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APPLICATIO&OR CONSTRUCTIO1 PERMIT PVCIP(l <br /> m.F TO BE COMPLETED IN INK—PLEASE PRINT <br /> CITYOF <br /> everett I HEATINGSYSTEM: UGAS UELECTRIC <br /> BUILDING DEPARTMENT <br /> 259.0810 <br /> DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> w oNE <br /> DwIFN—\arKo 10�1e /�� m g' SW •GEYLF.�t�7fT 1�Wo �R�n3 7-¢735 <br /> TENM�AII! ^ `S I7 I�YJ�•• �I SIA WL1GI1 �• <br /> MCr.IFOI OP OF61O,e'I W.•OME. G,T tH PIONE <br /> DTIR cawrP•c,oN �'I W.MDAE69 pu. 174Y " WA PwrtII LKErOE. <br /> MPWTI CCM,P•C,pl .•DD,E art 7P WIPA LUN9[. <br /> a UWT..TlA ..OwN s clrY t. NIOII LKAISE. JJ./e/ <br /> am m W <br /> NEW ADDITION ALTERATION REPAIR DEMOLITION i 'WOODSTOVE/FRPLINSERT BUILDING RELOCATION <br /> cwr•C NEON ND HIOIrt MO <br /> G��ON,MC,Y OE W <br /> YIES <br /> F MIS1TFlSSfAHU�11 <br /> olgfaeuau.Io J 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> LEOs Trac toNa Pry lsuwN Lon M•n•cllrounco.Nm PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> Lor sax n 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 WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 0127 RCW AND M 2DO WAC <br /> EaN•Tuq:at�a/N{�,T�ucro�;N�{OP•uTIIw�7EO MENr CITE <br /> //3 J - sQ .2 F"� U•-w •vnc.Nrncm euElNEss LCENV No uw sTe.,Eea N.uE <br /> PLUMBING I MECHANICAL <br /> N0. TYPE OF FIXTURE OR REM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET ITOILETI A'C NHNDLO UNITS—H P. <br /> BATHTUB FORCED AIR SYSTEM"T.U. M E.A. <br /> LAVATORY(WASH BASIN) UNRHEATERS—B.TU, M <br /> SLOWER CLOTHES DRYERS <br /> KITCHEN SINK 8 DISP VENTILATION FAN <br /> DISHWASHER RANGE HOOD <br /> _ LAUNDRY TRAY WATER HEATER <br /> _ CLOTHES WASHER WOOD STOVE <br /> _ URINAL METAL FIREPLACE A CHIMNEY i <br /> _ DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> SINK(SERVICE—BAR,ETC) <br /> SUB TOTAL { SUB TOTAL i <br /> PERMIT { PERMIT { <br /> TOTAL FEE { TOTAL FEE { <br /> FOR OFFICE USE ONLY: <br /> fIC]MI EEI!•Ct WMIETM eOEMTMCN NN1d MINLIEN III ^ WCEIN,NO <br /> OSE tCIN LOT MEA vCMT STE FREE VALUATION FEE <br /> BUADNO <br /> TYN 0(SITE AIIONNXI T,FI OEONE1 N,Wl mrwsr eNtWIIN.Y.N - <br /> .•e. RUYBND <br /> sa a Km NO M eTaLAE EASEMENT ElflEUIIIBIu n._..lG.. 39J ,? /G S'o <br /> 12n,�A�[ w ? <br /> accu. YlaOLao FmEsealwiENEMw we_tMu,nI <br /> OTHER i <br /> NEAIPN FOP 6MMIEN6 <br /> STATE TMXOND SURGINRDE <br /> N,AEE B1' nMs•IroNOLTon CITY OF EYEflETT nlBLlc YaRKs <br /> LOCAL SALES <br /> I TAX CODE IS 3105 rDTAL Say ; 73 <br />