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FROM:EVERETT BUILDING DEPT TO: 2066433475 JAN 17, 1992 2:13PM 9412 P,02 <br /> APPLICATI%jN FOR CONSTRUCTION PERMIT <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT HATING SYSTEM: WGAs U ELECTRIC IJ <br /> 259.8810 <br /> I I DEMOLITION I I COMBINATION Iy�BUILDING I I MECHANICAL I I PLUMBING I I SIGN <br /> OWNER MA0.ADDRCRa Cm 21P PHONE <br /> hA1�ti 14�I1� t `l Va ,(IT 700 C�fl1ia IC �iYr 'c t 3( y <br /> TENANT MAR ADOOCaa <br /> Cm LIP P14DNE <br /> AQQ il`C'l I17�� Ail �l` n lz fN' f 1ZC(,,L/ Z( /• S7S7Z - <br /> ARCMITFCI UK&a)Nen NAK AUUNlY] CRY 21F PImN, <br /> n1fL11 d (i IhntY', ILILIIU 1ReI fVCI V,,? RZw 1� ll�.r q •Ove 7UL ( '1'I Z t3 <br /> OENEMLCWfiIACTOR MAIL ADDRCRa <br /> CITY ZIP PNONC afATF IICWSCF —�— <br /> MFCHAHNK CONinACTOR MAIL AUURE33 Cl" LIP PMONa STATE LIC[NSf/ <br /> PIUMUIMU CONTM71R C1MAL AUDII[33 CITY 2M PMONC FIAT LLtCCNvr <br /> GI ABS DF Y10nK " <br /> AEW I I ADDITION I I ALTERATION I I REPAIR 11 DEMOLITION I I WOODSTOVPJFRPL INSERT I I BUILDING RELOCATION <br /> 7 CTACTPND <br /> E1ISONAP IONFNO <br /> cxwTRACtvwcEUFWORK '11 ��1,• ; ('/3aGJ5ON _I t, � -Y1,1..�,1+ - -2 3-,)' <br /> O[a Rini WORK AND SOILMIC FOOTARrMM NFU ._ <br /> �L •wc�1��n EL W.W . u <br /> vrO <br /> puT:EDInEarDIIKIIwn 1 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> SILK ,Le r.'Vri(I�1 QE%1(c Ac ( APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT,ALL <br /> LEGAL UESCNIPI KIM OF P";o-lv(SHOWN BELOW On ATTACH FOUR CONE•;) PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LOT (J— BLOCK OF WORK%VILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> OGL.L '� 111 j''IC1h�l'✓'c�S. 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 /> I G 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 RCW AND 286.200 WAC. <br /> z z _ 7 " "� �w ✓ r x a� enc, q 3 <br /> PMw6C1 AConCAA tA:MAtVIIF <br /> C111 YLL,MFA,IY.rN{ NP <br /> (2-2 /1244 24c. '—� .•� <br /> :"LUMBIR0 MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. 11PE OF EQUIPMENT _FEE <br /> WATER CLOSET(TOILET) A/C•-A/HNOLG UNITS—H.P. �� <br /> Z BATHTUB _ FORCED AIR SYSTEMS—B.I.U. M E.A. <br /> '5' LAVATORY(WASH BASI� i UNIT HEATERS—D. .u. M <br /> SHO'.YER ' CLOTHES DRYERS '• �— <br /> KIICHEN SINK 6 DISP - I VENTILATION FAN �— <br /> 1 DISHWASHER I ( RANGE HOOD T <br /> LAUNDRYIRAY I — - <br /> I _ WATER HEATER <br /> CLOTHES WASHERURINAL _ �_ WOOD STOVE " <br /> i <br /> DRINK NG FOUNTAIN I METAL FIREPLACE 8 CHIMNEY— <br /> DRINKING <br /> HIMNEY <br /> _ I FIREPLACE INSERT ' <br /> FLOORbRAIN _ ~ _ HEAT PUMP <br /> _BACKFLOWPREVENTERS I GAS PIPING _ <br /> A601 DRAINS_-RAINLEADERS I _� EXHAUST FAN <br /> SINKSERVICE—BAR,ETC.) ' <br /> I <br /> _ I <br /> SUB 70TAL S ; 6U8 TOTAL $ <br /> _• PERMIT S _ •' _ PERMIT $ - --� <br /> TOTAL FEE $1 TOTAL FEE SFOR OFFICE USE ONLY: <br /> •IK)NT aFTAACK O[AR ACTRACX aIDCCCTDACK I nANCIICCK NIM aR F!E ALCEIFI tto <br /> I <br /> 7;L LUNE LOT AMG VACMISITE FEES VALUATION FEE <br /> JL BUILDING — <br /> TPt01CCMTa.AIlOWA3LE trF[a CIIM3I.ACTUAL I t, KAOIMTItwzwlt <br /> _ j PLUMBING <br /> OI 017��ffpp MO.(X ATORRa DAaauiNT _ �7--f�� <br /> ,+ Sf (,A,,, �, i )J MF..... CAL <br /> I V I <br /> =UPANCYLOAU nRC SPRNKI FRE RE04 MEIDIR LIMITATION ADDITIONAL,PLAN CHECK <br /> ll C — <br /> tADON1`FO' CPRNKI FRa 1 -� _/ <br /> STATE BUILDING BURCHA90E <br /> FnKCRr rYnnanoPRY(voDBY CITY OFEVERETT PUBIICWORKS l` <br /> �1 LOCAL SALES <br /> TAX CODE IS 3105 TOTAL <br /> �(X�UA�3 K1 e <br />