHETHEF SPECIFIED HEREIN OR <br /> �ot BLOCN ov NOT. THE aRANTINO OF A PERMIT DOES NOT PRESUME TO GIVE <br /> - AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV ' <br /> � � � OTHER STATE OH IOCAL LAW REOULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORI2E0 BV THE <br /> OWNEF OF THIS PROPERIY TO PERFORM THE WORK FOR WHICH <br /> �� -- APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTORS LAW 1 B27 RCW AND 298200 WAC. <br /> � SION�iURE'JFCdIT TOPORAUTNORRED�OENT O�TE C-//_��/ <br /> � \� r <br /> PPQIEC7ADDRE55 ' ' `������� <br /> ^ � � � � � C�MS LI7Y BUSINE55 LiCENSE NO AND BUSMESS N�ME � �). 1 '. <br /> vV <br /> PL'JMBINO MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. T�PE OF EOUIVMENT FEE I <br /> WATER CLOSEi(TOILET) NC—A/HNDLG UNITS—H.P. <br /> BATHTUB FORCED AIR SYSTEMS—B.LU. M E.A. � <br /> LAVATORY�WASHBASIN) UNITHEATERB—B.T.U. M <br /> SHOWER CLOTHES�RVEFS <br /> KITf.HEN SINK 8 615P VENTILATION FAN ; <br /> DISHW�SHER RANGE HOOD � <br /> IAUNDRVTHAV ; WATER HEAIER <br /> CL0T4E5 WASF"A � WOOD STOVF: I <br /> .— <br /> URINAL ' METAL FIREPLACE 8 CHIMNEV � <br /> DRINKINQ FOUNTAIN i FIREPLACE INSEPT ; <br /> FLOOR ORAIN HEAT PUMP �. � <br /> BACKFLOW PHEVENTERS ; GAS PIPING ' <br /> ROOF DRAINS—RAINLEADERS � EXHAUSi FAN <br /> SINK(SERVICE—BAR,ETC.) ; 4_ <br /> � � <br /> � � <br /> _ ' <br /> SUB�70TAL S ; SUB TOTAL S � <br /> PERMIT S PERMIT 5 � � — <br /> TOTAL FEE S TOTAI FEE S <br /> FOA OFFICE USE ONLY: <br /> F110NTSETB�CN RE�NSETB�CK SIDESETB�CN PUNLNEf.RNUMBER FEE RECEi�TNO <br /> � 70 / <br /> USE I(M!E l0��RE� VeC�Vlt SITE FEtS VALUATION FEE <br /> T <br /> euaoiNc <br /> nrcorcoxtsuiow�ets rvrcatoxsr�cruu naw.r�+ +naora����c���n <br /> �""'� PLUMBING <br /> 9izEOFe�Oa �+oorSToniEs a�9EMENr MECHANICAL f� <br /> � <br /> OCCUP�NGYLWD FIRESPRNNIERSREO'0 HEqHiLIMP�TION ADDITIONALPLANCNECK <br /> OTHER � <br /> i <br /> REI15d1 fOR SVqINNLENS --- T- <br /> 5TI1tE BUILDING SUNCHAHGE i <br /> MT�KE BY Pl�N9�PPROVED BY CITY Of EVERE7T PUBLIC WORNS � <br /> � LQCALSALES <br /> TAX COOE IS 3105 TOTAL S�� <br />