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APPLICATI01*011 CONSTRUCTI& PERMIT <br /> TU BE COMPLETED IN INK—PLEASE PRINT <br /> CITY d <br /> everett <br /> BUILDING DEPARTMENT HEATING SYSTEM: (iAS ❑ELECTRIC 0 <br /> 2598010 <br /> DEMOLITION x COMBINATION �BUILDING MECHANICAL !PLUMBING SIGN <br /> 7 e?I rlr,->,Ll )c. N E Y4W MZ"17 At S,c!G k `r&' 10ej)s3y-"l1 <br /> 1FNWl MAAPGIKN CITY h4'NT <br /> ARw4Ncrand4aF(K 4Al ACgFN 29 CRY » AVK <br /> UDS 59r1h E PY,4/niirif0igr A/0 X22- /7.2 <br /> dNTA=1 <br /> wOMcroA WlAlIOREN CIIY nr FRIGHT ItTNMr <br /> TfiT1�'N r JYl✓SV,CA"S -.t'NII'.2SC4✓�1/T� TC"d/Y) //1��1T� <br /> yTa1NAL1'fCw1IMCld1 MAADMTY Gh TI Y11CI[ lCNT14[r <br /> RUNNq CGNIMClD11 WlA0P11TN CITY Ilr F101! LKANfEf <br /> c�dRvw <br /> jI NEW I ADDITION ALTERATION REPAIR - DEMOLITION WOODSTOVEIFRPL INSERT BUILDING RELOCATION <br /> wNrAcr rfAWN•1c n1orK w <br /> mxrANcr rKaf d www <br /> d www•No nOLAnT rO]rw[wwaY[D <br /> crt /2/ eyen.4 7�n fet-, 6&d'n -5--XPo7 <br /> rllorcnfuuaT deufOrfo 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> l i) APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> fEON nc�N+rw'a`rnvt�rr l4NowNNWwOIIAnwalrolAlaXRN PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> ''1 WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> for_ .SD ft= d 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 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1817 RCW AND 2N.200 WAC. <br /> p SWNrw-(K1�(d�WlrR•C/r�dld1I41TN�MIifO bFNr MIT <br /> .O s• N-f •MlIEM1i4Clh lUyl[SSIKfNrE NO YIDM1nNf In N•41 <br /> PLUMBING I MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. I TYPEOFEOUIPMENT FEE <br /> WATER CLOSET(TOILET) 4- _ AT-AMNDLG UNITS-H P <br /> BATHTUB <br /> _4 AIR SYSTEMS-BTU. M EA <br /> .,;I- LAVATORY(WASH BASIN) • � - UNIT HEATERS-B,T.U. M ' <br /> _ T <br /> SHOWER CLOTHES DRYERS <br /> KITCHEN SINK 8 DISP VENTILATION FAN <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER S WOOD STOVE _ <br /> _ <br /> URINAL METAL FIREPLACE 8 CHIMNEY <br /> DRINKING FOUNTAIN I FIREPLACE INSERT <br /> FLOOR DRAIN NEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS-RAINLEADERS EXHAUST FAN <br /> SINK ISERVICE-BAR,ETC.) S <br /> SUR TOTAL f 1 SUB TOTAL { V' <br /> PERMIT f 1 PERMIT { -r <br /> TOTAL FEE f TOTAL FEE 01 flo <br /> FOR OFFICE USE ONLY: <br /> IRCNT NTMCN 11TH SRMd FOENIYCR RAN GIICN MIl1lF fff INdITND <br /> DSf Half LOT AMA VACANT" FEES VALUATION FEE <br /> BUAOFNG 3 <br /> rrww wn NlVMfRI Im wLdit KIMmlwwV weowuNllrn <br /> F•oi PLUMBING <br /> M MILM Io dnraKKe MNMfKr uECAANCAt <br /> OI%UMN[V LMD FNLE Sv [As NEGU NEIONr IYRATKH ADDITIONALPIANCHECK <br /> OTHER <br /> NFA9}1f0T16GPMpfN4 <br /> STATE GUIDING SURCHARGE 41TO <br /> NTAKTn nANs•rvNovrnx. CMDFEVERETT PueLM:WdNNs do:Ov <br /> 9 p LOCAL SALES <br /> N�7 TAX CODE IS 3105 TOTAL 37 I <br />