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APPLICATILA FOR CONSTRUC"6 .ON PERMIT <br /> TO BE COMPLETED IN INK-PLEASE PRINT <br /> Cl"CIF <br /> everett HEATINOSYSTEM: UGAS UELECTRIC LJ= <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> DEMOUITION COMBINATION BUILDING MECHANICAL XPLUMBING SIGN <br /> .A.At'[WLS, Oly IV <br /> .....!, , <br /> "AAA, <br /> Pvor((,�/ ('!.,!�77t <br /> AMMlICTMINVOW11 wy ZV <br /> 4FWAAL iMAITWTLTA SALL A1,C)"Iss Z`P Lum. <br /> -�T t"I F L's, :4,1 Lql�t, <br /> WCHAAACA,C()AIIFlA,:Tm wt A1,13411311 Zp PIKAIE MICK. <br /> RL7(71,W It" <br /> MAL ACTIVIL) IV <br /> I J� e,�, I-,, y <br /> amm,W)AN I <br /> NEW ADDITION X ALTERATION REPAIR DEMOLITION WOODSTOVEfFnPL INSERT BUILDING RELOCATION <br /> U, 5 <br /> '7777 <br /> pFKVT I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> MWPWIM PF KLMM ATI,c�rmm ixWeF& PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> LOT—ft� NOT THE GRANTING OF A PERL41T 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 AUTNOFIQED 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 298 200 WACL <br /> PLUMONG MECHANICAL <br /> "0. TYR OF FIXTURE OR ITEM FEE NO. I TYPE OF EOUIPMENT FEE <br /> �X, WATER CLOSET JTOILET) I o V6 AlC—AHNDLG UNITS--H P <br /> BATHTUB FORCED AIR SYSTEMS--B TU. M E.A. <br /> LAVATORY(WASH BASIN) Cv UNIT HEATERS-6 TU. M <br /> SHOWER CLOTHES DRYERS <br /> KITCHEN SINK 9 DISP VENTILATION FAN <br /> DISHWASHER RANGE HOOD .-S-0 <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER i WOOD STOVE <br /> URINAL METAL FIREPLACE&CHIMNEY <br /> DRINKING FOUNTAIN <br /> FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTEAS <br /> GAS PIPING <br /> ROOF DRAINS-RAINLFADERS EXHAUSTFAN <br /> SINK(SERVICE-41AR,ETC I <br /> SUBTOTAL SUR TOTAL $1 e,' <br /> PERMIT 61 j 0 1 PERMIT $1 <br /> TOTAL FEE $1 TOTAL FEE $1 Le <br /> FOR OFFICE USE ONLY. <br /> FIlICAll fll� MAN Nl� JMDEK� ftmcwc,,IA~. KC[pim <br /> Ull ZoIlt LOT MIT VACA"llun FEES --- VALUATION rEE <br /> 00 <br /> NO mstmws <br /> MECKANICAL <br /> ADDITIONAL PLAN CHECK <br /> OTWR <br /> STATE BUILDINCIBURCHAPKIt <br /> CITY OF EVERETT <br /> LOCAL SALES <br /> TAX CODE IS 3105 TOTAL q <br />