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APPLICATIC -1 FOR CVNSTRUCT' 1N PEKIVIIT - <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT ���r <br />� HEATIPIG SYSTEM: �GAS J ELECTRIC J� <br />FlUILUING DEPARTMENT � -- — -- -. --- - -- — - - --- <br />259-8810 <br />DEMOLI7'ION COMBINATION oLBU1LDING MECHANICAL pLUMBING SIGN <br />�)__/L�(l r �lYo 51��21� 3�---__ __._ <br />owrrer+ i.u��ano�ess �r� rm r��o��e <br />Dua,�.E 5�,;,�11, �9�y-.r� �� w __ c; .� 66oG _ <br />tEN4N1 1.14114p[1Pf55 Citl :iv PIKNI[ <br />—" — __ . _ __ ___"_'_"__—__"__" <br />A�CNIT[CTOi1DE5:fNER MAllRp0�E55 LITY Iln PNOHE <br />�C's �jr �iv.� /i/�-/�la, ��5�-�S� ---�����?c� 3 S3 -d 1�3J <br />ccr+caaTtoNr� ron r.uanooeess nrv n� r�,oNe srnrri�rrn��,—"_' . <br />�ne �U, ��,,-, �9/y-J��t ltJ _ _ �� �,�> ��?-2_� ��6 ����1�8i�11 o L E <br />ME IANtG�ICqN���Q�OP M�4/DDFE55 C�1v ZU' PUONE sinii nol•�q e <br />I <br />�— — <br />�IUTABiNGCONTRRCIOR MAiLqDDPE55 Ci1Y 7i� PHO'JE ;i4'[IiCF.N:! v <br />CONTRACTPPICE OF WOFN <br />OESGRIBE WONN RN� SOIMPE FOOUG[ INVOIVED <br />CONiICT PERSON �NOPNONE NO <br />S �/L `/Vetv Co,�,filv-�-"�irtv_�_��l_7�;f��. <br />�,F <br />�G�RQ ��� � HEREBY CEHTIFV THAT 1 HAVE PEAD AIJD E%AMINED 7 iii'�. <br />r nGSED`u5e oF eainrt+c APPLICATION AND KNOW THE SAME �O BE TfiUE AND CORRFf. i ni i. <br />S� __ FAOVISIONS OF LAWS AND OFDINANCES GOVERNING THIS TY�'E r r <br />IEG�l0E5CNPT10NOFPROt'EnTY�SHOWNBELOWORAtT4 i�rw�cor�es�� � WORK WIIL BE COMPLETED WITH WHETHER SPECIFlED HERG�P! �'�'�. <br />�_ S� 3o-9'Z NOT. THE GRANTING OF A PERMIT DOfG VOT PRESUME TO GN! <br />l01 BLOCN �F �. -- AUTHORITV TO VIOLATE OR CANCEL THC PROVISIONS OP P`i'� <br />OTHER STATE OR LOCAL LAW REGULATiN � i,^,NSTRUCiION OR 1�!� <br />— PERFORMANCE OF CONSTRUCTION. THAT I AH' AUTHORIZE� 8'� liif <br />OWNER UF THIS PROPEFTV TO PERFORM TH= WORN FOR 6'✓ii'�.�� <br />— APPLICATION IS MADE AND I COMPLY W'ihl 1H[ ',U�!� <br />vnnce� r�z io Nu n CONTRACTORS LAW 1827 RC AND 29fi.200 WAC <br />_Fbri;r,. �� C'��1._oao_Oy8-Oa�y //////�� /� <br />CONSTRUCTIONLORNLEN�ER AODRF.SS.TEIEPHONENUMOER / / --'/�,�'-' �"'— [/ � �_� <br />PAOJECT DORESS � ' _'.";'."' �� - i'•9.... .. - -. � <br />�D_ � - /I'�-li� S-� .S f, - - -- _ _ --- <br />PLUMBINf; MECHANICAL <br />N0. TVPE OF FIXTURF OR ITEM FEE N0. TVPE OF EOUIPMENT FEE <br />Z WATER CLOSET ITOILET� A C—A HNDLG UNITS—H.P. <br />BATHTUB FUACED AIR SVSTEMS—B.T.U. M E.A. <br />LAVATOHV ;WASH BASIN� UNIT HEATERS—B.TU, M � <br />SHOWER CLOTHES DRVF^S <br />KITCHEN SIMH 8 DISP FNTILATION FAh —' <br />—� <br />DISHWASHER RANGEHOOD _ _ <br />LAUNDRV TRAV WATER HEATER � <br />CIOTHES WASHEfi —� WOOD STOVE <br />URINAL METAL FIREPLACE (WOOD BUfiNING) __ <br />DRINKWG FOl1NTAIN � FIREPLACE INSERT � <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF ORAINS—RAWLEADE <br />SINK �SERVICE—BAR, E1C.) <br />SUB TOTAL $ <br />PERMIT S <br />TUTALFEE S <br />FOR OFFICE USE ONLY: <br />raoNise�nnr� n�-nnsen�ncn J <br />U5�n[ LOf Al1E� <br />/� ~ ��� <br />ivni or Hsi No r sionies <br />��g • <br />YE17eL5f 7 FwEsraiNniEnsn�o�o <br />G� �4� J <br />O(:Cl)PANCV lOAO i1RE �lRtiN RFU� <br />/li�d �! �7 <br />RfAS@1 <br />nirnnc av runs <br />rn�r <br />ri nr <br />� Y. <br />SIDf SELflACK <br />� �• l <br />yAf.qNi 5 r <br />VES N7 <br />�,,. ,,.w,,�,.— <br />�� �_ <br />BASEMEN' , / <br />VES (/NO <br />H[101R IIM11R110N <br />� � <br />CITY OF EVER[TT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />HEAT PUMP <br />GAS Plr'ING <br />E?H4USTFAN <br />1 <br />SUBTOiAL _5 _ (J� <br />PEFMIT $ <br />TOTAL FEE 9 � <br />nin��r.��[ppp444... �+�iMer�q fFF <br />� /' _ i� <br />/' � t� C� J � <br />ouaoiNc <br />PLUMBING __ <br />MECHANICAL <br />AOOITIG.AL PLl�N CNECN <br />OTHEF� <br />57.\TE BUILD!NG SURCHARGE <br />runuc woqres <br />rotu - -- <br />r�o <br />