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rrcu•I•tvtHtlI L•LJ.-DING DEPT TO( 2066433475 JAN 17, 1992 2:13PM 4412 P.02 <br /> QTS 1�z'CCf,�A—"PPLICATION FOR CONSTRUCTION PERMIT <br /> Ll � Ll)Gl _6.�" 7"�J`r!Cp BE COMPLETED IN BLACK INK—PLEASt PAINT <br /> BUILDING DEPARTMENT HEATING SYSTEM: IJOAS U ELECTRIC IJ <br /> 259.8810 <br /> 1 1 DEMOLITION I I COMBINATION PUILDING I J MECHANICAL I I PLUMBING I I SIGN <br /> OI YEN MAX AODnCASp C" Slv PNOI,E— -- <br /> 7Lu Jir.JC� C�et��f /I L7` '�') l�E.�' z,_W' f,<007 <br /> TFNANv MAR AODOCSS CITY <br /> ZIP pll(WE <br /> AR NITF^1 ON OESIONCn MAIL AUORCSS <br /> CITY ZIP NIONF ' <br /> zcF— _ <br /> OC��-Nxx�rmcoNTRACTOR MAIL ADDRCSS .I" Lo PHONE STATFIICl NSCI <br /> 4TL�ZLG_C2�S� 7f1.�zC.i� <br /> MfCNJJ00A1CMTnACTOR MAA.AIn)nts7 —� CnT _ Ciy-'—'— — --- `�°•T �-iu ITt <br /> 'aDNC STATE LICCNSFI <br /> PLUMOINUC00AACTOR MAILAU011tbb CITY ZIP YNONC S/AIELIC C NV/ <br /> r. A DPwonK -- <br /> EW I I ADDITION I I ALTERATION <br /> // I I REPAIR 1 I DEMOLITION I I WOODSTOVEJFRPL INISER/T' I I/BAIL/DING RELOCATION <br /> '�jj3 ZrY 5Ze CO�N�I/�DT PERSON AC CC:,U. G <br /> CpITRACT YNICE OF WORK /�`J.ii.. Lt: .LIZ >e <br /> OCSC MF WORK ANO SOUAnI POOTAGC INVIK WIT •— <br /> YNDPMDeB v�C-a ona'n/u..l I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> �� �2L�_ APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEML CII IUNOrPROPPRTY(sl SEL ow DnnirACNF00RCOHE&7 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LDT .�7 _., BLOCK OF ' .1LCGV 172r /� WDRK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ,�1 ' L�� .{ 1 ✓ •7 AUTHORITY TO VIOLATE 09 CANCEL THE PROVISIONS OF ANY <br /> VlN S 1� OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. THAI I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH 1HE STATE <br /> CONTRACTORS LAW 18.27 RC W AND 298.200 WAC. <br /> PHOJEDT <br /> ' 4-h C9I <br /> CIIT aLL11MAA I K:Puaf M0. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EGLIIPMLNT FEE <br /> ?j NATER CLOSET (TOILET) _ I _ A/C--AJHNDLG UNITS—H.P. , <br /> B,ITHIUB 7 FORCED AIR SYSTEMS-B.T.U. M E.A. I <br /> LAVATORY(WASH BASIN i UNIT HEATERS-B,T.U, M _ <br /> SHOWER �' _ (_ CLOTHES DRYERS -- <br /> / KI'fCHEN SINK 6 DISP __ I VENTILATION FAN <br /> _ DQ,HWASHER I / RANGE HOOD _ �— <br /> LAIJNDRYTRAY ; _ _ WATER HEATER <br /> �- CLOTHES WASHER - —� VIOOb STOVE <br /> URINAL _ ' METAL FIREPLACE 8 CHIMNEY _ )� <br /> DRINKING G FOUNTAIN -y FIREPLACE_INSERT <br /> FLOOR DRAIN ' HEAT PUMP --•• �— <br /> BACKFLOW PREVENTERS OAS PIPING <br /> _66617 DRAINS-nAINLEADERS EXHAUST FAN -T <br /> SINK;(SERVICE-BAR,ETC.) I , <br /> _ I <br /> SUB 70TAL S I _ SUB TOTAL S <br /> _. PERMIT PERMIT _ $ <br /> TOTAL FEE S ' TOTAL FEE $ ' <br /> FOR OFFICE USE ONLY: <br /> 'nONT SrTAACK nCAn SSTAACX SIOC SC TSAr.K rLMICII[CKHIIM2GR Pee Alct INO <br /> S <br /> _57 <br /> '7 5 1 Z lC 3C' <br /> USE Z : LD1 AHLA VACANI SITE FEES VALUATION I FEE <br /> BUILDINp �i— <br /> I rrl CI CGNTCMIOWABI! 1TPL or caxst.AEluu FKcwxp S2.Z9. .. <br /> I—m ,',,{jam' L / PLUMBING <br /> s¢EDrnlnD no.or RFi b BASE•c Nr MECHANICAL <br /> ?Z'i or- 4 0 qy/E _ _ --��fl— <br /> )CCLPANCYLO rmc SPRNXI FAG REOU HMIITLIMIT ADDITIONAL PLAN CIQCK <br /> _(ll n No 7_8 ' <br /> hAb011 POn pRMKl FRB -- BPRBlKLt'R !� <br /> STATE BUILDING SURCHAROE ,/ K <br /> rtnlissY rLNISAPP IVFDer CITY OFEVERETT PUBLIC WORKS <br /> LOCAL SALES V <br /> VZ9A3 TAX CUBE IS 3105 YOY/l l oT <br />