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APPLICATIG�7 F�R CONSTRUCT")N PERMIT �y\�" <br /> �'J TO BE COMPLETED 14 BLACK INK—PLEASE PRINT <br /> HEATING SYSTEM: �GAS ❑ELECTRIC J <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING X�v1ECHANICAL PLUMBING SIGN <br /> p1YNER MAIL�DORE55 CITV 210 PH08E <br /> �S'�EUnL`f ��s-� ��� ��i � .��� � - �, � �s- �a� — <br /> TENANL �AA�LA��R SS CIIV ZIP � PHONE <br /> PRCNITECTON�ESiGNER �•�/R/ODRE55 CiiV ZiV PHONE <br /> GENERRILONTRAGTOR h1AilAD�RE55 CITY 2iP PMONE SLAiEUCENSE• <br /> � �� MECNANICRL LONTRRCTOR MNL ADD "55 CIiV 21P PNONE STATE UC SE• <br /> �o�`r�'� Cs� C�/o� 2cn� s'�✓ L�1 uti�D q�oSC��� o-I' G *�on�s�cny� <br /> � F3 1'WAI�MGCONTRACTOR l.IRILA DRE55 CR1 � ZIP STATE�LIL[NSE• <br /> � y y CLASSOf\VOAN <br /> N ',!, NEW ADDITION AL?ERATION REPAIR DEMOLITION WOODSTOVE�FRPL INSERT FSUILDING PFLOCATION <br /> � � ` CONiACi P[i150N ANO PMON[NO���JJJ /� <br /> 0 x � CONiRPCTPFiC[OF\YOFK I�`„/�J�s' �lO� ���"��� - <br /> RI M �I OESCRIBE WORN ANO 50�IAP[FOOtAGE INVO�VEO /�7O� I�/�Q <br /> H� x� ��'i-� F1�C�i'��C �FTOP UIJITS w��4 ii� �'"I v <br /> � eaoPoSeouseoFeuaon�G � HEREBY CERTIFY THAT I HAVE READ AND @XAMINED -IHIS <br /> � �L��,Q APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> L[GAl�[SCRIPTIONOF PROP[RTYISNOWNBELOW OR tTiRGHFOURCOPIESi PROVISIONS OF LAWS AND ORDINANCES GOVERNING 7HIS TVPE OF <br /> N � t7 WORK WILL BE COt.1PLETEO WITH WHETHER SPECIFIFD HEREIN OR <br /> p„ n ior etocK oF NOT. T4E GRANTING OF A PER611T DOES NOT PRES�IME TO GNE <br /> � M AUTHOR!TY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> y OTHER STATE OR LOCAL LAW REGULATWG CONSTRUCTION OF THE <br /> PERFORMANCE OF CONSTRUCiION.THA7 I AM AUTHORIZED BY THE <br /> H OWNER OF THIS PROPERTV TO PERFORM THG WORK FOFl VlHICH <br /> gy APPLCATION IS MADE HND I COMPLV WITH THE STATE <br /> n t,y y CONTRA .TORS 18 7 RCW AND 296200 WAC. <br /> � y� �� ,,��,,� 30 9Z . <br /> yow �-- � � <br /> vaaec*nooaess � � � _ <br /> 1'�INI �fz J�, �,,,.—�-,,:,,. - - <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> � � WATER CLOSET�TOILET) _ A�C—A�HNDLG UNITS—HP. _ _ <br /> � �� BATHTUB __ FORCED AIR SYSTEMS—B.T.0 M E.A. — <br /> LAVATORY(WASH BASIN) UNI i HEATEFS—B.T.U. M <br /> � SHOWER CLOTHES DRYERS __ . <br /> KITCHEN SINK 8 DISP VENTILATION FAN _. __. _ <br /> � DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> I �� _ WOODSTOVE — <br /> CLOTHES WASHER <br /> , URINAL _ METAL FIREPLACE 8 CHIMNEY <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> ' FLOOR DRAIN HEAT PUh1P <br /> �' �� GASPIPING <br /> � BACKFLOW PREVENTERS <br /> ROOF DRAINS—RAINLEADERS ERHAUST FAN _ _ <br /> SINK(SERVICE—BAR.ETC.) S7L`�] ���� — <br /> �..� 1 - <br /> — — ---;-- <br /> � SUB TOTAL 5 �__ SUB TOTAL 5 S7I = <br /> � PERMIT S PERMIT 5 /5� � <br /> . . � TOTAL FEE 5 TOTAL FEE 5 G 5' ' <br /> FOR OFFICE USE ONLY: <br /> H[CHPTNO <br /> FflONTSETpACK REARS[iCACN SIpESEiBRCK Pl���CNNUM1�9C�R FEE <br /> 7�7 <br /> USEzor+E �ornaen vncnr�tsiTE FEES VALUATION FEE <br /> BUILDING <br /> tYPE Of CONiS.All01YABlE tYPE Of LaNSt.RCIVAI �cw uv� xo oroxiw�au5a5 <br /> PLUM�ING <br /> SiZEOGBLDA. NO.OFSTORiES BASEMENT MECHANICAL _���_j/J�� <br /> pCCUPANCYLOAD fIRESPRNKLEqSREOD HEIGHTLiMITAiiON AODITIONALPIANCHECK _ <br /> SPRINNL[F <br /> ii[ASON FOR SPRiNNLEPS <br /> � STATE�WLOING SURCHARGE _ <br /> irvTPNE BY PLANS PVROV[D OY CITY OF EVERETT PUDLIC WORKS i <br /> I.00AL SALES , <br /> � �� TAX CO�E IS 3105 rorn� (, }' <br />