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FROM;EVERF.TT BUILDING DEPT .�, TO: 2066433475 J , 1992 2: 13PM 14412 P.02 <br /> APPLICATION FOR CONSTRUCTION PERMIT ✓ <br /> " TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT HEATINO SYSTEM: OAS U ELECTRIC U__ <br /> 258.8810 <br /> 1 1 DEMOLITION I I COMBINATION BIII DI O 11 MECHANICAL I I PLUMBING I I S':N <br /> HYMEN MAI.AOOR[a$ CRY ZP FWNE --- <br /> cm*IywcKd NcJyICs walI 'xW'7 IJTLILI-2323 <br /> TFNANT MAILADORC$$ CITY zip RIONE <br /> ARCNITFCT ON OtaKONER MAIL AUDN!$$ GOY ZIP nBwF <br /> EL... . 2021--) 112'F'A�, N�. '' r� �Ic�l�lr, q%Xlj ®I 4151 -0(A(0 <br /> OENEIVLLCONTRACTADORER$ CITY ZIP RWN! OTATF I ICCNSCI �— <br /> 4lnyMALIUUIOBcI-fed l 11 i1L_� le q�C!U� t�Liu- z3 ; iTJLc <br /> MFCMANKIAI CONTRACTOR MAIL ADIM02 COY ZIP rmaN $IAII EMCWAY <br /> ,p�5 <br /> CYHN PLJM$Rw CQ/TMCTDR MAIL ADDNENs CITY Zro PNDNC $TATE lKCA1$Fr <br /> r <br /> w n NEW DDITION 11 ALTERATION I I REPAIR I I DEMOLITION I I WOODSTOVEIFRPL INSERT I I BUILDING RELOCATION <br /> pa w O CGO CDNTACTVER$ONANORKM'NO. <br /> m yH CONTRACIYNgkOrwOnM tG II�t� ,`�3 .Co (T'A'Pl 1S Lry -232.3 <br /> O M:pII1F KANU M!r TACK:INVCI VFD <br /> mxs <br /> PNowMcoueca uaM,D <br /> O Hd ����( N�y I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> O -{ 11 I Y C S I C�CYC APPLICATION AND KNOW TIL'SAME TO BE TRUE AND CORRECT.ALL <br /> �., [h LEOa Uk mIKMtIrPRtIPFR 16NONN$EtOWOOATTACUFgIRCOPKp PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> H• 1:7 LOT=_ eERM OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME- TO GIVE <br /> yZH <br /> AUTHORITY TO V.OLATE OR CANCEL THS PROVISIONS OF ANY <br /> C" H OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> y PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BY THE <br /> H OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> 0 or)) APPLICATION IS MADE AND I COMPLY WITH 1HE STATE <br /> j m� - _ "Ba") 1-c. <br /> (' t nI��J� CONTRACTORS LAW 18.27 RCW AND 288.200 WAC. <br /> H0 ca �In 1'l �`"10 2-0 <br /> PNOJECI AODRCRR A4KN,MA Nr <br /> 121-11 0 �i"'� ST Sl J 4 2 1`t`L2 <br /> CII,MAMA„ . Np <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATERCLOSET TOILET) A/C.-AIHNOLO UNITS-H.P. , <br /> 7. BATHI US I FORCED AIR SYSTEMS-B.I.U. M E.A. _ r <br /> CLAVATORY(WASH BASIN)-T SHOWER - , i ! UNIT HEATERS-B.T.U. M _- <br /> CLOTHES DRYERS <br /> KITCHEN SINK A DISP _ , VENTILATION FAN 1 <br /> DISHWASHER , RANGE HOOD �— <br /> '� � LAUNDRYIRAY _ �_ WATER HEATER _ <br /> ! CLOTHES WASHER � WOOD STOVE <br /> _ r <br /> URINAL _ _ _ METAL FIREPLACE 8 CHIMNEY r i <br /> DRINKING FOUNTAIN _ FIREPLACE_INSERT ; <br /> FLOOR GRAIN _ HEAT PUMP _ T <br /> BACKFLOW PREVENTERS ) GAS PIPING <br /> _ -ROOF DRAINS-MINLEADERS _ I _( EXHAUSTFAN , <br /> 91NK SERVICE-BAR,ETC <br /> r <br /> SUB 10TAL f 1- SUB TOTAL f <br /> _. <br /> PER Z _ i _ PERMITLlll f <br /> TOTAL FEE f ' TOTAL FEE f <br /> FOR OFFICE USE ONLY: <br /> •IOOMRrTNACK OEM a$TRACIf ,,F� $roe$$m1f.K FLM CIICCK NIIM$FR reC RECEIPI NO. <br /> dS�C LOVA5:N1517E FEES VALUATION I FEE <br /> 1JFBUILDING 7117: <br /> TMER OITc.A110YAFLt IYHd SIAmal —tic~ KAMAATIIIAFIARO --. .. .— Z 76. ._ <br /> / PLUMBING <br /> rtcpr o1Lq ND.YY RTORR'6 fl"cmFNT �rD� — <br /> Zy72 N t MFOIUWICAL / <br /> =UPANCYLOAD rmcspnPmFR$REOD NCrrv141I0N ADDITIONAL PLAN CIIECK <br /> too ' <br /> kASfM SPRINKLER <br /> POO SPRRKI rR6 ;—•__ <br /> STATE BUILDINO SURCKADOE )J� <br /> (TAME BY PLMS APPpOVFb$Y CITY OF EVERETT PURL IC WORKS -.• Z <br /> J N zi <br /> LOCAL SALES <br /> 64-b i I TAX CODE IS 9105 I TOTAL <br />