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FRO :EUERETT BUILDING DEPT TO: 2066433475 3R14 17, 1992 2:13PM "412 P.0' <br /> APPLICATION FOR CONSTRUrl ION PERMIT <br /> TO RE COMPLETED IN BLACK INK—PLEASE PRINT <br /> 4- <br /> 13UILDING DEPARTMENT HEATING SYSTEM?; Oj UIELEOTRIC <br /> 259.9910 <br /> 11 DEMOLMON I I COMBINATION WOUILDING I IMECHANICAL I IPLUMBINO I I SIGN <br /> aARN eMa AYaile Cm w IIIOIk <br /> `LSl1�0�85L:L.11bmc♦ 1441L� (iI\\7M VII tim Rrllcwc .QP007 IlL b,u,17 T3 <br /> rMAM MAA Aoontn MIT -r BgNE <br /> ewQ McAftRorrtn ua Inti ,(Stl�y`,,,�9l'Ct1•� X, TcL n�'-'6�3V' <br /> CLd ,,,A:u 14,ITSc� Ww 7 L41ti73 _ <br /> YCN[ aWIMCtM YeA NXf1[{e CT' 0 AIYNe eIMIKIl1MI <br /> wclwwMLovmweial MAA Aawen alr lw nIY1A FEAR IA:txv{ <br /> nweMYEYMMCRaI MAAAI1DMn ary Lw plBr[ FEMe LM+tAY{r <br /> uA{to-llaw <br /> V4 NEW 11 ADDITION I I ALTERATION I I REPAIR 11 DEMOLITION I I WOODSTOVEARPL INSERT I I BUBDINO RELOCATION <br /> dsrtA TIEAIWAMH NO <br /> tnRAAC,HIwaFM1.1 (_ �, $7 (, OD �"` L • 5 JC(r ln14"2823 <br /> YCYAIN Yte,IR ANYeYW1C 1aRAR ANa KY . <br /> A]t1.I Citltilll,Lll.n 31S•1Ib 75 <br /> HIYwAeo u{t orelAlwn I HEREBY CERTIFY THAT 1 HAVE-READ EKAMINEO THIS <br /> S r,cr�1V�� I(CSIdCPICC APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> IEYALW {nlAlxrclA0lt,IrvIPKINIIetLpryaMMHCx Fawcolit� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> fm '7A� WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> nYell NOT.THE GRANTINO OF A PERMIT DOES NOT PRESUMD TO GIVE <br /> wAg r••Y1111I UTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> N c.1161L ___ OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> nn y� r,Z �•� APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> c SIL {r Ir- �I"I(/L -I 3b IJ CONTRACTORS lAW 1817 RCW AND QBB QDO WAC. <br /> INJACI AYOKAA t U 0124. ,44 lT ••� <br /> 1,L L .� <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FIXTURE OR REM FEE NO. TYPEOPEOUIPMENT FEE <br /> WATER CLOSET LTOILET) ,� 1 AIC-AMNOLOUNITS-11A. <br /> Z. BATHIUB 1. FORCED AIR SYSTEM".T.U. MEA <br /> _�i? LIYATORY ryI�SH BASINI Y UNIT HEATER".T.U. M <br /> I 614 WER CLOTHES DRYERS <br /> 1 Kn5iENSINK 6 DISP I VENTILATHX/fAN i <br /> _(_ LJi5NDISHY1M 1 RANGE HOOD <br /> LAUNORSWAS I I WATER HEATER _ <br /> CLOTHESWASHER _ —' WOOD STOVE <br /> URINAL METAL FIREPLACE S CHIMNEY <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN 1 HEAT PUMP ••'�� <br /> BACKFLOWPREVENTERS —1 GASPIPING <br /> _ RCOF DRAINS-RAINLL'ADERS _ EIHAUCT FAN <br /> SINK SENVICF.-BAR,(TC 1 ' <br /> _ SUB TOTL S ; BUB TDTAL i <br /> PERMIT f 1 PFRMR i <br /> TOTAL FEE $1 <br /> TOTAL FEE 61 1 <br /> FOR OFFICE USE ONLY: <br /> Trn.t ArT7AAr Y rlcu Mtucr -mc e{RMrx <br /> rwla- 11 A Ree Ata: xY <br /> ,skfu ICI 'D�I rAC41I Nit poll VALUATION SEE/J <br /> YES BUXOM <br /> 1'IPltlxt{4101Vf0.1 Ir15 a4I K11W {Y.ti[r •.IuwwA .. 35 11 <br /> PLUMBING •{�+— <br /> •QIBIy11pF xo rcvwn 011{[xfw MFCHAMCAL . <br /> -IAL At Gs2 2• T,IO ..• ��� <br /> KLulAxcr low rwt sl",rm AeCY KartwrtAI1Y1, - AOORXMIAI.PLAN CHECK /Q <br /> ST ����.� <br /> N — AwALER— _ _�L1(L <br /> '1weCW 1011 ifAMAI fA{ <br /> STATE eunoIND BtmcHARDE <br /> .iuf or Iv FA Aarowoet CITY OF EVERETT 1'UNID wORKB rJ <br /> J 1 I <br /> a LOCAL SALES <br /> X93 TAK CDOE 139105 TOTAL I <br />