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APPLICATIA FOR CONSTRUCAN PERMIT / <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT �7F <br /> BUILDING DEPARTMENT HEATING SYSTEM: UGAS UELECTRIC U <br /> 2598810 <br /> DEMOLITION COMBINATION BUILDING )MECHANICAL : i PLUMBING SIGN <br /> oAwER uE ATwREss cm rn HIorA <br /> JAmCc� _AMLVA6f4 //22 P.07195AN Wotff gQ303 <br /> ,7 <br /> MAIL TFIMMI wE AOOI CITY n YIOE <br /> S,tEnL_ _ <br /> MCMiEC1O11 ClEgIRq wl ADORrs CRY rn g11:YF <br /> OEKMItOMiMLidl wtAp011ElE CRY I/ NfJIE %AM LEANNEI <br /> 11ETIOE�25pA1 �+re�PGlsers 20AIG (PI'TAUP NC 4EVTRX 0,5;s 30007 NBA~w"l <br /> YLcnA1M.H COI11XIiCrp1 <br /> wk A0011EM crn II "KIAE SILTY LICENSE• <br /> nWBNOcdIgACIOq <br /> WE ACpNss I.RY IIP FICMf STATE LCITIEr <br /> uAUOF Motu <br /> NEW ADDITION ALTERATION REPAIR DEMOLITION WOODSTOVEFRPL INSERT BUILDING RELOCATM <br /> j/�� cagrAcr PEgew AND naNY ND <br /> wlrgACT PMCE orlx'ogx Q d3 3-3S0 <br /> OESCRlY YNIw ANn sauRE raarADE IrlvavEO <br /> N 4ml, LJ3 <br /> PgaPOSEO vsEn auaorq I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LE64 OFscIM1%E]N ar PROPEgnILKMMI SFLOW ogAnAcnrdm cwKM PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> LOT NODI OF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER 86VE 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 18.27 RC W AND M 200 WAC <br /> vmtcr ATllIIIESS xwn.« I r <br /> �/ZZ }�� 5LU N/b1L hTI nnlMMm .INM Aa <br /> PLUMBING I MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILETI A/C—AMNDLG UNITS—H P <br /> BATHTUB FORCED AIR SYSTEM"T U. M E.A. <br /> i_ <br /> LAVATORY(WASH BASIN) UNIt HEATERS—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 /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE f CHIMNEY <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS OAS PIPING <br /> ROOF DRAINS--RAIRLEADERS / EXHAUST FAN $ <br /> SINK(SERVICE—BAR,ETC) <br /> T <br /> SUB TOTAL { SUB TOTAL f <br /> PERMIT { PERMIT f <br /> TOTAL FEE f TOTAL FEE ! <br /> FOR OFFICE USE ONLY: <br /> FROM SETIU q "E.URUCA GEES lmx PIµONT INIIIIIIIIEP II YYcEwtw <br /> USE IONS IDT MEA YAGNT PIE FEES VALUATION FEE <br /> BDILDgNI <br /> Rg111COYIS NLCAAAI "a post Y[N4 0¢uwlY poMnlMouRn — -- —_ <br /> mbiumMO77 <br /> E E 6VElAM MECHANGAL sow <br /> ILAO 'I'llSFN mmoo HEEMIIWT TEIN ALGITKXUL PLAN CHECK <br /> L� <br /> 1 SPRINKLER <br /> FIT3r-RD I Q- STATE BUILDING SURCHARGE <br /> ERASEW F LNITAPPNOVEON1 CITYOFEVERETT PUBLIC vgTEN9 i <br /> �.r._ LOCAL BALES <br /> TAX CODE 155108 Toul 7S It7D <br />