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■ II <br />APPLICATIA FOR CONSTRUCAN PERMIT <br />BE COMPLETEDIN,. 1,,L ... E PRINT <br />LIr V O{ <br />everett <br />BUILDING DEPARTMENT <br />2598810 <br />DEMOLITION <br />OWNER An <br />MAR ADDRESS <br />HEATINGSYSTEM: ❑GAS ❑ELECTRIC ] I <br />BUILDING MECHANICAL <br />CRY LP PEATNE <br />GENESµ CON1RACiON <br />AMA ADDRESS <br />CITY <br />M <br />PNONE <br />LICENSE' <br />MECNANCAL CLNTMCfOR <br />MAC APURE SS <br />CIT <br />TW <br />%Ia1E <br />MEW. <br />NEW X ADDITION ALTERATION REPAIR DEMOLITION WOODSTOVH RPL INSERT RIIII DINE: RFI EVIATIEAN <br />3 _ <br />Cp1iRALT PRICE OF w(KN ��' <br />CpNTACT PERSO01 AND PI NO <br />DEYR9E N011N(A_NSD SCJARE fCOIApE MY0.VED _` �J(f_ <br />•YT �' <br />P aeoAowo <br />V is <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAM" ED THIS <br />APPLICATION AND KNOW THE SAME TO BE ISLE AND CUFHECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING TH',S 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 CONSTRUC110N 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 RCW AND 296.200 WAC. <br />SIGNArU a rRACTOPORAmNORgE�AiE <br />X A <br />IEGALcex vlwaP ERTV Iswvm BELQYaI mADN Fdm COPKA <br />mT t 2(. &ocR _7 DP r <br />AE&dttRAi 13 (G/1111 4xl <br />�mala �nrvn ss I��I /J <br />APPILKIANISCIRT BUSINESSICENSE NO ANIUWIMI..AME <br />PLUMBING, <br />MECHANICAL <br />N¢— <br />TYPE OF FIXTURE OR ITEM <br />Fee <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A'C—ABINDLG UNITS—H.P <br />BATHTUB <br />FORCED AIR SYSTEMS —BTU. M E.A. <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS—B.T.U. M <br />SHOWER <br />CLOTHES DRYERS <br />( <br />KITCHEN SINKA DISP <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY 5 <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE E CHIMNEY <br />Z <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PflEVENTERS <br />GAS PIPING <br />ROOF DRAINS—RAINLEADERS <br />E%NAUST FAN <br />SINK (SERVICE —BAR, ETC.I <br />W <br />SUBTOTAL E <br />SUB TOTAL E <br />PEflMIT E <br />PERMIT E <br />TOTAL FEE S <br />TOTAL FEE E <br />FUN OFFIGE USE ONLY: <br />TBONr UTBACM <br />REARBETMOPK <br />SINE BETBACK <br />PIANCNECKNIIMBEB <br />FEE <br />NECNVTho <br />USrrP1E <br />LOT AREA <br />VACANT WE <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />TM aCBNIS NlPYN4t <br />IEEE aCWSI K[TWl <br />IYRAPAK� AoaanuARlN•n <br />cnBr <br />PLUMBING <br />SMEOF&OG <br />NO OF STORts <br />BASEMENT <br />MECHANICAL <br />OCCUPANCY LOAD FIRE NPRMRERSREOD NEMNILAARATgN <br />REAMON FOR STNAMlF0.5 <br />ADDITIONAL PUN CHECK <br />OTHER <br />STATE BUILDING SURCHARGE <br />MAKE B. <br />PUM AIN RUVEoaY <br />CITY OF EVERETT <br />LOCAL SALES <br />TA%CODE IS 3105 <br />PUBLIC WORKS <br />TOTAL <br />