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APPLICATIOB. FOR CONSTRUCTLIN PERMIT <br /> ,,,rFHqeM TO BE COMPLETED IN INK—PLEASE PRINT <br /> CITY Or <br /> everett HEATINGSYSTEM: UCAS UELECTRIC U— <br /> BUILDING BUILDING DEPARTMENT <br /> ?59-8810 <br /> CFMSIATION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> ')wt!i`pM1A<T�I! • coy M PIgrK <br /> rfN � �r.A AIXYlE6I B IIP rllalf <br /> lyl'�T�tLAM' /�'-J41A.f�5T S U Q/fREr7• 290^9O1$ <br /> .14'NIiFCl0110E 101J[J__ W41WM85 flit IM RMINf <br /> ��yy�� /f3:Y�-. ?CN•M�.12bAI [r TEAliII� 9804 6aZ•rs/c <br /> MmIFAK }RACIa1 MAAAPM94 LiiY I ILfNSEr -- <br /> TIcOn <br /> YELNN1CAl<diR.Cra1 MAk AlN M I(1c Lm IM F PNONf ISrNY. <br /> offhil <br /> RUMMO COIIIIIKttYI 4ul A0aK6f Giv l0 ROME lCENfEr <br /> Xa wOrY1 <br /> EW ADDITION ALTERATION REPAIR DEMOLITION WOODSTOVE,FRPL INSERT BUILDING RELOCATION <br /> COMIALI RASW 4ND hICIA MO <br /> LxwTnrcr PRFf awaw <br /> goo.ow - A.W. HARRIS LUDRC342-2473,NM+G a3s_0477 <br /> afcaAlf waw�KEMR rw?pf mvvcos. <br /> � UV 1L71LmC4 - <br /> r�r oLreEm"n I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> it Err r D/ACF Fn17 C4100CX.N APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEOK ofecn•ruNa RCPfRfY IENITwIKLOW OR AnACN rauRcv4R PROVISIONS OF LAWS AND ORCINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> LOT_Kar a NOT.THE GRANTING OF A PFRMII DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> l6 TTNG f1C 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 18.27 RCW AND 296.700 WAC. <br /> BUNAiURRaM1MLM1alANfAKSRDAOfNt WR <br /> C11ZF • JDI��/��S j Jr� <br /> rmALrAmIMss 1 (� r f� <br /> APRIGWr{ AUNNFBAI <br /> PLUMBING l.. MEgNk AL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) AIC AIHNDLG)WITS-H.P. <br /> BATHTUB FORCED AIR SYSTEMS-61U. M EA. <br /> LAVATORY(WASH BASIN) UNIT HEATERS-B.TU. M <br /> SHOWER --- - - CLOTHES DRYERS <br /> KITCHEN SINK A DISP - VENTILATION FAN <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY ' WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL.FIREPLACE IL CHIMNEY <br /> DRINKING FOUNTAIN — - FIREILACE INSERT _ <br /> FLOOR DRAIN HEAL PUMP <br /> BACKFLOW PREVENTERS OAS PIPING <br /> ROOF DRAINS-RAINL RS EXHAU!;T FAN _ <br /> BINK ISERVICE-DA O _ <br /> SUBTOTAL IS SUBTOTAL E <br /> PERMR { PERMIT t <br /> TOTALFEE 61 AL FEE $ <br /> FOR OFFICE USE ONLY: <br /> rKa1t E[fAf[II RM6ETSEp 6TR NAALE MNaIF ;ILK[n rtFi -� /� IIrCE/r r� <br /> 9 <br /> Lm lDrw L01 WA vAcun MR I FEES VALUATION I FEE <br /> KIADNG 9 Oo0 <br /> RnafarE NLawMI r nuwlA[ruN mw�. nPe« Newn <br /> y- l H R - u r/ IRLIMBING <br /> s9E a SLDD MD a SRMNS FAW;T MECHANICALn <br /> 7y b7S Se , Alp <br /> aDURKLY IIMD Rw 6PMwlfA ROD NfRNrIYItAl10N ADOITION PLAN CHECK Q <br /> y1789L �E$ OTHER <br /> AS.' PFAFaI RNI Va Eft <br /> M <br /> I•, // L STATC SMINNG SIIRCMRGE <br /> KrAAEw RAM ryrfoFYCITY OFE 111 PUKK:wms <br /> LOCAL&ALES <br /> ' TAX CODE 13 3105 TOTAL �� <br />