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APPLICATIV�O FOR CONST�tUC7 .ON PERMIT �`'efP�c <br /> m,�t�,•�w�•,��, TO BE COMPLETED IN IMF,-PLEASE PRIN7 � <br /> cirv or <br /> everett HEATING SYSTEM:�AS I_)ELF.CTRIC U � <br /> BUILDING DEPARTMENT <br /> 259-8810 , ( � <br /> I i DEMOUTION COMBINATION i '� BUILDING �4MECHA ICAL ! !PWMBING I I SIGN <br /> y- qp�,G � CIfY 7�� � t IONf: ✓ �r . � <br /> �Ey �'u�0-�t����- vv��3�� <br /> tEI ..'1 �n M.��eooncss — citv v , ��o <br /> ��l <br /> ai� rono�swr+ei� AInII�UDRE55 cnr im rnorve <br /> r+enei mec�on unannnncss cnv nr, rH��Ne UCENSE/ <br /> MEGHAl11CALCOHiR�CiOq �l/�Uf�ilS�AiURAI-OAS� INC. Gli IIP �I�DNE� //L� ICEN� <br /> �9•6492- 355•7730- 742�2944 ����.������� 11 I 1 `- '� _ <br /> -MeOougB11 cnv zin r��or+—'�-�ICENS[/ � <br /> r�u�oi�+cccwinAcron Mn���Y�°�«�Wa�hlnyton982p1 <br /> CUSS OP WORN <br /> : ' NEW i i AUDI1lON , ALTG ATION � � REPAIR ' I DEMOLITION I I WOODSTOVE/FRPL�NSERT I I BUILDING RELOCATION <br /> ^ � � ,}�'�— contncrrensonnr+uri�or+er+o <br /> � � � l�i <br /> � cor+in�ctvn�c�orwonK �.�� _ <br /> �,Scn�er,y��MJy�n s ui� r � ce wva.v n p� N,�� I�l � <br /> !OPOSEDVSE�BURDIN � `i ���� � I NEREBV CERTIfY THAT I HF.VE READ AND E7(AMINED THIS <br /> � � APPLICATION AND KNOW THE SA1,1E TO BE TRUE AND CORRECT.ALL <br /> �ecuoescnmranorvnor[nrvis�owNnewwonnn�cr�Fom�r.oricsi PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTVPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �or atocK or NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL TNE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PEriFORN:�'CE OF CONSTRUCTION.THAT I AM AUTHORI2ED BY THE <br /> OWt:cR OF �41S PROPEFTY' TO PERFORM THE WORK FOR WHICH <br /> APVLICATIU^: IS MADE AND I COMPLV WITH THE STATE <br /> COIIi CTOf�S LAN'18.27 RGw RND 296.200 WAC. <br /> SIGNAI � FOFGL'NiRr1CT0110 UTNORIZELAGEHT D�TE <br /> � �/'� ' �/ � <br /> ��� ua� � <br /> Pq �DOf�F�S ' �pp�p� lSGITY l SME SI.iLENSENO.AIIDBU51NES5NRME <br /> �� <br /> PLUMBING MECHANICAL <br /> 12p. TYPE OF f11CTURE OR ITEM FEE N0. TVPE OF EOUIPMENT _FEET_ <br /> WAIER CLOSET(TOILET) NC-NHNDLG UNITS-H.P. � <br /> BATHTUB ; FOFlCED AIR SYSTEMS--B.T. . II E.A. <br /> LAVATORV(WASH BASIN) � UNIT HEATERS-B.T.U. M <br /> SHOWER � CLOTHES DRYERS <br /> KITCHEN SINK 8�ISf VENTILATION FAN ` _�_ <br /> DISHWASHER RANGE HOOD � <br /> LAUNDRVTRAY � WATERHEATER <br /> CLOTHES WASFIER --r— WO00 STOVE <br /> URINAI METAL FIREPLACE 8 CHIMNEY <br /> ---r— <br /> DRINKING FOUNiAIN i FIREPLACE 14SERT <br /> FLOOR ORAIN HEAT PUMP ' <br /> BACKFLOW PREVENTERS i GAS PIPING _ i <br /> ROOF ORAINS-RAINLEADERS �— EXHAUST FI1N !_ <br /> SINK!SEPVICE-�AR,ETC.) <br /> i <br /> — � <br /> — � <br /> --T <br /> i <br /> i <br /> SUB?OTAL 5 ; _ SUB TOTAL $ —�S� ;-- <br /> PEflM1T $ �— PERMIT $ /� � <br /> � —�y�.— <br /> TOTAL FEE S TOTAL FEE 5 b� ' <br /> FOR OFFICE USE ONLY: <br /> FRONTSETBACK REARSEIDRCK SIOESEIBACN PUNCIIEGMNUMB[f1 F[F. REC?IPTNO. <br /> USEZONE iornne� vntnxtsrce FEES VALUATION F_ EE _� <br /> _� i <br /> BUILDIN'l <br /> IYI'E Of CONI$AILOIVABII fYi'E Of COH51.�CIIIR M1:urn4p ryn p mym�N.uVns - ---—"�-- i <br /> �'°""� PLUMB�NG <br /> i <br /> SREOFBLD(3 NOAfS10RIE5 OASEMGNI MECHANICAL G� <br /> i <br /> JGGUPRNGvlO�D FlRESPRNNlFR511E0'D 11EIGIfIIMIIAl10N �DDITIONAIPLANCNECK <br /> OTHEf1 i <br /> R[�SONiOBSCPiryKLER$ <br /> _-- --1— <br /> STATE BUILDING SURCH�HGE <br /> � <br /> INi/KEBV P14NSAP1'ROVfOBV CITYOFEVERE7T PUBLIGWORKS � <br /> IOCAL SALES � <br /> Tax cao�is aios TOTAL 6f ;' <br /> ` . <br /> ,� <br />