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APPLICATIC 1 FOR CONSTRUCT IN PERMIT <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT STT <br /> BUILDING DEPARTMENT HEATING SYSTEM. UGAS UELECTRIC J <br /> 259-8810 <br /> (7 DEMOLITION COMBINATION YBUILDING I iMECHANICAL _ PLUMBING SIGN <br /> OM4P WL YMIP[68 GfY li MM.N[ <br /> R AM WLASTpC6i GT' Ts PNCIf <br /> , FCI OP PFSUNLR YM AtKl11F38 CITY t/ MUNE <br /> to iyc.s yyE�e��w S/a7ua :FPdF2- �s �- goat f�Pe�/arya <br /> RAL wToS MALA ESS CITY 1R MUNE S1AlF llC(NRS <br /> M[('NANCµCONI 70R 4A4 AWnFse cm Tr MICIE STATE L"Pol1 <br /> nNYf0Sxl ACTOR WL APOSTLES CRY SP PIUNE STATE ICLNEF• <br /> O i <br /> Cd1lft,tcTMortvcw <br /> 5� o <br /> MSCRIIIE MMR AND SOUAM ECOiME 11MYYE0 CONIELI I'f111d T.� O <br /> f <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> ProEL1asDUaawlawa/ - APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> SFOF PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> uaM uePRndOP lntdTKrvM YLOWdIAnACH twocwrtsr WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> L NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> Lot aoL,+cm of AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> Gr OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> 0009 Cs <br /> 2 _�O _�y OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> y7Lc APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> vARUL tAS ID NIAIKR <br /> CONTRACTORS�.AW 18 27 RCW AND 296.200 WAC <br /> cws1RHP110N LOAlI LENDER AMAtESS M104ICNE TRAITS <br /> I <br /> PE10J CTIrDOF � <br /> nR EMMI <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR REM FEE NO. TYPE OF EQUIPMER FEE <br /> WATER CLOSET(TOILLT) A'C-AMNDLG UNIT P. <br /> BATHTUb FORCEDAIRSYST S-B.T.U. M E.A. <br /> LAVATORY(WASH BASIN) UNITHEATER TU. M <br /> SHOWER _ CLOTHESORYER <br /> KITCHEN SINK 8 DISP VENTILATN7N FAN <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> _ CLOTHES WASHERWOOD S70VE <br /> URINAL METAL FIREIN ACE WOODS RNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS-MtNLEADERS ' EXHAUST FAN <br /> SINK(SERVICE-BAR,ETC.) <br /> SUS TG L i SUB TOTAL f <br /> PERM f PERMR S <br /> TOT FEE III TOTAL FEE f <br /> FOR OFFICE USE ONLY: <br /> Illow lllll N S 1xMSETSA`w BMW TMf.Iy r0lDITIO� <br /> 20 � 3DLWAREA YACANI SITE VALUATION FEE <br /> _(.L� �eO¢ YES NO Z45YNOPLmBm <br /> SYSOER00 TYM 9MNMlFR9 RLOO BASf4FE8 1.o Sir u x NOoriUMNCYLW EMI ALARY LIEOD KAMITLANtAIUN ECK <br /> RF <br /> STATE BUILDING BIAICW RGE 1 6 <br /> Now s. KA AAwany CITY OF EVERETT PUBLIC YtORKs <br /> ir LOCAL 8ALE8 <br /> w1E � q TAA CODE IS BIDS tout <br />