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FRrM:EUERETT RJV-DING DEPT TO: 2¢564:3475 70.v '7. 19% 3rM 4412 P.02 <br /> APPLICAT1.iN FOR CONSTRUC'i ION PEttAMIT <br /> TO DE COMPLETED IN BLACK INK-PLEASC PRINT <br /> BUILDING DEPARTMENT HEATINORYSTEM: OAS UELEOTRIC <br /> 259.8810 <br /> I I DEMOLITION I I COMBINATION BUILDING I)MECHANICAL I IPLUMBING I I SIGN <br /> OWNER MAAAWKa CITr m rIDN[ .-- <br /> cG<<1 1��WCNa�6.k 14U1 lirl-Vnl M*ryr; 73[I I WUG YNLO1 JCiO lo4LI-Att;a3 <br /> YAR AtpI[a prr a AVG <br /> �lAk^YR4,Ft1TrluetBBEn waApwea —_ <br /> `I 1110D tikhIl '1ICA11)P 81900 —14,L 3C)-- <br /> /1�D,[MMICONRICt^" IIA)AaTMI[a NIBNt BTATFII[tWt <br /> CY <br /> T..1A111�1y1< A.TYkS IUUK) y �„ IIcUUG fcU�!•'232', rcuNT-r21co" T <br /> WCIIANAIALOwrrv4TM wtAuwEn i m <br /> PK"It STATE tt[Yu[ <br /> Nwvowt 1M " - YALNKdra my m r'ROTc - [TATEIK[NYr <br /> E tiPFMR <br /> NEW I I ADDITION I I ALTERATION I I REPAIR I I DEMOLITION I I WOODSTOV&FRPL INSERT 11 BUILDING RELOCATICN <br /> carrg�aaTr rERtbNAw nRqNrA YO <br /> bwrnAci lwc[wNpw � (AMaat L'lf 11L.A VT n _DLIII- =z�2� <br /> a[tpTN ANUtOIwRr rap}AOETYq Yfb <br /> `�CSALVl11S�1-UC�101\ 32'13 n - Zola' <br /> YIKM1pPNE ardYlwn I HEREBY CERTIFY THAT I NAVE READ ANF EXAMINED THIS <br /> K1llLl �,ry�Q APPLICAIION AND KNOW THE SAME TO BE TRUE AND CORRECT,ALL <br /> HOALbt TKTx PRprt T, pLowunATpcx mlADwAB PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> tw -50 _ WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT.THE GRANTING Or A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> er M 11 I hh ahln,las 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 COMPLY WITH THE STATE <br /> a os (141 p CONTRACTORS LAW 10.27 ROW AND 296 no WAC. <br /> )1,oI 51Tr1CIT <br /> .Wasy ,` ", <br /> ANbrzcT ' LQ_ �-11A.I Iy1✓f1 d 3•'Z�•�-� <br /> tNu,w O242-14 �— <br /> mrwrwrAv .� <br /> PLUMBING MECHANICAL <br /> NO. TYPEOFFIKTUREOR ITEM PER NO. TYPE OF EOUIPMENT F!E <br /> WATER CIOSET(TOILET) - MC--AAINOLO UNITS-H.P. <br /> BATH)US _ FORCED AIR SYSTEMS-0.1.U. MEA <br /> LAVATORY11VA811 BASIN) UNIT HEATERS-B.T.U. M <br /> 6HOWFR CLOTHES DRYERS _ <br /> VM" HENINK N 61NK6 DIBP VEMIIATIONFAN <br /> SHER IIANOE HOOD <br /> RY TRAY WATER HEATER <br /> ES WASHER T WOOD STOVE_ METAL FIREPLACE B CHIMNEY <br /> G FOUNTAIN ' FIREPLACE INSERTDRAIN HEAT PUMPOW Pi1EVFNTER6 _ GAS PIPING <br /> RAINS-IIAn/LE110ER8- EXHAU6T FAN <br /> ERVICE-BAR,ETC) T <br /> SUBTOTAL 6 ; BUB TOTAL 6 <br /> PERMIT S P6gMR i <br /> TOTAL FEE 6 TOTAL FEE S I <br /> FOR OFFICE USE ONLY: <br /> inlT ArIAACA Irciul tlTllADt INK URAEK TalVl axldtT9 Ne 30 <br /> A[q Na. <br /> kaki[„ 1 ret^ <br /> �03(c0 <br /> tR[ PB6B VALUATION I FEE <br /> BUADMO <br /> RIOr taYT[YIPMp! irl(d tK11111 tfOr�r ePY1IlYlwnl - <br /> -Al - <br /> PLUMBING <br /> S S/T4 Z U MfC11ANICAI —J .,.+— <br /> �laW EwCtrxrlw FRt MDU HE "WNATKN ADDITIONAL.PLAN CHECK <br /> N No 7 ' SINUMttfR <br /> t+rw lantrBrld rBt <br /> STATE SUILDINO 51,19CHAROE <br /> IIAMW ^"a CITY OF EVERETT MIDIIC WCRN6 /f�' <br /> AnpPrFB[Y LOCAL SALES f.S Tey' <br /> 30;j <br /> TAX CODE IS 3105 TOTAL D <br />