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APPLICATIO.. FOR CONSTRUCTBJN PERMIT <br /> TO BE COMPLETED IN INK--PLEASE PRINT <br /> CITY Of <br /> everett <br /> BUILDING DEPARTMENT I HEATINGSYSTEM: UGAS UELECTRIC U_— <br /> 259.8810 <br /> DEMOLITION COMBINATION BUILDING MECHANICAL AUMBING SIGN <br /> fnnXR "tA Fss Cm n Pf <br /> g2w3 <br /> IENANT AW ADONEW cm � iP PfgNF <br /> A11,0®f� . rfu.mga G'uRu4 i00 .f0 S-�Su� .�MuT d9o- 9D�s <br /> AW: ICIg1UE910RER MAI Rid%65 CRY m N'(ffF <br /> gxwM IX IWTOR WI NX,AFm CRY 7P PfQf4 lCEN6EF <br /> — <br /> IEL) <br /> MECIIAMCKCfYTwfm MAX AC FM Lm 1R Pf1PR I.f ENRF <br /> RwtlFq fARiMCIpR YI.I AWfTlf 69 cm TP FCM Mw of <br /> hrs:- n _ �� 23.E {N:�LUIB -� IE rZ SICa+rn R 4¢l02 4Z4-71A3 �/ArwuD-�ti D4L.7 <br /> auEawaw <br /> I ' NEW V ADDITION ALTERATION REPAIR DEMOLITION WOODSTOVEIFRPUNSERT - . BUILDING RELOCATION <br /> F MT MR"AND P14yL Ml <br /> M,,,m E fAOAA AND 90UAW IDOTADF RfVOLVFO <br /> PRD Doollfcr9ufwm I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> l[pµtES[gRTgNCI PIgPERM1 19fATNN IEIOW ORMIKeIp1R CCPRSI PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> to, aa:R a 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 WHIMH <br /> APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW HT27 RCW AND 2F6 NO WAC. n c <br /> 9 t!M(X(Xi T1R�/tWT[MMAAy'1U'TTH\'OMRDMFNT DATE <br /> FIg1fCl ADp1[99 l=1_ I <br /> �uf S.. \ F• w APRIflM9Cm lIAMfpIICENY M19NFll NAf4 <br /> PLUMBING W MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. I TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(IGILETI - AC-AMNDLG UNITS-HP <br /> BATHTUB FORCED MR SYSTEM"T ILL M EA. <br /> LAVATORY(WASH BASIN) UNIT HEATERS-B.T.U. M <br /> SHOWER _ CLOTHES DRYERS <br /> KITCHEN SINK 8 DISP VENTILATION FAN <br /> DISHWASHER / RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE B CHIMNEY <br /> _ DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN _ _HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS-RAINLEADERS EXHAUST FAN <br /> SINK%SERVICE-BAR,ETC.) <br /> f <br /> f <br /> SUBTOTAL f SUBTOTAL f <br /> PERMIT f PERMIT f <br /> TOTAL FEE f 30 TOTAL FEE $ <br /> FOR OFFICE USE ONLY: <br /> lPfXI_KE ,R MARWIMCt 9fR 9ElBACR R.AM CPFt1tMANR !FF MCEN'1q <br /> W!NAPE 101AKA YAcWi MIE FEES VALUATION FEE <br /> BUILDING <br /> 11NpCp11E A%UYME mm EDIMI AENN G[fgAn AvaMfIARwN <br /> MOP PLUMBNG <br /> 1 <br /> mwIIII B HD mF1fX1EB IlwaliEM MECHANICAL <br /> j GM1LVRMKYLOAD FIVE fRNALLEM RFOD Me mv,LwiAIADN ADDITIONAL PIAN CHECK <br /> O1HER <br /> 1111MINM1NIpl g9flAa[p — <br /> STATE BUILDING SURCHARGE <br /> HIAA!" F%AN9AFFRwEDF+ CITY OF EVERETT Puelfc vfalR6 <br /> LOCAL SALES <br /> TAX CODE IS 3105 TOTAL <br />