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yr"�� <br />��H <br />��x <br />9Hen <br />H �H <br />K n <br />H �1 <br />"�G H'�tl <br />� fi <br />�zr <br />c� o � <br />H C7 <br />G ~ ti <br />� � c5 <br />4) . C:7 <br />yHz <br />C <br />r-+ H <br />�' N <br />C) H <br />; C7 � <br />��r <br />Ch <br />Z H G� <br />H O v� <br />�+� s <br />�,„ �� <br />� - � <br />{'. '1 <br />-�. <br />�.e,`' � <br />s <br />APPLICA1f10A1 :��OR CONS7RUCTIC ] PERMIT i <br />TC� BE COMPLETED IN BLACK INK—PLEASE PRINT �T <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC U______ � <br />BUILDING DEPARTMENT <br />259-8810 <br />DEMOLITION COMBdNATION BUILDING MECHANICAL PLUMBING SIGN <br />�M l� a- <br />PWA�814GCONTRRCTOF MAILAOpRE55 GIIV 21P PHONE STATELIC[NSGe <br />CLASS OF WOFK <br />N:'W ADDITfON <br />CUNTRACTP'�LEOFWORK C <br />O[SCRIBEWORr(qN05011 E�-�' <br />�oros[ous�re�ui nr+r. 1 <br />�� ,..�. .. , %1� _ <br />,.EGAL DESCRIPTIpN OF PRO�� <br />LGT BLOGN <br />ano�[c* noor.t.ss <br />ALT[RATION X AEPAIR <br />0 <br />TYFE OF fIXTURE OR <br />WATER CLOSET(TOILET) <br />E3ATHTUB <br />LAVATORV 1WAS4 BASIN) <br />SHOWER <br />KITCHEN SINK 8 DI:;P <br />DI£HWASHER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />11RINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACHFLOW PREVENTEPS <br />ROOF DRAINS—RAINLEADEF�� <br />SIIJK (SERVICE-6AR. ETC.1 <br />PERMIT 5 <br />FOR OFFICE USE ONLY: <br />fROHTSET�ACN q[ANSEI�ACK <br />UiE20NE IOiARER <br />ttPfAiCON15.ALlOWABIE TYiEOtCON57.ALtUAL <br />SI2E OF pIDG. IJO. OF STORIES <br />OCCUPANCYLOAD FIRESPflNKLERSREOD <br />nlinn[pY I PV.NSAPPROVEDDY <br />DEMOLII"ION I� WOODSTOVE/FRPL INSERT BUILDING REIOCAT10N <br />CONTRCTPERSONAN�PMONENO <br />� / N C..� - <br />I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br />By� S APPLICATION AND KNOW THE SAMF TO BE TRUF AND CORRECT. ALL <br />PiEs� PROVISIONS OF LAWS AND OFDINANCES GOVERNING THIS TVPE OF <br />WORK WILL BE COMPLCI ED WITH WHETHER SPEGFIED HEREIN OR <br />NOT. THE GRANTING OF A PF:RMIT OOES NOT PRESUME TO GWE <br />AUTHOFiITY TO VIOLATE OR CANCEL THF PROVISION$ OF ANV <br />OTHER STATF OR LOCAL LAW REGULATING CONSTRUC i ION OR THE <br />PERFORtdANCE OF CONSTRUC:TION. THAT I Ald AUTHORI2ED BY THE � <br />OWNER OF THIS PROPEFTV lp PERFOIiM TNE WORK FOR WHICH � <br />APPLICATION IS tdADF AIJD I CO�APLY WITH THE STATE i <br />CONTRACTORS LAW 1827 RCN' AND 296200 WAC. I <br />,-���°t� �� ,. _ �� <br />-- — ��r --- � <br />MECHANICAL f <br />FEE NO. TYPE OF EOUIPM1IENT FEE I <br />A C--A HNDLG UNITS—H.?. � <br />FORC[D AIR SYSTEMS—Ei.T.U. M E.A. � <br />UNIT HEATERS—B.T.U. W <br />CLOTHESDFYERS —�— <br />VENTILATION FAN <br />RANGEHO00 �— <br />WATER HEATER '. <br />WOOD STOVE �i <br />METAL FIREPLACE 8 CHIMNEY '�, <br />FIREPLACE INSERT ; I <br />T <br />� NEAT FUMP <br />' GAS PIPING � <br />EXHAUSTFAN - <br />i <br />i <br />SIOESEiBMH PIANC�� jt{.❑ FEE <br />O 3!r <br />VACANTSITE FEES V <br />BUILDING � <br />ttrorexc. xaaownuxeuHus <br />ceouv p�UM13ING <br />BASEMF.NT MECHANICAL <br />r�EiGMnnnrtatioq ADDITIONAIPLANf.HECK <br />SPRINKLEN <br />S`A7 [ LUILDINCa SUFCNApG[ <br />CITY OF EVERETT PUB;.IC WORKS <br />LOCALSALES <br />TAX CODE IS 3105 TOTAL <br />T <br />TOTAL S ' <br />dli 5 � <br />�L FEE S ! <br />�rcen�r �io. <br />u <br />n <br />A <br />