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APPLICATIQ ! FOR CONSTRUCT'IN PERMIT ,� <br />TO BE COMPLETED IN BLACK INK —PLEASE PRINT 0-c <br />BUILDING DEPARTMENT <br />HEATING SYSTEM: U GAS AELECTRIC J <br />259-8810 <br />DEMOLITION COMBINATION X BUILDING MECHANICAL 1 PLUMBING <br />OWNER MAI ALORr%I, I - OTY ZIP P E <br />CRY <br />CRY <br />PHONE STATE LCENSEA <br />PHONE <br />A..T. RPPAIR .DEMOLITION WOODSTOVEIFRPL INSERT BUILDING RELOCATION <br />• //�f� _/��) <br />artILE CRACTPFCFWa1K /K�L i��T"`�� /-J <br />CartAct P111 ANOP I.1 <br />707 <br />DE$CR9E NCIIK A110 SQUARE FBOIABE INVOLVED I <br />J 5 <br />PROPOSED usE OF BURDIMG <br />5 <br />I 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 THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THL <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CON ACTORS LAW 18.27 RCW AND 298.290 WAC <br />1 <br />LCWLDiscRIPTKN aF PraPERTYI BELLppyXLLOB AtrAyyFwRCOPrtsI <br />-UV / <br />LOT 13a1Y KOCK4 OF 1 ¢ <br />CGf� �Q <br />�^ <br />PRO, ADORLSS �+�� � <br />GA4-.p AtiC <br />S`'N""'"T <br />nT. mnmessm�.�»' <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />77 <br />R CLOSET (TOILET) <br />AC —A HNDLG UNITS—H.P. <br />"IB <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />ORY (WASH BASIN) <br />_ <br />UNIT HEATERS—B.T.U. M <br />ER <br />CLOTHES DRYERS <br />EN SINK A DISP <br />VENTILATION FAN <br />J <br />ASHER <br />DRY TRAY <br />RANGE HOOD <br />WATER HEATER <br />—L <br />HES WASHER <br />WOOD STOVE <br />L <br />METAL FIREPLACE B CHIMNEY <br />ING FOUNTAIN <br />MER <br />FIREPLACE INSERT <br />R DRAIN <br />HEAT PUMP <br />FLOW PREVENTERSGAS <br />PIPING <br />DRAINS—RAINLEADERS <br />EXHAUST FAN <br />(SERVICE —BAR. ETD) <br />Cl2.l <br />SUB TOTAL S <br />- PERMIT S <br />TOTAL FEE $ <br />SUB TOTAL S <br />PERMIT $ <br />TOTAL FEE $ <br />([Yj' ^ <br />LvJ ' <br />c uce n.0 v. <br />,Ronk SETO/.Cn I <br />NEAR SEIBACO, <br />2 <br />SIRE SETBACK <br />PLAN CNEOJ NUMBE� R <br />iIt ` <br />PECE� <br />USE <br />i <br />LOT ARE- <br />xlz3. <br />VACMT VTE <br />r�5 <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />-75 300 <br />r� <br />nrta oms AU,ONMIU <br />tr%OrmAARAU. <br />_ <br />acaAMCY ooP.n.ABN.� <br />PLUMBING <br />m <br />SUEOFOi BLDRu+ NO OF BR]RIES BASEMENt <br />OLCUpAAm LOAD iI11E 5pR1AlEW NEOO HECHTT LWITATKN1 <br />Na ZSA <br />R(ASON OR cpNMnICR$ <br />MECHANICAL(( <br />ADDITIONAL PLAN CHECK <br />SPRINKLER <br />STATE BUILDING SURCHARGE <br />NTAKC BY <br />IMNS ApM10VED BY <br />J ��9�3 <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />PUBLIC WORKS <br />-go <br />TOTAL <br />I & L7J <br />