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FRLIII:EUERETT EUILDING DEPT TO: 2066433475 JRN 171 1992 2:13PM #412 P.02 <br /> APPL,ICATI.,N FOR CONSTRUC110N PERMIT <br /> TO BE COMPLETED IN BLACK INK—PI.FASt PRINT <br /> BUILDING DEPARTMENT HEATING SYSTEM: oAs U ELECTRIC IJ 1 <br /> 259.8810 J <br /> I I DEMOLITION I I COMBINATION 16 BUILDING 11 MECIiANICAL I I PLUMBING <br /> DYMEN MAR I I SIGN ADDq[66 cm 1 iw <br /> fNONk <br /> TFcan Jp <br /> NANT MAR AODncss <br /> DRr rlr PHONE <br /> ARCNlTFC1 ON Uk9i09LR WRAU !33 CI1T <br /> � L t I I2, _ V N F �=�c�. P _Ic, ��>oc SAF 4�I <br /> C0!N[MLCONTRACTOR MAX AOORC66 CIT J ♦ ''Wr�IP PNON! <br /> I'14t1 11 ,n [lam In f r— kCC I�k/-u l� 1 - 81ATFI DENSE/ <br /> MFCHANIUAL tNTnAOTOR MARf,U `SS ��Jl_i TY CIIY 2iY �I 11C J g07 20UNTT210 (1): <br /> (Jy rMONG 61ATE lK:CN6F1 <br /> PLUM9NU CONTRACTOR 83 G1Y ZIP_ ►NONC 6TAl E LICCNiF1 <br /> ...,,,CC, YI <br /> AB60F DnK ' <br /> I/-r'nEW I I ADDITION I I ALTERATION I I REPAIR I I DEMOLITTOCT A.ER60 WOO oSTOVE/FRPL INSERT I I BUILDING RELOCATION <br /> TJX X3'/000 <br /> CgNTRACI PRICE OF V/OnN •! I •�,�r lI I Y ) l n l' i —��`r <br /> OCSCRnIF RK AND SOUM[I ACC IIIVOI VFO 1 -" `—�• /L~� <br /> ICS _ <br /> rgoK/DtDu3ca ranurn HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> r <br /> APPLICATION AND{!NOW TME SAME 70 BE TRUE AND CORRECT.ALL <br /> LEML cmm�oxnrPRDvdgn6HOR'4BELL wonrrrncHFOUR CDPIE61 PROVISIONS OF LAWShT:7ORDINANCESGOVERNING THIS TYPE OF <br /> LOT�GI - BLOCK OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> Iry �,-J �L. NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> L��.LGI,�I 1 1 �I � ISI1��j OTHERS ATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCEOF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MALT_ AND I COMPLY WITH THE STATE <br /> - CONTRACTORS LAW 111.27 RCW AND 288.200 WAC. <br /> -�T ` I <br /> . AVL X II <br /> PNOJkCi AODitCKR trvn,moi � IMTL�/•""—� <br /> Cu�1_�MOO\II R:nn.F Na <br /> ' —• ._� <br /> PLUMBING MECHA41CAL <br /> N0. I TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) 9 I A/C--.AAINDLG UNITS-H.P. <br /> BATHTUB ' FORCED AIR SYSTEMS-B.T.U. M E.A. _ I <br /> LAVATORY(WASH BASIN _ '�'i UNIT HEATERS-B.T.U. M <br /> SHOWER I CLOTHES DRYERS -- <br /> KITCHENSINKADISP 7 -- ..- •' <br /> i• VENTILATION FAN - I <br /> DISHWASHER ) •� ' - ' <br /> RANGE HOOD 1 �— <br /> LAUNDRYTRAY - ' <br /> WATER HEATER <br /> CLOTHES WASHER I _ --7 WOOD STOVE <br /> URINAL <br /> • - _ ' _ METAL FIREPLACE 8 CHIMNEY <br /> DRINKING FOUNTAIN ti FIREPLACE INSERT I '' <br /> FLOOR DRAIN _ HEAT PUMP <br /> BACKFLOW PREVENTERS _ OAS PIPING <br /> ROOF DRAINS—RAINLEADERS I rj EXMAU6f FAN <br /> SINK(SERVICE-BAR,ETC.) ' <br /> I ' <br /> _. 0' ' <br /> I <br /> - - <br /> SUBTOTAL S <br /> - ' SUB TOTAL <br /> - PERMIT L i - PERMIT $ i <br /> TOTAL FEE $ <br /> TOTAL FEE S �— <br /> FOR <br /> TgrOFqq/F�[CI��CE USE ONLY:FFjj55AAq flSi� <br /> ,no" yC^"T` (n�pLA,�}/j�r1 SIO[CCTBACK 1 rLAN C'rCCK N11MB6� GAS pBG�/ RFCkv1 N0. <br /> Lol yLtA vAaNt BITE Ffifi6 VALUATION FEE <br /> BUIIDINO I yr,at tre <br /> Rlu Bccwm Nn nnwTuwF Pwm <br /> PLUMBING Q(i' _ <br /> �- __ /O <br /> •ac orOlnp Na.nrAroRIF6 snscucur <br /> yJLG SF t MECHANICAL � <br /> rod sf �eA 2 ,c/o _ <br /> ICOUP,nN,C/Y LOAD MCGPANKI Fq6 REOU NEK311T ATKN ADDIiIONAI.PLAN CIICCK <br /> MJ 1 <br /> ' 9 ,93 <br /> EASON ron SPANKI f AS <br /> STATE BUILDING SURCHARDE 'O <br /> rtnKcfir nu'r6AVPROvfn6r CITY OFEVERETT qG; <br /> ) LOCAL SALES runucwoRKe L <br /> �•J/cJ <br /> TAX CODE 15 3105 TOTAL I <br />