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APPLICATIC J FOR CONSTRUCT JN PERMIT eYHtPlI <br /> TO BE COMPLETED IN INK—PLEASE PRINT <br /> clrr a <br /> everett <br /> BUILDING DEPARTMENT HEATINGSYSTEM dOAS ❑ELECTRIC O <br /> 2598810 <br /> DEMOLITION COMBINATION :7 BUILDING MECHA PLUMBING SIGN <br /> pI .AAUII 9,01" �I S E• tdP�e�� 3 '31115 <br /> TFNYrt VµAmI pTT B. Plgq <br /> ARCMnCT(M NEgKEA MAI ADMEN CIA a hEX4 <br /> OINRAI COLTMCIM 6IAl AONIEN cm LKEMEI <br /> M ONLAID DOIT 7 jDMa eR gur) lilt I AV LVa'ut <br /> rtwwGVNT.ACTM MAIL ADMeN CRY r. nroNe (GIM• <br /> DLANN WDBR <br /> 11 NEW ❑ ADDITION J ALTERATION ❑ REPAIR L. DEMOLITION WOODSTOVEIFRPL INSERT `.. BUILDING RELOCATION <br /> [LMT•CT rtIISON w0.N0NF NO <br /> fAMIMCT MC1p tpM o.0f) <br /> NICItN AlID 10VW TWE ERgNO <br /> C <br /> IIMpEIAiIN 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> (I APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL Qlf, <br /> [{SAL NW01EPTICEIR DFM ova IOC.COPKq PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LOl Ma+ p 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 FHE <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 18.27 RCW AND M 200 WAC. <br /> wN•nAIEaDartILWTOIIa WTHMMeoANArt wn <br /> rigltCt.odUN, , x11)11 A d. <br /> F✓RICMR{BT'EUWFN LCENN NO {NMNMA6IF <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR REM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILETI A'C—AHNOLO UNITS—H P <br /> BATHTUB FORCED AIR SYSTEMS-8 T U M E A. <br /> LAVATORY(WASH BASIN( UNITHEATERS—BTU M <br /> SHOWER CLOTHES DRYERS <br /> KITCHEN SINK E DISP VENTILATION FAN <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE 6 CHIMNEY <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS OAS PIPING <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> SINK(SERVICE—BAR,ETC I <br /> 12tSUBTOTAL i SUBTOTAL f t <br /> PERMIT 61 PERMIT B I.� — <br /> TOTALFEE 61 TOTALFEE E <br /> FOR OFFICE USE ONLY: <br /> I.DNT{E11AC. PLA.61ISACK 6G 6f nACK sIAN[w[C,NWEFP r([ <br /> .lCE4T Iq <br /> Ist?ONE Lm AREA s•c•sI PrE FEES VALUATION E <br /> BUILDING <br /> rrr100[dIr14L0F•kl TrrL dLMI•CrW �VNMr •paP14l,L uel <br /> Fes• PLUS I'q <br /> SVF OI RDO AID 011TOME{ .AtFV[Ml MECHANICAL <br /> OCCVIAN<r10.0 Iin[Frn•PI[.S.[OD NE pRT WnMpN ADOITIJ AL PONCHECK <br /> .EAaN FOR VeH UIRF OTHER <br /> STATE BUILDING SURCHARGE <br /> WUKEn RAHS Anrov[o1r <br /> CITY OF EEVERETT PUBLIC WORKS <br /> LOCAL SALES <br /> TAX CODE IS 5105 TOTAL <br />