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APPLICAT" '1 FOR CONSTRUCT IN PERMIT /, -_ <br />TO L._ ZOMPLETED IN BLACK INK —PLEASE PRINT ✓, <br />Ian <br />BUILDING DEPARTMENT HEATING SYSTEM: UGAS UELECTRIC U__,_.__ <br />259 8810 <br />I I DEMOLITION I I COMBINATION I I BUILDING I IMECHANICAL PLUMBING I I SIGN <br />UWI4B Wt Ma1ESS GEE Tn A. <br />7M AKME <br />Mt4MnxiGµ WICCCAClpi 4n1 ATVIESS CRE . IP MgNE STATE 1CM11%A <br />AIMBvtt{C(MIMCial YAp AMALSS CHY EP M1gNE STALE ICFfrA. <br />IIi11VFDSIl1A Mized 17%60 Al P.6$A. CCATITC 9A/33 911l/_941in IiA1-1.I.All. A. a.t7A10 <br />CCN11CAC1 A1KE ACTW . <br />OESCnBC MMA ATTIC Sq/APE EW(AGE MV KD <br />Cp11ALC ISNSgINIpfIgNE Iq <br />�,Er✓,�/vr T,�yPi2oYE�F�1/ <br />� /�.Yc ,¢rc a5�-/o3B <br />1 HEREBY CERTIFY THAT I 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 T14E <br />PERFORMANCE OF CONSTRUCTION, THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WI/ICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RC W AND 296.200 WAC. <br />vnoApupusEa BDa ���/A� <br />C. <br />IEDALCf SCOroEICNpI'NVI'ERAIbIDMI OEIOWOR AITACH TW'OCa'SSI <br />ruKEt uAlD ummEn <br />COC 1SMCIC11LOAN1LAOCO.."ESS. TELCM1gASMIWIEH <br />PROJECT ADDRESS <br />on1�F'T— <br />cxrsun r."o <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIC—AMNDLG UNITS—M.P. <br />BATHTUB <br />_� <br />�_ <br />FORCED AIR SYSTEMS—B.T.U. <br />LAVATORY(WASH BASIN) <br />UNIT HEATERS—B.T.U. M <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK A DISP <br />VENTILATION FAN <br />DISHWASHER <br />'J,m <br />RANGE HOOD <br />_Q <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />7 4cy <br />METAL FIREPLACE (WOOD BURNING) <br />_Q <br />DRINKING FOUNTAIN <br />— <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />0 <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />Q <br />ROOF DRAINS—RAINLEADERS <br />EXHAUSTFAN <br />0 <br />SINK (SERVICE —BAR, ETC.) <br />T <br />_ <br />SUB TOTAL S <br />SUB TOTAL S <br />_ <br />PERMIT S <br />PERMIT $ <br />TOTAL FEE $ <br />TOTALFEE S <br />FOR OFFICE USE ONLY: rJy <br />I`Cal f SEISA <br />AEMBETBAat <br />SDE BETBAat <br />AANIHECAMIAIDEA <br />EEE <br />"IMAPIIIO. <br />UE MIE <br />LOIAREA <br />EACABT VIE <br />tl YES it NO <br />FEES <br />VALUATION <br />FEE <br />BUILDINGTWlatmDl <br />PLUMBING <br />w.a SimsBmrFay <br />Aaamu.Wwn <br />vOr <br />SMOII0.G0. <br />J"!!WCtMIEASREOD <br />BASEMENT <br />n YES n NO <br />MECHANICAL <br />AOCITXXIALPLANCHECK <br />Dcannxcl LOAD <br />WEALAnMRroD <br />IIE DITLWATILN <br />OTHER <br />Ro <br />EAV <br />SLATE BURORA SURCIMRGE <br />VITAE By <br />REAHBAPPA DV <br />MTE <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />ruBLIC WDAKS <br />TOTAL <br />