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APPLICAT10k FOR CONSTRUCTI.oN PERMIT everL'TL <br /> TO DE COMPLETED IN INK—PLEASE PRINT e <br /> Crtv DT <br /> everett - - -- <br /> BUILDING DEPARTMENT HEATING 6VS7EM: ❑OAS ELECTRIC U_ <br /> 259.5810 <br /> CI DEMOLITION COMBINATION BUILDING {MECHANICAL PLUMBING SIGN <br /> 11 W4ACORE64 cm iv PIdR <br /> s�' szc bur' or /fin .E G✓rc1f GE✓� <br /> 4xAxT uA4 Aoalf.. cm a FTTGNf <br /> /?in act', Sw $00 JFVC ac / _ GJ9 9s�ao3 <br /> A wT LI OR SfMR W4AGGR[6E tm Iw PIgAY <br /> GkxEMl Ld1rP4C�g, W4AOUlfBD G1Y iV FlalE ltf x5f. <br /> SMF ��i.J�,fiS„ • _ <br /> MFCxAN nLa1rAACTOA W4AGDKM �Y V4r( QE$( Ctir L lCEN4f• <br /> �yrrcY ��� Cv�IP l'/uc Srnrrza.c urn eeiec s Tr S�/Pusci�eru <br /> nlVMl%IMTMLIOR WIAGOREEE Cm lE• PmW LKLNN. <br /> cuEEa waw <br /> i 1 NEW XADOTTION ALTERATION REPAIR DEMOLITION WOODSTOVE/FRPL INSERT BUILDING RELOCATION <br /> L �/4� Z 3 fGNrALI PEP9OII Y10 PIIaR MO <br /> OxrMLTM awol$ 1 QAJ <br /> axAef wdw AxG EGwrtT Aa TNEwvfn <br /> vaorosEo uEfawAIDHG I HEREBY CERTIFY THAT I HAV'- READ AND EXAMINED THIS <br /> Q FG/G r APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> LEGAL mwwprda PxaEATV IPEa KIM aI A"A roanm Si PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> �' ,. �J WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> Lm ZD+z r N=12&11.6 r4 2� 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 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 1827 RCW AND 788.200 WAC, <br /> EAWA r M CWAACTM dl}UTI RUED AGENT M" <br /> RRGACTAaWER9 - - X <br /> (4l0 9o+r^ S L-) h1-�1 ARR[ANl6 Ci . 5ME38lCfx9F MG AMGM EMEBt WR <br /> PLUMBING MECHANICAL <br /> NO, TYPE OF FIXTURE OR ITEM FEE NO. I TYPE OF EGUIPMENTi FEE <br /> WATER CLOSET(TOILET) a= AC-AMNDLG UNITS-H P <br /> BATHTUB FORCED AIR SYSTEM"T U, M E.A. <br /> LAVATORY(WASH BASIN) UNIT HEATER"T.U. M <br /> SHOWER CLOTHES DRYERS <br /> KITCHEN SINK A DISP Z VENTILATION FAN Nr/t,74 <br /> DISHWASHER RAP GE 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 I roA <br /> BACKFLOW PREVENTERS OAS PIPING <br /> ROOF DRAINS-RAINLEADERS EXHAUST FAN <br /> SINK ISERVICE-BAR,ETC.) <br /> SUBTOTAL t 1 SUB TOTAL f <br /> PERMIT { PERMIT f <br /> TOTAL FEE $1 TOTALFEE f <br /> FOR OFFICE USE ONLY: <br /> RRa17EETEALA MAR MTEALN mEETBALN PLAHCKCAxUMMA X11 rtCfIPi NO <br /> IISE MM Lor AREA VACANT in FEES VALUATION FEE <br /> BUIL 11 <br /> Tm 0(Nis w(ANNILT TYHaml ACNN lmA.n AO VL Iucu.n - <br /> woA PLUMBWO <br /> T <br /> SUEawW NG 691LMEE EASEMENT MFC`W1Kw4 <br /> axWUlCrIwG EIIIFMMSETa AEUO IIEgNT IYRAt1ON ADDITIONAL PLANCHECK <br /> OTHER <br /> TYA9GN Ed1lVRw4FR! <br /> STATE BUIIDINo SURf,HAROE <br /> HTMf er nAEg/�rEgovEoer CITY OFEVERETT PUBLICw KS <br /> `///,W) LOCAL SQE3 <br /> 7A%C00E IS 3105 TOTAL �; — <br />