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FREIMIEVERETT BUILDING DEPT TO: 2066433475 Jf I 1?, 1992 2:13PM 4412 P.02 <br /> 1' G>o APPLICATION FOR CONSTRUCTION PERMIT i <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING D[PAHTMENT HEATING SYSTEM: ' G.AS U ELECTRIC J _ <br /> _ <br /> 259.8810 <br /> I I DEMOLITION 11 COMBINATIONBUILDING 11 MECHANICAL I I PL'JM31NG I I SIGN <br /> OWNER <br /> MAn ADDgcRs crr'r rlP rNONt ._ <br /> �� d �bYru l i+•k, :'�� _ 6a/.i�vc._z 9 '007 �, _ �. <br /> rc N.uT MAM1 F.70n[SS aTY zlr PITON_ E <br /> ARS:N',f�1 UN DESIDNER MAh :,SLC59 CITY rIP fllOh'F <br /> 3k'NCrMCOWPACTOA MAIL ADDRCS6CITY SIP PHONE <br /> STATE LICCNEC/ <br /> MfLHANNAI CUIInAOTOq Mk:AUUn[S9 CITY 21I• <br /> I MONS 61AIC LICCNSf I <br /> PLUM EINU CONTRAL TOR MAn ATIDT159 CITY ZIP PHONE <br /> 6iA1E LICCNgr F <br /> '�C/Ir,65 c WonK <br /> {�L NEW I I ADDITION I I ALTERATION I I REPAIR I I DEMOLITION I I WOODSTOVHFRPL INSERT I I BUILDING RELOCATION <br /> CONTACT PER60N AND PHONF NO, <br /> CONIRACI PNICk OF wonK <br /> SQUA __ &e �7 �� /�r) <br /> OC9CRIOF WORKANUSOUARC POO"AC.INVry VFV + " — LuL <br /> PHD usro useaollnnlNR 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> l[17Zi C /T.GL_ APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> IEMLUk IIIMIUNOf PROPppTYIF DELOwn�narn�cl�i�FO'URyCOPIE6T PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> BLOCK OF l /1Z,/�� WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> •• NOT, THE GRANTING OF A PERMIT DOES NOT PRESUMC TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> •.•. . �f11J��1(-!'l1zLS /0'7 V. �- OTHER STATE OR LOCAL LAW REGULATIN3 CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORI?ED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> + n APPLICATION IS MADE AND I COMPLY WITH 1HE STATE <br /> �l <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. �T <br /> L4NAIMI �f�y"�' Nlf <br /> �'• -'- " +� 7a`` 5% ` rl'+ FV,nr�t- WA %y 3 GN.nnw+Aelic�V.•�.. _._ _.'..._ <br /> PLUMBING r MECHANICAL <br /> -NO77 TYPE OF FIXTURE OR ITC-M FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET L. 11LET) _ I A/C--AIHNDLG UNITS-H.P. <br /> SATH1U1 FORCED AIR SYSTEMS-D.T.U. M E.A. _ <br /> LAV'T (WASH BASIN) i UNIT NEATEFlS-B.T.U. M _ <br /> SHOWER 1 CLOTHES DRYERS "- <br /> KIICHEN SINK 6 DISP __ i _ VENTILATION FAN - <br /> DISHWASHER - ' <br /> ... I RANGE HOOD _ �— <br /> LAUNDRYTRAY WATER HEATER - <br /> I _ CLOTHES WASHERI WOOD STOVE <br /> ~- URINAI. _ METAL FIREPLACE d CHIMNEY DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR GRAIN -"`T— <br /> BACY.FLOW PREVENTERS I GAS PIPING <br /> ROOF DRAINS-RAINLEADERS - - ' <br /> E%HAUST FAN �— <br /> SINK(SER-VICE-DAR,ETC. I ' <br /> I I <br /> r <br /> _ I T <br /> SUB TOTAL S ; DUB TOTAL $ 1 <br /> PERMIT $ --..'— PERMIT $. .. <br /> I OTAI.FEE $ 1 _ TOTAL FEE $ <br /> FOR OFFICE USE ONLY: <br /> •IIOPIT SPTRACK pGp SGinA(X S,JESEMACK rI.m CHOCK NIMDGA PEE q <br /> / r _ FG'Fln vO. <br /> �6t z(xl' IUIIAnEA - %ACANI SITE FEES VALUATION FEE <br /> `Z' y DUILDINO <br /> !RlO, rt.AI IDWARU 1r4(or C045T.AC%1At ;Mc MwtryllHK UGnI � <br /> . IJ _ i .3 PLUMDING <br /> Rl OF DI FO h0.(If ETORIF DA6FMG . J• , <br /> L'14b SPY 4 MECHANICAL <br /> .CUPANCY LOAD -Inc SPANK1 pre REOU I HEK:I I r LIIM ITTAATION ADDITIONAL PLAN CIILCK <br /> kASON Fon nRINKIFR6 'u CPRINiiIER It �0 I I•. I—. <br /> STATE BUII.DINO SURCHARJE I r0 <br /> ;inKE Dr riulsnnvpOvfOgv CITY OF EVERETT .._...— --I 1 - 1 <br /> J �f LOCAL SALES runucwoR%s 11 <br /> 2/1. /q TAX CODE IS 3105 TOTAL 1 a <br />