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. .-_. ___.._„ .....�...,.0 ..ul , ,u• cwo•..A.a-rr� �r,l. ar. aooc e•a.Yrn Iwae r.ne <br /> APPLICATJC 1 FOR CONSTRUCTWN PERMIT <br /> Z TO BE COMPLETED IN BLACK INK—PLEASE PRINT Orr <br /> BUILDING DEPARTMENT HEATING SYSTEM: Y3AS U ELECTRIC U _-. <br /> 2598810 <br /> 11 DEMOLITION —1 1 COMBINATION_ WILDING 11 MECHANICAL I IPLUMBING I I SIGN <br /> /ONTIETI MAIL ADDRCRS CITY . SIP PNONk ' <br /> TFNAH1 -. MArLAODncss _ . <br /> Cir ❑r PUONE <br /> ARRCHIITTFFF01 ON UCSIONNen MAR At) oil, <br /> 111 '^ry 1 zip rNONF <br /> J_Q6. I ✓ �� I W� IY' lV .W 1 �{tl,.��tI VJ, C19005 <br /> 7�.'71.Y^ '-NJ IICCNSCA -_ <br /> OtN[MLLONtAACIOR MAR ADDRCAG --JF— ill •cw� <br /> CLu wacl fbrTleS }4410 Px � . _ l U� RO�7 1D44� 3 00UNTr210ms <br /> MFCKANWPL COfITOACTCR MAIL AUINICSS CITY 21P rNONO EIRE LICCNSF0 <br /> PLUM9wU CONTRACTOR MAR AUDIICN9 �— CRY 21P PHONE FA1[LICIW,1r <br /> .003 Q wOnK <br /> NEW I I ADDITION I I ALTERATION I I REPAIR I I DEMOLITION I I WOO�STOVE/FRPI.INSERT I I BUILDING RELOCATION <br /> ACT PER60N AND d10NF N0. <br /> CONTRACT PNIC[OF WOnK L cn <br /> D[Sf.RBIF WORK ANU SDOMt IOOTADC INVDIVFh ..J •— <br /> �1 Df6}711Lf1p(1 2110Pr 733c�jr <br /> PN P,M.��EO�U�SL�Drollnmp�Nn . _HEREBY CERTIFY I THAT HAVE READ AND EXAMINED THIS <br /> '- <br /> —` y sG YAQ/Y/LLG APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEGAL Uk IPtIOHDr OPCPTYIF BELOW Un ATTACH I WR COPIEDI PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LOY C —_ BLOCK OP WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> /� {� — �/2 - NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVOF ANY <br /> I )r� 1'ILL1l "I✓7 A OTHERS ATE OR LOCAL LAW REGULATING CONSTRIUCT ON OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> l LL- OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> PNOJFCI I10Dn[SF x'N'J11 J4'�44- __._ Tr <br /> --. <br /> CIIY�LLVd AAIIG.N[ NO — ---- <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET <br /> fp(LET) 2 I AIC--AIHNOLG UNITS—H.P. , <br /> BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. _ <br /> S LAVATORY(WASH BASIN) ?ri UNIT HEATERS—B.T.U. M <br /> SHOWER ' CLOTHES DRYERS _ <br /> KITCHEN SINK 6 DISP __ i VENTILATION FAN ' <br /> DISHWASHER RANGE HOOD _ �— <br /> LAUNDRYTPLAY )_ _ WATER HEATER <br /> i <br /> CLOTHES WASHER _ � WOOD STOVE <br /> _ URINAL METAL FIREPLACE d CHIMNEY ---rte <br /> DRINKING FOUNTAIN <br /> FIREPLACE INSERT ' <br /> FLOOR GRAIN �i ' <br /> ... HEAT PUMP ;— <br /> BACKFLOW PREVENTERS _ ; GAS PIPING I <br /> ROOF DRAINS—RAINLEADERS EXHAUGT FAN •�— <br /> SINK(SERVICE—BAR,ETC.) I , <br /> I <br /> SUBTOTAL S l ' I SUBTOTAL S <br /> PERMIT S PERMIT $ <br /> TOTAL FEE $1 TOTAL FEE $ <br /> FOR OFFICE USE ONLY: 7/JSi� /3J— <br /> ,noNTSFTRACKr fIEAR SSTRACX SIDE SSIDACK PLANCIIECKNUMRSR Po[ gECFIrI NO. <br /> A r cr <br /> Usk i> lUl AzntA vACANi Bn[ - FBE6 9 3 oVALUATION F <br /> 1.J 73 / Y BUILDING <br /> IrL <br /> Of WKTS.Al I ONACLI 1YrE Of CONST ACILIQ ptWuti Y.Y pR.tItPK VNIIA - <br /> 10UA PLUMBING <br /> '.129 OF DI DO NO.Or RIFS 9 BAS�MG1^M� //O I <br /> 0 5 F LA L�CIJS�_ MF.CIIANICAL <br /> CCUPANCYI AU rmC SPRNKI Fq6 REOU NCKYR LIMITATION ADDITIONAI.PLAN CHECK <br /> —11( N' 28 aPyP LAMI _ <br /> kA90N nBPRwKIFns <br /> STATE BUILDING SURCHARGE ' <br /> I7AKE BY rLANLAPPROVFII BY CITY OF EVERETT PUBLIC WORKS I <br /> J� LOCAL SALES <br /> 9 53 TAX CODE IS 3105 TOTAL <br />