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APPLICATICS FOR CONSTRUCAN PERMIT °"'P" <br /> w ErrprN+ TO BE COMPLETED IN INK—PLEASE PRINT <br /> Cm OF <br /> eve rett HEATING SYSTEM VGAS U ELECTRIC U <br /> BUILDING DEPARTMENT <br /> 2550810 <br /> DEMOLITION COMBINATION BUILDING :MECHANICAL PLUMBING SIGN <br /> f-Ililrllrwy- -Tie. . 1020 /i�rr�r��,.S��ne G/�9 M02- <br /> IEHWNI WAAADDI'ma ary Irr rHOIF <br /> AmalltwlER S71ll Hi klielw <br /> oEIEAu COMMC7011 wA~t ss cm tI Nw LCFMf r <br /> /rU"rIC jL-1/US .J)C . <br /> IAF A,cmtRACTOR NAAADO'KIT CITY 1' Np[ IIfAIIFI <br /> nY1RIq caNIMC1pR WI AOpIESS CIT" )► Fql( 11CFMFr <br /> P wPN <br /> NEW .ADDITION ALTERATION REPAIR Ci DEMOLITION ❑ WOCI STOVEIFRPL INSERT BUILDING RELOCATION <br /> tOIrAC11ERFON ANpn10NE <br /> CdLIR/{t IRCf OrWPW <br /> axRBE wdr Ara EOwnFr rqo Aae WWxvEo /�N �� ,_-` <br /> rROnMEOUM PMwoWa' I HEREBY CERTIFY THAI I HAVE READ AND EXAMINED THIS <br /> I n I 4 Y{S 14'IYG APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> LCOAL MIONITT,Rr101E IMPWI RLOWOA WAW IOOR co1Eq PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LOTRaCA P ILJ 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 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH TNF STATE <br /> CONTRACTORS LAW IB 27 RCW AND 298 200 WAC. <br /> 9M]IAIURE OHIANHME[O AO[Il DAIF <br /> nKFWtt AOOREM <br /> a L`S� AMIKIWIB arY MllsE85lIC[NY NO AM AIpWFNNNAF <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR REM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET ITOILET) i3 - AIC-A'RNDLG UNITS-H.P <br /> BATHTUB - FORCED AIR SYSTEM"I U. M E.A. <br /> LAVATORY(WASH BASIN) )'i UNIT HEATERS-3T.0 M <br /> SHOWER ' CLOTHES DRYERS I <br /> KITCHEN SINK 6 DISP VENTILATION FAN <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE A CHIMNEY <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS-RAINLEAOERS EXHAUST FAN, <br /> SIWISERVICE--BAR,ETC.) hmisuA IA,-f - / d , <br /> SUB TOTAL { SUB TOTAL { loo, ' <br /> PERMIT $I PERMIT { <br /> TOTAL FEE $ T' - I I TOTAL FEE { O' <br /> FOR OFRCE USE ONLY: PC D L <br /> rROITEEIRACR IIEMEEIFA(JI FA%EElEAC11 WAIT CHECAMMEFP ITf Yr0 H[CF►1110 <br /> IM EPR - Z LOTAREA W TRATE FEES VALUATION FEE <br /> BUILDING <br /> 1111 LOGE 4lOMtll MI P WAl ACNN rmwAc. W OO.1uAA:IWn <br /> I PLUMBING <br /> - s�00 <br /> SIEPMDO bWEIdEEE WIEIlIT MECHANICAL <br /> I I 240r AMO a <br /> ¢ LOAD iRE1MLl[MKOD W,,, IArgI ADMTIONALPLANCHECK 30:01) <br /> NO OTHER <br /> RFA1011 ARRM6EM <br /> STATE BUILDINZI SURCHARGE <br /> NIAAF e. HATE A~AEO" CITY OF EVERETT Pum c worms } <br /> LOCAL SALES <br /> r II/yr <br /> TAX CODE 19 3105 TOTAL <br />