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APPLICATION FOR CONSTRUCTION PERMIT i <br /> TO BE COMPLETED IN INK—PLEASE PRINT <br /> CITY Of <br /> everett HEATING SYSTEM: GAS UELECTRIC U <br /> BUILDING DEPARTMENT <br /> ?59-8810 <br /> DEMOLITION COMBINATION X BUILDING MECHANICAL PLUFABING SIGN <br /> OMNFnwE ss cm 3- •TUNE -- <br /> �Lj�� /oi Pot Sf SE.') E✓�,.W &03, 15 �-#1s6 _ <br /> :IND <br /> wE.LdRSS Cm m r.TI1f <br /> ANCMIECt OR DFWW;R 41l ADCNI A5 or W.-Tc," YI M•Yrt <br /> GENERAL 004MACT01 f wIADORESS WO ^UIY m "No"r LICENIEE �E <br /> YEC AN AL LOIIRACIOR WI ADMf89 // Cm t• Rr4YlE t4lMF• <br /> �t1G. 9y(s J"G.s h, /h N Sc,r 7H 6"16_a I I <br /> R CHINCH Y4l ADDlIEEE CRY m M9N[ LICENSEE <br /> CIAESOF)VOM <br /> NEW : ADDITION ><ALTERATION - REPAIR DEMOLITION WOODSTOVEIFRPL INSERT : ; BUILDING RELOCATION <br /> 7��� /']�y� EANiKIRfNSp1Y1pEIg11[NO <br /> CdtN1C1 M1[E Of (/VV (/V(/ <br /> xEcnaE waRli Axo eouARE rooTADE wvoL D ' <br /> IA <br /> OOf NRb1O 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> LEGAL DETCRmUN OF NIOPERDYI KIMN KI MOR ATIACN FOLIA CORIEH PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> LL.T-- K= a 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 REGPLATING 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 FICA!AND 088200 WAC. <br /> sON.lux ar IAAc A IrtDAOENT DATE '/�' <br /> X 7 <br /> MN)IFCl App1E" <br /> n <br /> E'd11TE GTY LI LCEMSf Iq AND".M.AAF <br /> PLUMBING I MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET ITOILET) AC ANNDLG UNITS—H.P �T <br /> BATHTUB FORCED AIR SYSTEMS--8 TU MEA. <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 /> _ URINALMETAL FIREPLACE 3 CHIMNEY <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> _ FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> _ ROOF DRAINS—RAINLEADERS I EXHAUST FAN <br /> SINK(SERVICE—BAP.ETC.) <br /> SUBTOTAL f SUBTOTAL f <br /> PERMIT $ PERMIT $ _ <br /> TOTAL FEE f TOYAL FEE $ <br /> FOR OFFICE USE ONLY: <br /> FRwIMt�. P[AR SFI►ACN EUe Mluu7 <br /> 3:2 <br /> "ZOPEFCA <br /> LOT AREA VACANT mE FEES VALUATION FEE <br /> (A.-^ /acCho n BUaOPA <br /> TIME IE MEDICARE tEsm, CN4�N X)CsNwal MIPIILAKN•n <br /> PLUMBING <br /> MIEOFBLOD No OFETgRI BAEE'4ENT <br /> MECHANICAL <br /> OCCUTANCY LDAP FIIIF iFKIFlEI1BPF00 r[EWIIWA" ADDETXXMAL PLAN CHECK --}-- <br /> 13? Y15*1 •2 oRTR/b3 OTHER <br /> IIefA�E0rN�1011 fFINlML�EK�E,sA ��/f'�� <br /> ,Y WT �NG/WII� STATE BUILDING SURCHA M <br /> CAL SALES <br /> IMAAE XY RANU AMIKIYEDBY CITY OF EVERETT PUM IC wows <br /> ' � TAXOCODE S3105 TOTAL <br />