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FROM:EVERETT BUILDING DEPT TO: 2066433475 JRN ''I 1992 2113P1 9412 P.02 <br /> APPLICATION FOR CONSTRUCTION PERMIT <br /> %6r X l?CC + •-0'- TO BE COMPLETED IN BLACK INK-PLEASC PRINT <br /> pr36-"Vo-o,39 --oclao __ _ <br /> BUILDING DEPARTMENT HEATING SYSTEM: AGAS U ELECTRIC IJ _.._ <br /> 259.8810 <br /> DEMOLITION I I COMBINATION XBUILDING 11 MECHANICAL I IPLUMBING I I SIGN <br /> MFH MAIL ADORCAS CITY ZIP PHONE <br /> d Rtc,DEAT i�Jio / I.rcd300 6r�(�vc e 9S'an7 -� 3a <br /> TFNANT. MAIL ADDn[SS CITY Zlr iHONE <br /> ARCNHFCILHDt810NCn MAIL ADDRESS CITY zip nIONF <br /> 1�.5. / L2.?2.? 71/(p -30 3& _ <br /> OCNEn4L CONTR••A��C�T[OR MAIL ADDRC66 CITY ZIP PHONE STATFIIOtusE1 <br /> Apu <br /> MFC T({ACTOR �M�µAUURCYY CITY ZIP rMONs Ile/� o mUCC, <br /> PLUMBING CONTRACTon MAIL ADOn Ess CITY ZIP PHONC STAIELICCNSre <br /> SCI 67 cr WOnK ' <br /> fxl NEW I I ADDITION I I ALTERATION I I REPAIR 11 DEMOLITION I I WOODS!OVE/FRPL INSERT I I BUILDING RELOCATION <br /> • <br /> 0ONTACTPEA60NANDP1ION/FNO. <br /> CONIAACI PHICB OF WOnK / F-4G/;t? <br /> DCSCAIOF WOAK AND SOUAne FOOTACC INV(Y VFD Gsl,r <br /> 4!,'A) COtJi-( 0c4'a-JL 3--�Ll a �y G9� <br /> 2PHo 0 toustoFDIIILDWO I HEREBY CERTIFY THAT I IIAVE READ AND EXAMINED THIS <br /> e APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> L EMLUk2 p'111r11UN of PROP9WV( 1 WII BELOWun ATTAOU FOUR COPIEq PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> etocN OF /I • WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE CANCEL THE PROVISIONS OF ANY <br /> •.•. .�( � �. �- OTHER STATE OR LOCAL LAWI& 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 /> /O/Qwz- CJ'Jl l� CONTRACTORS LAW 18.27 RCW AND 2D6.200 WAC: <br /> 17 <br /> hO1k01 ADDn[RRv FUNAHms O MTF <br /> Lf 9"- 7- yF 3 CIITYH1wMAIN/Nt.N <br /> PLUMBING IMECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) 1// I A/C-AIHNOLG UNITS-H.P. <br /> BATHIUS // ; FORCED AIR SYSTEMS-B.T.U. M E.A. - <br /> LAVATORY(WASH BASIN) r^ UNIT HEATERS-B.T.U. M <br /> SHOWER / — - CLOTHES DRYERS _ <br /> KITCHEN SINK 6 DISP _ i VENTILATION FAN <br /> DISHWASHER _ RANGE HOOD <br /> / LAUNDRYTRAY ; WATER HEATER ' <br /> CLOTHES WASHER �— WOOD STOVE <br /> URINAL ' METAL FIREPLACE 6 CHIMNEY <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN ! _ HEAT PUMP <br /> BACKFLOW PREVENTERS _ I OAS PIPING <br /> 7ROOF DRAINS-RAINLEADERS I _� EXHAUST FAN <br /> — SINK(S?RVICE-BAR,ETC.) ' <br /> 1 <br /> _ SUB TOTAL S -; _ SUB TOTAL S <br /> PERMIT S PERMIT S <br /> TOTAL FEE S ' TOTALFEE $ ' <br /> )R OFFICE USE ONLY: <br /> NT 6rTRACrN nCAR SGTRACX 61D[Sp9AC,N rLAN CIICCK NIIMP6R r/ rEE RkCFIYI NOS <br /> zuNt_• LOI ARBA VACANT SITE FEES VALUATIONF_ E_E <br /> _ BUILDING 2L(,Y Fj 1070 <br /> DI CO Nis.AIICNARL WED(C TACRI Ottt ImV {DNSNI01 —• ' <br /> PLUMBING <br /> OF 01r,9 F- STORIES DASSMGNC // /s <br /> 1 j�s F T MF.CINNICAL t/ <br /> JPANDYtOAII ' FIRC SPRNNIFA6 REO9 I HGOIITLWI 110y ADDITIONAL.PLAN CHECK <br /> _ A /�'�`� !'//. / SPRINKLER - <br /> ONF00 PRINKIFRGl""-- <br /> 6TATE BUILDING SURCHARGE <br /> aEr rials APPAL,FDer gITY OF EVERETT PUBUCWORKB <br /> �J t� LOCAL SALES <br /> Z 1� TAXCODEIS3105 TOTAL <br />