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�, APPLICAYIO ' FOR CONSTRUCT' 1N PERMIT �� <br /> �{� � TO BE COMPLETED IN BLACK INK—PLEASE PRINT � <br /> i�il <br /> ��„ <br /> BUILDING DEPARTMENT HEATING SYSTEM: I,J GAS ELECTRIC ❑ � <br /> ?59-8810 <br /> � i DEMOLITIAfJ i i COMBINATION_�BUILDING � i MECHANICAL i I PLUMBING I I SIGN <br /> /AYMEP �R ApURES" LIIY — <br /> ZIP PI10NE <br /> ,EL��I � ' �4�X;r9'�� k' STP��..s ��'�� �S� ao�� <br /> n eooness crtr I�P <br /> ruor�e <br /> Aq�NrtEL70lIUESM.NEIi MAII.�ODfiC55 ���y <br /> / / zl� PIqtIF. <br /> Pt%/Qd.ln � �Lla �'iLb/noh+iSL' GJi�7 �3�/ �,�9� <br /> GENER�IGON qAC70R/ R �DORE€s7--- cirr <br /> -7-�J1nq =�P P� S7A LICENF'I <br /> � � /1(�, /._��-2.r !P� :��1' .STOv ['� '7 �y� A <br /> MECIqN �lCON1fl�G AU0.�OORE55 �/� D"/7 (' �C�F/G�/ii <br /> C��Y ziP P�pNE Sf LELICENSE� <br /> PIUMBINOCd17RALTOR M�K�DORESS LITY IIP — <br /> PIIONE SiATEtICENSE• <br /> 1�550F Wpfll( <br /> NEW I I ADDITION I I ALTERATION 1 I REPAIR I i DEMOLITION I i WOODSTOVE�FRPL INSERT I I BUILDING RELOCATION <br /> � / 7 CJOC7�'� c e�r�r�i��P�a No �,., N.ti <br /> CONipACfPRICEOf'NOpN � . / � _� ���� <br /> OE CRIBEWOqK�N�SOU�pEFf�T�GE NVIXVED � _`/ � / �� <br /> � � �A . � y (7 /1J_t��t_ �,, G of <br /> PPOPOSEOI/SE BIlIl01NG /-� ���L' ._�c��Y Y9L�G) <br /> S`V �p , i HEREAV CERTIFY TFIAT I HAVE FrKD AND E%AMINEO THIS <br /> J��Q�I/J�°av P� APPLICATION AN�KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> i¢au oe RIP7qNpF pqppEfl7V�SNOWN BEIOW OR�TTICN IpIqCOPIES� PROVISipNS OF LAWS AND ORDINANCES GOVEFNING THIS TYPE OF <br /> �or�_ �p�H ���✓. � %__�/ WORK IYILL BE COMPL'TED WITH WHETHER SPECIFIED HEREIN OR <br /> --s�--��- NOT. TI1E GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION, THAT I AM AU7HORIZED BY THE <br /> OWNER OF TIiIS PFOPERTV TO PERFORM TfiE WORK FOR WHICH <br /> — APPUCATION IS MADE AND I COMPLY WI'iH THE STATE <br /> CONTRACTOqS LAW 1827 RCW AND 296200 WAC. <br /> ` -�PROJECT�DORE55 �� <br /> � 3/ T'� � s'�` ��.,E <br /> _v��0� rirvpusxrt n:txv xa <br /> PLUMBINO MECHANICAL <br /> TYPE OF FIXTURE OR ITEM FEE N0. TVPE OF EOUIPMENT FEE <br /> WATEF CLOSET(TOILET) / � NC-ArHNDLG UNITS-HP �— <br /> BATHTUB — - � <br /> _ /O ' FORCFD AIR SYSTEMS-B T U. M E.0. —�- <br /> LAVATORY(WASH BASIN) � , /' UNIT IIEATEHS-B.TU M � <br /> SHOWEq , �"---- ��n � <br /> CLOTHES DRYFHS , <br /> _ KITCHEN SI�IH 8 DISP S; VENTII.ATION FAN <br /> DISHWASHE�9 .. � RANGE HOOD � <br /> LAUNDRYTFqY .r; WATER HEATEFI ;-- <br /> CIOTHES WASHER �i WOOD STOVE � <br /> URINAL `-- — � <br /> ' METAL FlREPLACE 8 CHIMNEY �i� <br /> _ DRINKING FGUNTAIN , FIREPLACE INS'S(iT �— <br /> FLOOR DRAI�' � HEAT PUMP — <br /> BACKFLOW P9EVENTEfiS ' GAS PIPING '~�-- <br /> _ � <br /> ROOF DRAINS-RAINLEADERS -- ' <br /> � EXHAUSTFAN �--- <br /> SINK(SERVICE-BAR,ETC.) � -- ---�-- <br /> — --- -- ' — ���< � , <br /> , � <br /> ---T-- <br /> -- ---- — � , <br /> -- ---;-- -- ---- —; -- <br /> _ __ SUB TOTAL S ____r__ _ _ SUB TOTAL { �.p � <br /> ._ PERMIT S PERMIT S T- <br />�I TOTAL FEE E i TOTAL FEE S �J � <br /> FOR OFFICE USE OMLY: K <br /> FflONT5ET8�CN ��s/� / <br />� Bf�qSETB�CR SIDESE7B�CN PL�NCIIGCMNUA10E0 <br /> �`-� �n OECEIPTNO <br />� �� �� '� � �� � 7 � . <br /> USE 10NE J G� i `1 � �/ C�U — �J k; � 1 f- <br />� l07�REA vec,wr m�s FEES VALUATION FF.E <br /> �— / ���� `, BUIIDING ,/. / <br /> IYP[OiCONIS�IIMIABIE iYKU�CONSi�CI0.11 � <br /> -7 acuwxcr xo n u+tiiwsuxi�s --__ __ P�1��_ ��(-� <br /> J�' �� _ _�(.� c ,.�I I PILMF.ING —� .. <br />, 51� B100 � NO pFl;TOPIES BASEM[NT � J - <br /> /'^--�t /`�U� MECIIANICAI ' —� <br /> ___;:r�y�r f.� .-�, `N ,) ---_ _ (aYJ ' d�1 <br /> OCGUPNIG/ OI10 iI11E5PRNalE115RE0U Hkq117UM/17�71DN AnDITIONAIPLANCHECK i <br /> �CJ �--- <br /> 11EI150NiOPSPflINNlENS - - SPRINKiEN � <br /> S1ATE BUII.OING SURCNARGE ��J <br /> MGNE BY PI�NS�PPpOVf OOY CITY OF EVERETT PUBLIC WORNS <br /> LOCALSALES -�� ��'� � <br /> �J�� TAIf COOE IS 3105 TOTAL J , <br /> �C�-� <br /> - � <br />