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APPLICATION FOR CONSTRUCTIuN PERMIT ""'" <br /> wM EMIPTM� TO BE COMPLETED IN INN—PLEASE PRINT <br /> CITY O <br /> everett HEATING SYSTEM: UGAS ❑ELECTRIC U— 1 <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING �MECHANICAL PLUMBING SIGN <br /> /O,IMA szG LOTTO <br /> LLLL AOOPF9A 710 M4ERrQ ary `1PJIL� nlolc <br /> '{ ANT TT PRAT-• �e -� I ,s'- - �t�3'}`iss - <br /> t[Nrwl MLADIKNTw cm IW MIIOIA <br /> A1ICHNCIMpEEWrtR YAI ADDRE60 CTT) !IM MEdR <br /> O[w"ONTWTOR MLA ffll 1,J Cm , IP FIIOnE EKINSf• <br /> 1'-01.5 (iflsr. I� So GAaF IEnA� 1=ENLwJ 9�GSS 22699?F4 PubFCG140NU <br /> uEf1URKAl wcT()A Mn ADOREu Cm rP MRarc lKtll¢• <br /> RUIIE[ID CCNIRACIDR MAAOd4M CIK to IndA IKANAE• <br /> L AAf q WOw <br /> ADDITION ALTERATION i REPAIR DEMOLITION WOODSTOVEffRPL INSERT BUILDING RELOCATION <br /> �/� _ Cd1tALi PFR8011 AN0%IPRW <br /> COMRACt wK(P PATIEI I�_IJl to - <br /> o[RcneE wow ARD LQMRF EootADF Ko <br /> 1 7 X 201 2HR x . W ll. <br /> IxLrououu aFI0.0AIp I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT,ALL <br /> EEON tcscmMlall or lmoMEarvlsRoswl MlOwMAnAcnrdM coca PROVISIONS OF LAMS AND ORDINANCES GOVERNING THIS TI PE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> Lor worx or 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 /> PERFOWNER <br /> THIS <br /> OF CONSTRUCTIONPROPERTY <br /> TOPE THAT I AM A WORK ZrDFOR BY THE <br /> OWNER TI THIS PROPERTY N PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND IrM.2110 WAC. <br /> sloRAllntEacoRiwctan anwllKAlVEOAMxt d1tE <br /> Intru[ct AodE ss x - <br /> . AIYI b AkDAIRNEnIMkK <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET)TOILET) A G-A'RNDLG UNITS-H P. <br /> BATHTUB FORCED AIR SYSTEMS-BTU. M EA. <br /> LAVATORY IWASH BASIN) UNIT HEATERS-BTU M <br /> SHOWER CLOTHES DRYERS <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 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-BIER,ETC.) <br /> SUBTOTAL f SUBTOTAL f <br /> PERMIT 61 <br /> PERMIT f <br /> TOTAL FEE $1 TOTALFEE II <br /> FOR OFFICE USE ONLY: <br /> l"_T%Tfx. REM MtN SIX WE 1lM'M MINI fTKpµRIE[R EEE' WIWIw <br /> z > > ul <br /> Rs[IOKE LUT AREA YA fRTF f FEES VALUATION FEE <br /> BUILDING I y <br /> 1.M 0 Pon ALLDAAIF MEa EORIICRE4 � mll"wnwn a <br /> w PLILWHING <br /> i <br /> E1 WOUXI KOMETOIns BAE[MM MECHANICAL i <br /> DOdI1W1CYlON F111E FMPoWIER5 n1O0 NfgKTIYIIAIAEI ADDITONAL PLAN CHECK <br /> OTHER <br /> IIGEONIDR EMNgEAB <br /> STATE BUADING SURCHARGE Lf1 <br /> INTAIc n ^ S AMM D^' CITY OF EVERETT MSR'K.WORKS <br /> LOCAL SALES <br /> 7 T TAX CODE IS 3105 TOTAL <br />