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FROM•EUEPcTT BUILDING DEPT TO: ?066433475 JAN 17, 1992 2°i3PM 9412 P.02 <br /> k <br /> APPLICATION FOR CONSTRUCTION PERMIT <br /> TO BE COMPLETLO IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT HEATING SYSTEM: I GAS U ELECTRIC IJ <br /> 259.8810 <br /> b I I DEMOLITION COMBINATION i BUILDING 11 MECHANICAL I I PLUMBING I I SIGN <br /> I (� gyp/ 7 / T <br /> KJ G D E�� ` S0.ADOPICAS UIQ fY,l• ITY <br /> , r� CSI IiYY�C ('SOI VIII S�fp _L/3 I Ld4` -(J'��0•� <br /> C <br /> b H VI MAI MOn[BB CITY 21P vNMIE <br /> t TENANT <br /> N <br /> y <br /> K n FBrfjjFFCT ON DEBKINCR MAl AU EB IY LPy > � IIPoxoI i1P KI - crtr BTATF I KRNBEa <br /> N M ` T� 1 1 WUI csa Ol ' � lnr�,-333�q <br /> MFC CCNTIACirA MAIL ADUAtus CIV nr rnoNc atntE LK:cNCFa <br /> M <br /> r M R •- cltr to rNwK BurcuccAmfa <br /> n • PLUMBNUCONTRACTOA MARAWNfB{ <br /> z <br /> 2 H ' <br /> A{{Or VVOnK <br /> " y NEW I I ADDITION I I ALTERATION 1 1 REPAIR I I DEMOLITION I I WOODSTOVE/FRPL INSERT I I BUILDING RELOCATION <br /> N 1 ��\ <br /> c N TACT VEA80N Ajlq lnitlNF VO. 1 ellll `l�`13 CX7'lld <br /> CgRMCl 1'It10E OF wonK �' I}� Sal 7yP.V <br /> Ccam AND 9FOOTAcc IWO VFD <br /> o tr. <br /> TRIC <br /> toUSKE MILANO . �� ' -- I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE GAME TO BE TRUE AND CORRECT.ALL <br /> LEauuk UPI PROvfRTYI „ONNBEIOwUnATTACNFODRCOPIESI PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIBTYPE OF <br /> /'1 WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> LOT ( )n BLOCK OF __ 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 NSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCT ON.LATING TN T II AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> P —l1 APPLICATION IS MADE AND I COMPLY WITH 1HE STA'E <br /> CO RA♦CTORS LAW 27 RC W AND 298.'!00 WAC. <br /> x v I NTf <br /> PNOJkCl A00(ICBR. W FMNMW fl'1 cam__ .._— <br /> 1_�` /� ^ GIT MFJMI NO <br /> A� PLUMBING J MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> 1 WATER CLOSET OILETI.,_ AjCAMNDLp UNITS—N.P. <br /> 1 FORCED AIR SYSTEMS-0,1,U. M E.A. <br /> ''�ATA► <br /> BATHTUB — _ <br /> �.+ LAVATOAY•11iJA9H BASINI ,. 1 UNIT MEATER9�.T.U. M ' <br /> SHOWER ' CLOTHESDRYERS ,. <br /> KRCHEN SINK 8 DISP I VENTILATION FAN T— <br /> �— ... 1.. RANGE HOOD <br /> LAUNDRY tDISHWASHRAYE _ WATER HEATER <br /> _ CLOTHES WASHER <br /> — �• WOOD STOVE <br /> _ URINAL — ' — METAL FIREPLACE f CHIMNEY .. <br /> DRINKING FOUNTAIN* 1 FIREPLACE INSERT <br /> ,_1 FLOORORAIN_ HEAT PUMP -- ' <br /> _BACKFLOW PREVENTERS I <br /> GAS PIPING <br /> _ ROOF DRAINS—RAINLEADERB _ 1 _ <br /> EXHAUSTFAN ' <br /> 81NK 6ERVICE—BAR,ETC.) �._ 1 <br /> �j <br /> SUB TOTAL f 1 SUB TOTAL i — <br /> ' <br /> RMIT _ PERMIT TOTAL FEE f <br /> TOTAL FEE f <br /> FOR OFFICE USE ONLY: <br /> FRONT Rrinl nrAR RGTMCK� 610C LRBAr..N� r AN GIC 1MB6R PR RECkIP��O /L <br /> Usk ZONE LOt ANG VACANT BRE FEES VALUATION EE[JY <br /> BUILDmro53Y <br /> I/N. <br /> IT IXC011Ti.N10wA11t 1TRIXCOAAI ACIWI pLLurcr IR WaNNA{YIInt <br /> 71 � � PLUMBING ' <br /> iV NO.fK'ATORse enatucNT MFCIIANICL <br /> �� <br /> JCCUPANCYtOAD rm PPA41 FRB REDD MERIITLMIIATpN ADDITIONAL PLAN ONECK I <br /> /V-7 _ SPRINKLER <br /> STATE BUILDING SURCHARGE <br /> 4TAK6 BY nii+BAwRcIVFDsr CITY-OF EVERETT PURUCWORKS 2D1 <br /> LOCAL SALIS <br /> .�h' <br /> 61, TAX CODE IS 3105 TOTAL Q7 L50 <br />