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APPLICATIA FOR CONSTRUCTSN PERMIT evelell <br />IAAE�+ TO BE COMPLETED IN INK -PLEASE PRINT <br />C'TY a <br />everett HEATINGSYSTEM: ❑GAS ❑ELECTRIC ❑ <br />BUILDING DEPARTMENT <br />259-8810 <br />DEMOLITION I ) COMBINATION oo BUILDING I I MECHANICAL DP PLUMBBNi I I m" <br />yAwra I ADDAEssp OF. a>_e un 71P PHPHONE1/RAIc AA47Wflt!4--- «... --, 11 /NDr✓R - 982�L-?d'Y-Y9�� <br />MIR AOdESS CRY n <br />Q.O 1�9 O V 4 2 2_ mo vo-c <br />CnV m P JIBE <br />nlIM11NO COAfn.ClO'I MAIAMESS C31Y LIP PnOr4 L'4EME• <br />CLASS a YIpIA <br />III...nrw I I PPPAIn i I nFMEK ITH)CI I I WOGDSTDV•JFRPL INSERT 11 BUILDING RELOCATION <br />CCN,MC, n10E IX V.•.Mn <br />VSr. E A\ EE , mv1EG <br />.-, R+"r°".'lvli "' /4i'2"`ei u.Vc Ncrn.A aP�ot,rvuup <br />LA:•DLK C;CMie0_-6v lt6C. SAP- 3PCof'f <br />lll�OIrsE IX Au.0w <br />jW P �CUfQP 6� t SfBiL+S/ JMO T - P U IZ <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />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 I8.27 RCW AND 296.200 W.1C. <br />sgN.rL�P/E�a�:JC011rMC,dL�o/a/AuJ�,l9MhGAGFNI CATE <br />X •QJI `--,-i- <br />RMnISCNY &19MES CENY NG 4GPU5.495NUF <br />LEGAL DESCIVAMNM FROMM" ISIKNON mLOWOn... `N'OTRCMMSI <br />FOR /- Y mccN �� GE -U/-/✓ V 7) -u2- <br />' <br />_ <br />rnarcTADOREss <br />3aot Ruc./cr-Ie A✓.:;. I <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />DLG UNITS -HA <br />_ <br />BATHTUB <br />IR SYSTEMS-B.T.U. M E.A. <br />LAVATORY (WASH BASIN) <br />ECIS-B.T.U. M <br />SHOWER <br />DRYERS <br />NRANGEHOOD <br />KITCHEN SINK A DISP <br />ION FAN <br />DISHWASHER <br />TRAY <br />ODLAUNDRY <br />EATERCLCTHESWASHER <br />OVE <br />URINAL <br />METAL FIREPLACE 8 CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />NEAT PUMP _ <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS-RAINLEADERS <br />EXHAUST FAN <br />_ <br />I <br />SINK (SERVCECE-BAa_SN` <br />2L,S LC- Ar JOC DR4,v <br />i00 <br />_ <br />_ L,FiL.t Li- S'1 414R <br />.{ LL- G+•-+03S Iv atHt <br />5 'ee <br />Sao <br />SUB TOTAL f <br />_ <br />SUB TOTAL f <br />6' <br />PERMIT f <br />PERMIT f <br />/ - <br />TOTAL FEE t <br />s- - <br />TOTAL FEE S <br />I / <br />Pnm ETCCICF I ISF nNI V. <br />I RMI SE,nACK <br />NEANSETBAC. <br />SIM SE1aACK <br />77m_cRECK 111Yian <br />FEE <br />MUFF NA) <br />IISE IM, <br />LOTAMA <br />WANT SIZE <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />PLUNBWG <br />— <br />— �.I <br />'} CO <br />I'm OF CON'S NLOARS!, <br />Im OF CCNSI.CN4LL <br />UPMIIIM1LPa9 <br />r'"OA <br />WE Mmm <br />Iq IXSIMMS <br />AASEW"I <br />MECHANICAL <br />ADDITION AL PLAN CHECK <br />OCCIIPANCYLOAD FIRE SPRINKLERS MCIO IEp111 LMnAR" <br />III ASON IOR SPRINKLERS <br />OTHER <br />STATE BUILDING SURCIIAPGE <br />RIIAAE RY <br />PLANSAPPROVEDAr <br />CITY OF EVERETY <br />LOCAL SALES <br />TAX CODE IS 3105 <br />PUBLIC wdixS <br />TOTAL <br />6 1 S4 <br />