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APPLiGATIC 1 FOR CONSTRIJCT JN PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />BUILDING DEPARTMENT � <br />259-8810 <br />DEMOLITION COMBINATION <br />o�'rt��.r� r.u�i aoo�arss <br />� � <br />A�OntECi 0� pF51GNER <br />/ r <br />❑V�fR �C�f11R�CtOR <br />GCO�ANIL/qI CONTR�LfOF <br />�I <br />�t uuitiNG CONiR�CTOF <br />1� <br />CUSS OF WORK <br />�EW ADDITION <br />pU'l A001iE55 <br />// <br />41�1i1 �ODRESS <br />�IML O/DRE55 <br />% r <br />ARIt A��PE55 <br />/(. <br />ALTERATION <br />J <br />HEATING SYSTEM: q ur�� �„J ELECT �'lIC „J <br />__ /BUILOING �AfECHANICAL �p(UhIBING <br />Crtv_--_— ��P_""_- _— PNO.'IE <br />_ Erev+�"d— yy�-p_�__33Z <br />��� Z�„ ����NE <br />L7 --�` -�= =- -- <br />CiiY ]iP PNCNE <br />�� f�" /. <br />CitY ZIP PIIONE <br />�( �� / / <br />CI1Y ZiP PMONE <br />�( �� �/ <br />LIiY zIP nqNE <br />//, �� ; / <br />REPAIR DEMOLITION WOODSiJVEFRPL INSERT <br />/�/ CONiACT PFN50q ANb PHONE NO <br />COhiMCTPRIfEO�WORN Q/fQU�'�� �/ I��ALL� 7 i <br />[I[ SCRipE WORK AND SOU�RE FppTA4E iNV01VED <br />ilis`7� �1�' /3�s� ' <br />PqpPOSF.D LSE OF gUiI�ING <br />S/p� <br />l F.CAI OESCRiPiION Of PRO�ERIV �S��OWN BEIOW OF ATTACH FOUR CpPiE 5� <br />��r�_ n�xn ov <br />/��+ /i� � n � S� �{ ,v�C ✓ <br />/09 <br />—�_- //3 �� S� < <br />rnaec * anoaess <br />NO. <br />L <br />I <br />TYP� OF FI%TUHE <br />CLOSET �TOILETI <br />KITCHEN SINK 8 <br />DISHWASHER <br />LPUNDRViqqy <br />CLOTHES WASHI <br />URINAL <br />DRINKING FpUN' <br />FLOOR DRAIN <br />BACKFLOW PRE\ <br />ROOF DRAINS—F <br />SINK ISEPVICE— <br />ETC <br />4 L.+ <br />SUB TOTAL $ <br />PERMIT $ <br />TOTAL FEE S � <br />FOR OFFICE USE ONLY: <br />�RON1511PACM qFM�SE/1B��CK � <br />�l/ / G�Y/ <br />OSL20N' � IOIANF� <br />�� I <br />IMIJffONlSdItOWANI[ IVF[OilON51A[fpRl <br />--.��� —JI-�—_ <br />fii1E OF 91 OG Np OF SiORiES <br />�3iSa� Sf <br />�27 vA� 2. <br />(N;LUPRNf,V�q�p FIRESPRNNlER5RE0D <br />---��[f'3� <br />�fAtiONlOR SPqiN10.ER5 <br />INf�kf A� �p�ANSAPPROVEf1AY <br />� I Il <br />STQE LICENSE • <br />SiATE LICENSE i <br />5!AtE IIGENSE • <br />SIGN <br />BUILDING RELOCATION <br />�-- 3 i s�s� <br />i nenter �trinFY 7HAT I HAVE READ AND E%AMINED THIS <br />APPLIi;ATION AND KNOW THE SAME TO BE TFUE AND CORRECT AlL <br />PRC!'ISIONS UF LAWS ANU ORDINANCES GOVERNING THIS TYPE OF <br />WORK KILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GPANTING OF A PERMIT DOES NOT PRESUME TU GIVE <br />AUTHORITV TO VIOLATE OR CANCEL 1�HE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFOFMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />nWNEP OF THIS PROPERTV TO PERFORM THE WORK FOR �NHICH <br />APPLICATION IS MADE AND I COMPLV WITH THF STATE <br />CONTRACTORS LAW �827 qCW AND 296,200 WAC <br />x G�ti�_.� i�-i�-i��_ <br />: r,v—nro��r ��� � <br />A C—A-HNDLG UNITS—H.P. <br />-FORCFD AIF SYSTEMS—B.� <br />UNIT HEATERS—B.T.U. M <br />CLOTHESDRYERS <br />VENTILA710N FAN <br />RANGEHOOD <br />WATEH HEATER <br />WOOD STOVE <br />METAL FIREPLACE 8 CHIMN <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TO1I <br />PERMIT <br />TOTAL FE <br />_�!i y-� � . /�'(.' <br />�ECN%NUM9f� !fE <br />; � [J �/ � J -JG% <br />VqCANLSRE PEES V� <br />l3UILOMG � <br />ocqmr�r�. �amvrc�., --.___ _.__— __ — <br />-f"� � _ ---__ <br />PUlldBiNO <br />BASEMENT MECHANICAL <br />�— A�DITIONAI PLAN CHF.CK <br />NHGIIi I IMtiPiION/ <br />_Z� — -9.+t�„-�t�1�-l]�- <br />I STAtE PUILDING SURCHFRGE <br />__ .J—_ -----. — <br />CITY OF EVERF.TT rueu� woviNs <br />LOCALSALES <br />TAX COOEIS 3105 rc�n� <br />E.A. <br />� <br />---�-`'1��� <br />�Q _ <br />�1_ _ _ <br />� <br />", — <br />T <br />7.�� — <br />