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APPLICATIA FOR CONSTRUCTSN PERMIT °vi•rE•II <br /> TO BE COMPLETED IN INK-PLEASE PRINT <br /> GT.En <br /> everett <br /> RUILGING DEPARTMENT I HEATING SYSTEM: ❑OAS UELECTRIC ❑___ <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING ! MECHANICAL /PLUMBING SIGN <br /> irnuEn /p/P YAA AorneBe Gn �y n RwE <br /> VQ4.L•_rT -� 5���t� S.ED. L.w.v,+'� 9fof '3 CT V7- 47J� <br /> 1[NANI WI KgKB9 GTY Z• FOOTLE <br /> .PCMrtCt OR btBK1MP WAAOMI84 CT H HO1E <br /> f1FMEMlE°NIWLrd1 WalippRcs Cm n hgxF LCEFBE. <br /> weCo Fps > —� <br /> YtcNANw C(YIiMCrllrl WaaoMEss � cm n N04 IKfNBf. <br /> SIL P- s f']f <br /> RIIINOCOIInKiOR Y/JE MdI[55 GIY !! nI_NF MEN%. <br /> �e� - C .a.h : PA.BD L��OG3 cLRM4 981 7 .SFA CAKjk37Mi <br /> uAuawdY <br /> NEW ADDITION ALTERATION REPAIR DEMOLITION WOODSTOVEIFRPL INSERT BUILDING RELOCATION <br /> cdrKr otRKN R•ro nlorc w <br /> amaAcr micE n nonll <br /> D[YRlt NOM1l ANO tO11ER t°pebE((MVQ(V]F° ,E <br /> InolosE°LAY Of °N0 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> 7#7 rovAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> Lt xscmPrroNa noRnnlYronn MLowon RnRCN IdAI mrASI PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERON OR <br /> 10t ROOk °I NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WII:CH <br /> APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTOR 1621 RCW AND 266200 WAC <br /> IMA iMCI OR./1°i�1C/n OOYY_Nr art <br /> M4T[I.[IfX1l SS p / X • •� {/� <br /> x w .Rl GM1 IUINE llG[NY MO MQ IIIIMSBN.WE <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. I TYPE OF EQUIPMENT FEE <br /> WATER CLOSET ITOILET) tlo AIC-AMNDLG UNITS--H.P <br /> BATHTUB FORCED AIR SYSTEM"T.U. M E.A. <br /> LAVATORY(WASH BASINI - UNIT HEATERS-BTU. M <br /> SHOWER CLOTHES DRYERS <br /> KITCHEN SINK 6 DISP - VENTILATION FAN 1 <br /> DISHWASHER <br /> RANGE HOOP -�— <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES AAeHER WOOD STOVE <br /> _L URINI, - METAL FIREPLACE 6 CHIMNEY <br /> DRINI'ING FOUNTAIN FIREPLACE INSERT <br /> _A3 FLOOR BRAIN - HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> _ ROOF DRAINS-RAINLEADERS EXHAUST FAN <br /> SINK(SERVICE-BAR.ETC.) <br /> A5- <br /> -7- <br /> ri jr - <br /> 8U8 TOTAL $ - SLOB TOTAL <br /> PERMIT f /v - PERMIT f _ <br /> TOTAL FEE E TOTAL FEE f _ <br /> FOR OFFICE USE ONLY: ' d <br /> lKdllwE . 1IEMMrY°R BlY M1MCK RNI OELII MII/ER ,1� Karim <br /> VBE EONt LOI MEA vACRNi Nit FEE$ VALUATION FEE <br /> BUILDNG <br /> MEd LdR{YrdEMI rrri d OF61 Kim mr/rYr neppNtlwn - <br /> YW PLUMBND �rI• <br /> BOEv6100 wmsr s WFIEIR MECHANICAL J <br /> OCEtIMNCv LOEO IMrE LEMaoP NEWrIABTnrKK ADNTKY PLAN CHECK _�— <br /> OTHER <br /> RE.IMfm BM Um <br /> STATE SL14DNG SURCHARGE <br /> wrA.r By RAN iIow CITY DFEYERETT PUN it wows — <br /> LOCAL SALES <br /> y�' TAX CODE IS 3105 TOTAL ,r; 0� <br />