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APPLICATIOIi. FOR CONSTRUCTI jN PERMIT cNerl"t <br /> 1n.E.wpwn TO BE COMPLETED IN INK-PLEASE PRINT <br /> CITY of � <br /> everett [ HEATINGSYSTEM: 06S ALECTRIC U <br /> BUILDING DEPARTMENT <br /> 259.0810 <br /> DEMOLITION COMBINATION _BUILDING MECHANICAL PLUMBING _ SIGN <br /> pWy[q Wl/D0r1[S$ GRr M Pr WE <br /> w1'16Rr �. L 'M WT12- vI1Dr[E <br /> ICF LAMr gBlzl <br /> /pCNli[CI M6CME Y/E IOp1f� t9 ASM <br /> pEN[ww(x M�W:LlmY.\E AIMttE CRY p�M�� RKIN[ LKfNY/ <br /> MEaYxua�coNrRAcrl/7 wmc. "clr � rIS�LmLTASK U410074LK�744P�O11 my <br /> RUYMIO CON[RM:rUN ME/RMIES9 C." Iw 1YU11F LICENY:/ <br /> NEW <br /> ClAMORN <br /> NEW ADDITION ALTERATION REPAIR DEMOLITION WOOOSTOVFJFRPL INSERT BUILDING R':LOCATION <br /> ��� Y [OHTACr Shc Ar1DP101<IO ;_:lv <br /> CLYIIMCI MKF ff NORM /[may <br /> RE:LR![WON Yq 8011/RE IODINE VH(r/� <br /> Dvu DrdnoWD 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> l0 PA M I L APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT.ALL <br /> irt%x MVMIFWWR PFMFATV ESP O KLMWn ATWC.H FOVR C[ rf 51 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> COT__WWI [n _. 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 THE STATE <br /> CONTRACTORS LAW 1627 RCVJ AND 296.200 WAC. <br /> __ anrurua[ TE <br /> X II <br /> AAcroq� itE AD[Nr l + I <br /> wngct ADOmss�n / �a/.� _ — <br /> 1�'� Z/L' /R /•1'� . !� APnK/Nrs r,Hr c�sE ND AND r11nPAs NAWAYF <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR REM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) NC-AMNDLG UNITS--H P <br /> BATHTUB FORCED AIR SYSTEM"TU. M E.A. <br /> LAVATORY(WASH 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 1 WOOD STOVE <br /> URINAL METAL FIREPLACE 6 CHIMNEY <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENrERS GAS PIPING <br /> ROOF DRAINS-RAINLEADERS EXHAUST FAN <br /> SINK(SERVICE-BAR,ETC.1 <br /> SUI:TO'NL S SUB TOTAL6 <br /> PEflMII { PERMIT f <br /> TOTAL FEE 31 TOTAL FEE f <br /> FOR OFFICE USE ONLY: <br /> FRWTI TWY RE/RMiNCA MOE 9ErYLF FLAN CNE[X M1Y0[R IEE I arT MI <br /> 19F Lot AAM v TMrE FEES VALUATION_ FEE <br /> O BUILDING Ay -2 ��/1 <br /> M1NomskLAglll RI[NEOMIACIWL .. ot.[HLLM1�n - -+.M <br /> _ OT <br /> _ l MLW6Nq <br /> MiEQAD(11 Mas Yll)ArFs MECHANICAL <br /> l'),045 - <br /> LO/D FIRE Iro R00 1f10NfLYTATIDN ADDITOM PLAN CHECK <br /> E OTHER <br /> Pf A6(YI F0116PRFM1[RB �� �T <br /> BL STATE BUILDING SURCHARDE <br /> "lots, nA ArypovrDII; l CITY OF EVERETT runuc WURKS <br /> /,I,I,I-' LOCAL SALES <br /> J <br /> TAX CODE IS 3105 TOTAL 3 �Q <br />