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APPLICATIC 1 FOR CONSTRUCT- 7N PERMIT <br />TO BE COMPLETED IN BLACK INK —PLEASE PRINT <br />BUILDING DEPARTMENT I HEATING SYSTEM: ❑SAS ❑ELECTRIC ❑__. _� <br />2598810 <br />DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br />ONNrR W�NM1RE55 clrr bP N.A, <br />CT <br />PRMsq q I ws <br />O NFfigL; bR 'uh uA.E9E <br />4�/a/ f c /n/ ple ZVVA �� <br />GRY <br />5� I�il/Ic/(W�. <br />!M <br />rKWE Si11R L"[%r <br />98oZ/ 983 /3/3 Hl D21A� <br />YECNUA: r TNN: LAl11ME8S <br />CRY <br />EP <br />PIIPR STAR lCEW <br />'r&, JAIL 99/e //��t�.0 n ..r <br />Sel/i/< (w� <br />9S <br />�i�s-b�// &%A.1g1t= <br />KtMI p'C'O+1TH�I( -m A Fss / <br />CITY <br />Tr <br />PIg11E STATEICENSEr <br />fJ 111RfY WTM <br />NEW ADDITION ALTERATION REPAIR DEMOLIT" WOOUSTOVEIPHPL INSERT <br />/_ <br />CwIRACT mICE or raIR O OV <br />CONTACT I'F{R�SW ANO PMM Hp <br />!/ /1�KIS/l/�// 325 -23 <br />DE9cRAK wPn1 AxPEquRErwrAM v[P <br />V L.1 Soa <br />PRDIP2EDu9E ar R ;wl / T <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 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 COMFI.Y WITH THE STATE <br />CONTRACTORS LAW IE 27 RCW AND 298.200 WAC <br />LEOUOFEORPrdlV RRPPrRn Is.KRtRMLOW011An iawmrlEm <br />LOl td m <br />/ <br />C/LL' <br />1L.J' D <br />rRU1FC1 A[IMF89 <br />/So Ah <br />5LLi <br />�'� uiK a•! <br />n .c my <br />cm \RiIMInM. <br />Rom <br />PLUMBING <br />I MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AN;—A/HNDLG UNITS—H.P. <br />BATHTUB <br />FORCED AIR SYSTEM" T.U, M EA. <br />_ <br />LAVATORY (WASH BASIN— <br />UNITHEATERS—BTU. M <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK { DISP <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE 8 CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAW <br />HEAT PUMP <br />I <br />_ <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />—_ <br />ROOF DRAINS—RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE —BAR. ETC) <br />SUBTOTAL <br />{ <br />SUBTOTAL { <br />PERMIT <br />{ <br />PERMIT { <br />TCTAA SEE <br />{ <br />TOTALFEE { <br />FOR OFFICE USE ONLY: <br />v- "v " <br />iROMMIw. <br />of <br />REYIMIMCR <br />/ <br />E9E EFRMdt <br />NAN l.W R <br />3 lrGTa <br />iE! <br />9 3 <br />IIECF'i MO <br />09 <br />UM :aNE <br />LOI MICA <br />rAUNI MR <br />MCIBUIIDINa <br />FEES <br />FEE <br />j <br />PLUMBING <br />//VAALUATION <br />O . ZA <br />mEU [dR NIQYMII <br />'eH 1 <br />RM OEP1111ttWl <br />'aTµTIEML <br />oaM•I lm•T <br />s r. <br />9i'T'l�T� <br />MO'SIORAS <br />MFM <br />� o <br />MECHANICAL <br />ADOITI LPLANCHECK <br />fICQ11'MN4SY loRS fEY EEIMIUMIaOS <br />J � <br />MAlON NKI SMMAEPS <br />FARE *m o w <br />NEEwrIrFrArgN <br />R� <br />SPRINKLER <br />STATE BUKDING S HAAGE <br />ERARE W <br />HANSAwwrEPSY <br />I ? L <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE 183106 <br />Pm c WOAKS <br />Tom <br />3S <br />