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APPLICATIC J FOq CONSTRUCT' �N PERMIT /,✓� <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT C <br />BUILDING I)EPARTMENT HEATING SY: -M: 'JGAS „►El ECTRIC �J _____ _ 1 <br />2�9�8810 — -- <br />I <br />�+( DEMOUTION_ COMBINATION BUILDING MECHANICAL PLU'-dBING SIGN <br />�`iwrrt�n / An nnnncss — c�„• — --- — <br />_ly'_I��r]_l:i���_�I c� 1 � .�l �7�e �I w�H �j1 �i�� � �L���'ri� 3 � <br />ilNANI M�II�D�(IG55 Clir ZiP PIIONE - <br />13Cr�r�— �77.L A��� �_��:// <br />ni�aurecronoesiaNer+ eu�innon�ss crtv nr <br />v��or�e <br />GENER4LCONiR�CTOR lAAI��pDFF55 CrtY ZIP PHONE <br />SiAiE IICENSE 1 <br />MCf.rUNIG�LCONTMCtOq M�IL�DORE55 Gi(Y IIP PHON[ '- <br />STAtE IICENSE � <br />G(NIIRACIOR MAILPOORESS <br />COIIINPq PRICE Of WORK <br />UES[RiOE WORN AND SOU�RE iIXJ1AGE INVOLVFD <br />,� 5�= <br />use or euiiniN , <br />LEGAI OESGPIPTION OI PqppEpTy �SIIpWN BEI OW ON �TTIICH TWO COPIES� <br />lOi AIOLN —_ pp <br />�/ /z�cq�-�97bA���sr_ "i�,.,��c�te�-i-o. <br />rvr.a� ppzo <br />�Z �fY'+q -/Z/5i SL j.Gx'�.j0<8L`.5-/-015'OA� <br />PAq�EL iqM 1 D IIUMBER <br />CON51RUCiqNIO�N <br />� i �ne � <br />NO. TYPE OF FIXT <br />WA7ER CLOSET �TJIL <br />�ATHTUB <br />LAVATORV �WhSH BA; <br />SIIOWF.R <br />KITCHEN SINK 8 DISP <br />PIIONE <br />LAUVDRYTqqV <br />CLCTHES WASHER <br />URINAL <br />DfiINKING FOUNTAIN <br />FLOOR DRAIN <br />6Ar,v�LOW PREVEN7ERS <br />ROOF DFiAINS—FAINLEADERS <br />SIIJK �;ERVICE—BAR, ETC.� <br />_ __ � <br />_ SUB TOTAL $ <br />_ _ _ PERMIT $ —� <br />_ TOTAL FEE 5 � <br />FOR OFFICE USE ONLY: <br />lnONTSEIBACN RE�RSEIORCK <br />USf :ONE 10U11BA <br />tVP! Of LONSI NO 01" STbqIES <br />SidEOFplDO I FIRFSPiINNlFNSRC�� <br />F�q[ <br />Mdvrpv�---�"-- I PUIlSPPPROVE�BY <br />041! <br />SIbE Sf fOnCK <br />zm <br />I CON/ACT PEPSON AND PHONE NO <br />�%�,/� (���rrdrl <br />LICENSE � <br />4f� �i- � 4 � 7 <br />i HEREBY CEFTIFV THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION ANU KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING TIiIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITV TO VIOLATE OF CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THG <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPEFTV TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPIV WITH THE STATE <br />CONTRACTOpS LAW 18.27 RCW ANU 296.200 WAC. <br />'/�/''�-•/�j. ^�_ �/// /, <br />.',�nri,n��J�+L.C.d.Yl .o,�[ ' �f7' <br />n�G—A�HNDLG UNITS—H.P <br />FORCED AIR SYS7EMS—B.T <br />UNIT HEATERS—B.T.U. M <br />CLOTHESDRVERS <br />VENTILATION FAN <br />r-- <br />' RANGE HOOD <br />WAiER HEATER <br />VJOOD STOVE <br />METAL FIREPLACE (WOOD BI <br />FIREPLACE INSEPT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />'-' VES : �� NO <br />�%NnArKr M�pDWf�IMfiW��S <br />t,na v <br />N45EUENT <br />���' YES : �. NO <br />RE IGN7 UMI fAl10N <br />CI7Y OF EVERETi <br />LOCAL SALES <br />TAX CODE IS 3105 <br />� <br />NUMOFR <br />ouaoiNc <br />PLUMOING <br />MECHANICAI <br />ADDITIONAL PLAN CHCCN <br />OTHtR <br />STATE AUIIDING SURCHAFGE <br />PU�IJC WORNS - <br />TOTAL <br />M <br />— — —�--- <br />---� – <br />)TAI. $ <br />i $ <br />FEE $ <br />NECBPT NO <br />f10N FEE <br />