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APR:.ICATIC 1 �OR CdNSTRUCT�- �N P�RMIT �✓� <br />TO BE COMPLETEO IN BLACK INK—PLEASE PRINT <br />BUILDING DEPARTMENT ��A71NG SYS fEM: U GAS ❑ ELEC7RIC U _ I <br />259-8810 <br />( I DEMOLITION I I COMBINATIf�N �A( BUILDING I I MECHANICAL I 1 PLUMBING I 1 SIGN <br />OMMER M�I�A�ORES� I LITY IIP PIqNE <br />r.� 2 1-I�., �q . a , # !�9 � -�.i�.sK- r_��..�� y��x .z y ��cb � — <br />TFN�NT M M1 RESS G11Y ZIP PMONF <br />IIRCNITECTORDESIGNER M�IlA00RE55 <br />GITY _IP PIipNE --_ <br />OENCR�LCJNiRACTOR IA�It�DORE55 � �jL'ITV��` IIV PNONE SI�iELiCEN5E1 <br />(,y�Thi[l1�fM /I9o� Gl--=L_LJ�__��f.'IM%On //OIIS y.�;SN`+O f��Oil�`�O%Cl/.(� <br />Mr; �NIC�L CONIRGCTOR M�II ��DRE55 CITY 211' PHONE STATE IM.ENSE � <br />PLUMBING CONTRACTOR M�II ADORESS CITY ZIP PHONE ST�T� II�ENSE • <br />�— <br />oF eunoiNa <br />IEML DE�SJCR�IPT\pN OFMOPERTY ISMOWN BEIOV! OR �iTACH TWO COPIES� <br />l0T—JL� BLOCN OF — - <br />PARCEL T/.M 10 NUMBER <br />s�- z�- o00 - nso - o� <br />CONSTRUCTION LOAN IfNDER. �OORESS. TELEPHONE NUMBER <br />PflOJECT AD�HE53 <br />�l9 - lIC � c� I'��, <br />P uMoiNo <br />N0. lYPE OF FURURE OR I <br />WATF_R CLOSET (TOILET) <br />BATHTUB <br />I - <br />LAVATORY (Y'vnBH RASIN) <br />SHOWER <br />KI7C4EN SINK 8 DISP <br />DISHWASHER <br />LAUNORYTRAV <br />CLOTHES K'ASHER <br />URINAL _ <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAIN�RAINLEADERS <br />FOR OFFICE USE ONLY: <br />FP .NT 6ETB�LN � RE�P SFTI <br />��� ��� <br />ZONE <br />-I <br />Of LONSi <br />S�ZE OF <br />� <br />1 HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br />APPLICATIJN AND KNOW THE SAME TO PF. TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINi.NCES GOVERNING THIS iVPE OF <br />WORK WILL BF. COMPLETED WITH WHETHER SPECIFIED HEHEII' �F <br />NOT. THE GRAN7ING OF A PERMIT DOES !�OT PRESUME TO (iWE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER UF THIS PFOPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MAD� AND I COMPLI' WITH THE STATE <br />CONTRACTORS'CAW 1827 RCW AND 296200 WAC. <br />� <br />UNIT HEATERS-8. <br />CLOTHES ORVEFS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />5118 TOTAL $ <br />PERMIT E <br />TqTAL FEE S <br />� <br />�6�DESETB�CK PL�Ng�CNFGN <br />� �-/ //� <br />LOT ARE� � <br />I �I . -� ? I � <br />F'RE 6PRINNIERS RE/7D <br />VES �NO <br />D[CuwNtr No a UMt��� uN�rs <br />�,FMi> <br />B�SEMENT � / <br />Ci VES WNO <br />NCq/R LIMii�TION �— <br />A � � <br />INT�NE BV PL�NS �PFFOVEUBY CITY OF EVERE7T <br />��J I� LOCAL SALES <br />� 7�� /� TRR CODE IS 3105 <br />BUILDING <br />PLUMBING <br />MECNANICAL <br />AODItIONAL PLAN CHECK <br />OTlIER <br />STATE BUILDING SUHCHPRGE <br />Pl18LIC WUHNS <br />TO7AL <br />rY7�n U � .� <br />f <br />a <br />FEE <br />0 <br />