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APE�LICATIOi:" FnR CONSTRUC7'I.,�Id PERNi17' �'Vef�" <br /> mo e«m.rnen TO BE COMPLETED IN INK--PLEASE PRINT � <br /> CITV OF <br /> evere*t HEATING SVSTEM �GAS ❑ELECTRIC G � <br /> BUILDING C :PARTMENT � <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN I <br /> •- ' o„ME� unaanoness cirv nr vHorve ... <br /> t�rnc� 2� M��hec� I� �I��o irwiN�,r.� 97'll5 (�i�})�.�-s� -- <br /> TENPNT I.IAII��DRE55 CI1Y 2 P P IONE ' <br /> �� r�rnc.�. c�-�r� C�e ,a� a�� <br /> pRGNIT[CTOP�ESIGNE� U�ILAOORESi GTY 21P P 011[ <br /> sAMu0...Y' @Y�LL`.f'IIr��� ���1�� k1�k1,At��lUd `��33 �o�')•1,22•8�}73� <br /> GENERALGONTflRCi011 fAAILA0�RE55 ���r �� ���'I w 1 1 , <br /> '-' r'd.i�v �� 31�i�i «t.._131�5,2�11f��✓u <br /> �y["��iI ��TY Z�p PNONE LICENSE� <br /> C�y MECI��NiqPGiOf1 ILADDRESS <br /> ��H <br /> FWMOINGCONTfiAG1011 IAAllA0Df1E55 f.rtv ZiP PHONE IiLENSEI <br /> t�nHCn <br /> H �3 <br /> y Z H CUSS OF WOHK - <br /> ', ! NEW �. . ADDITION �. � ALTERATION REPAIR DEMOLITION . � WOODSTOVbFRPL INSERT . � BUILDING RELOCATION <br /> � y� CONT f'ERSONAHD HONE D <br /> ��. a� -��73 <br /> � (pN ppqiR�GTPRICEOFWORN <br /> `� .�. DESGN�ONKANDSOWREFOOTAGEINV VED <br /> R] H� �� �� <br /> PROPOSEJUSEOFBWW�G � I HEREBY CERTIFV THAT I HAVE READ AND E%AMINEO THIS <br /> �y APPLICATION AND KNOW THE SAME TO BE TFUE AND GORRECT.ALl <br /> N C�1 O PFIOVISIONS OF LAWS AND ORDINANCES GOVEFNING THIS TYPE OF <br /> H� nq LEGFLOESGRIPTIONOFPROPEPttI5N0VMBELOWORATT�CMiWRCOPIES� yyORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> Z H 3 �ot e�oc� oc NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> a H��� AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS 0I' ANV <br /> t" F„�y OTHER STATE OR LOCAL LAW REGUUITING CONSTRUCTION OR THE <br /> �y PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOR12ED BV THE <br /> p N H OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> ndN APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> � c�r <br /> CONTflACTORS LAW 18.27 RCW AND 296200 WAC. <br /> �ij yy SIGNRTUPEOFCONTPAC70RORAUTIIORIZEDAGENT OAE � .1��, �� <br /> H O CA X , <br /> I <br /> PFWECTADOPE55 7 pppL�Gq y� ,�ES UG �..ENO.R�DBUS ESS��AME <br /> ��d E Q �U <br /> PLUMBING MECHANICAL <br /> � NO. TYPE OF FI%TURE OR ITEM FEE N0. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) ArG—A�HNDLG UNITS—H.P. <br /> � FORCEDAIRS`.'STEMS—B.T.U. M E.A. <br /> � <br /> I '^' LAVATORY(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> �, SHOWER CIOTHES DRYERS <br /> '� � KITCHEN SINK 8 DISP VENTILATION FAN � <br /> I �=z� DISHWASHER RANGE HOOD ' <br /> LAUNDRY TRAV ' WATER HEATER <br /> '� • CLOTHES WASHER WOOD STOVE <br /> � URINAL METAL FIREPLACE&CHIMNEY <br /> � DflINKING FOUNTAIN FIREPLACE INSERT � <br /> FLOOR DRAIN � HEAT PUMP � <br /> � BACKFLOW PFEVENTERS GAS PIPING � <br /> i�' ' ROOF DRAINS—FAINLEADERS E%HAUST FAN ' <br /> i <br /> SINK(SERVICE—BAR,ETC.) � <br /> � <br /> �w i <br /> � <br /> �� <br /> i <br /> � SUB TOTAI. S SUB TOTAL 5 ' <br /> iI` PERMIT 5 PERMIT S <br /> TOTALFEE S TOTALFEE 5 <br /> . FOR OFFICE USE ONLY: <br /> �' Ff10NT5ET8ACK R[AqSETBACH SiCESEIp�CN VIANGMEGNNUMB[R �EE RECEIPTNO. _ <br /> a7 ac� g�. u"3 32r,is <br /> USEIONE LOTMEA �ACANTSITE FEES VALUATION FEE <br /> iC� BWLOING qQ, � .� ��U <br /> iYPE0iC0l1ISALlOWAEI[ fYPC0�C0iSI.l.G7UAl o[W�oWr Ma6VMunLcv:i � <br /> ^./ ^1 PLUMBING � <br /> !T <br /> S2EOFBLDG. NO.OFSTORIES MSEMENT MECHANICAL � <br /> V �_ � <br /> �r-pyAHGYtOA� FlfiESPRNKlER5RW0 HEIGHiLIMIi�710t1 ADDITIONALPLANCMECK � <br /> 4 �o ._ <br /> OTMER � <br /> ��!.n_,O;ifOfILPRI!IMLEPS /L �rA <br /> STATE BUILDIN6 SURCHFPGE 7 ��+ <br /> ,,.;.� py PlANSxPPR0YCU0Y CITY OF EVEBE71 PUBLIC WOHKS <br /> LOCAL SALES TOT�L S� ' <br /> 1�� _ TAX CODE IS 3105 1 _ <br /> �—� <br />