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FBD71EUEAETT BUII.OIND DEPT Tog 20EW37475 JAN 17. 1992 2113PM 8412 P.02 <br /> APPLICA40N FOR CONSTRUO ION PERMIT <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT HEATIWG SYSTEM: TGAB U ELECTRIC <br /> 259.8810 <br /> DEMOLITION I I COMBINATION KBUILDING IJ MECHANICAL I IPLUMBING I I SIGN <br /> .AH{A watwltaL m n 1'11011k '-- <br /> rl w a ,urITB4_�H`gIT'-6r1•Prt1rcdlrt� 1Sr11nIJc 9tlkll 7UL• /„H4-Z3Z3 <br /> nYtet Mta Alcrten Ian to new{ <br /> ND,ti l'�i t, .r11ti�n L��ttt !L•I1cLuc Rt1f1[1'� ZuL- i[flo��3( <br /> ANc.ar{Cl onfneBnn AMet CITY d news "-- <br /> CayLl,�i�gt/.�ULi ILmc� (`I'lIJ Ud'12n1 PA 47L4 13ollF 11ro 18110 iCan LIINP7i <br /> DYIHItAI 1p1 sl"AAtpe[p G"T sNONe BMTFt�s <br /> WCIIAIHIeI OtMI1KL'IM WAALVRen SITM <br /> AIBNL BIATL LLYYIFI <br /> ftMWvm DYTMLTDN - Y 101011tee OIIT n YYP.X eIA—em i I;w——I <br /> CIAPLRvoft — <br /> KNEW 1 I ADDITION 11 ALTERATION I I REPAIR I I DEMOLIRON 1 I WOODSTOVPfFIPL INSERT I I BUILDING RELOCATION <br /> c9YtAn F{A{W AMAt ND <br /> cw*wctwmeaNaL 1 3y .0 3z.00 JC�(r (c44 232 ' <br /> Keralro lTD4tlgeuAVltrpPTAa wId YfP VJ <br /> UCI., �L^�1[JC�la1 31,)H �Z3 � <br /> FRDIK1ee0 uttatilalwlN � I HEREBY CERTIFY THAT I NAVE REAb ANO w%AMINED T1416 <br /> APPLICATION AND KNOW THE SAME TO BE Tri'I ANDCORREC%ALL <br /> L—EOAIq nrlewao✓ien {{IONPIATTADM 1tAw 9OAkR PROVISIONS OF LAWS AND ORDINANCES GO'•EHNING THIS TYPE OF <br /> Imy _ wlxx of WORK WILL BE COMPLETED WITH WHET•IER SPLCIFIED HEREIN OR <br /> NOT.THE 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 AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18 27 RCW AND 296.208 WAC. <br /> Jl <br /> FIDACI ADPrrat 1w �VL4Z�Y Nrt <br /> PLUMBINGMECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FE! <br /> WATER CLOSET ROILETI MO-MINDLG UNITS-H.P. <br /> Z_ BATHTUB FORCED AIR SYSTEMS-B.I.U. MBA _ I <br /> LAVATORY(WASH BASINI � UNIT HEATERS-B.T.U. M ; <br /> SHOV,iqCLOTHESORVERS , <br /> I KITCHEN SINK S DISP 1 VENTILATION FAN ' <br /> I DISHWASHER RANGE H000 T� <br /> LAUNDRY VNY - I1 WATER HEATER <br /> CLOT HES WASHER WOOD STOVE <br /> DRIN .. 7. MFTALFIREPLACE S CHIMNEY <br /> DRINKING FOUNTAIN 7. <br /> INSERT I -' <br /> FLOOR DRAIN. _ HEAT PUMP ••'�� <br /> BACKFLOW PREVENTERS pAg plpOp 7 1 <br /> ROOF DRAINS-RAINLEADEFIS _y EXHAUBTFAN —F-- <br /> SINK(Se VICE-BAR.ETC. Y <br /> ►lRMRTµ S BUB TOTAL B <br /> PERMIT B <br /> TOTAL FEE { TOTALFEE $J- <br /> FOR OFFICE USE ONLY: <br /> .AaKT IrKKu Ir+,A KfTllty A�+�q017 <br /> Fit at M. <br /> +N t�MH • — L91 AIItA Mdln ane nseee VALUATION OFE <br /> m•7o�MtulpYW tm 1epOl Kl1Y( epwN, aNrAIiNN • . pl <br /> PLUYBWD <br /> I}n pMSf IlO.aar'Nn sN[YLM MTCINMCAL --- <br /> --��- <br /> AFA4 Z /t(O <br /> FLIITAKT OKU FN[LSKN,Kin AfW KoffWRMeW ADDRe)NAI,PIAN CIILCK I I <br /> J <br /> •EWII011 t1Y1NpfM N , '- <br /> STATE <br /> III G <br /> 6 TATE PWIDw06URCNAROLism <br /> nNltPBT CITY OF EVERETT PUBLIC WORKS <br /> .� LOCAL SALES <br /> TAX CODE IS 9105 TOTAL <br /> !i <br />