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APPLICATIGA FOR CONSTRUCT. JN PERMIT ie <br />Tb EE�mxK TO BE COMPLETED IN INK —PLEASE PRINT <br />Cm o <br />everett HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ J <br />BUILDING DEPARTMENT <br />259 8810 <br />'.. DEMOLMON COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br />ONAPE _ ._ <br />'m _ L— \_ __ 0 any 4 164 G,/T= -7,.-. -'S.I,._ , �3-4q".AS <br />W\ <br />In <br />A <br />nnrtVtu AI TFRATKVI REPAIR OFMOLITION NICODSTOVEFPPL INSERT BUILDING RELOCATION <br />F-J^� <br />GENTRWY-It EY W(RIR <br />CdItKt RR9P1 NIDP9Nf M0 <br />DEKOW WpIK ANDS ARE FWTMEEM VEO <br />FRDFouOUM: Ex RAtORO <br />/7Q»F/Y%t.(/t.LTl„/L,(� <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROV,gK)IS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />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 18 27 RCW AND 298.200 WAD. <br />69NATIR40F CONTRACTORdI MIiNpREEDAOFNt WlE <br />X <br />IFON IXBDRIKtKMOF VIKNALn Y(11#40MI KIM d111r1KNfMI CIMKBI <br />LOt moci, DF <br />nnlEct EDDREaa 1 <br />' O i.. �r S � <br />11 <br /><,...Y e <br />` J ' ` <br />Ar+Ewlrs n+IEaR1 9E NUIE <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET ITOILETI <br />,NJ_DO <br />AArAMNDLG UNITS —HP <br />_ _ <br />BATHTUB <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />LAVATORY (WASH BASIN) _ <br />SHOWER <br />KITCHEN SINK B DISP _. <br />DISHWASHER <br />LAUNDRY TRAY _ <br />CLOTHES WASHER <br />_ .O <br />_ <br />_ <br />UNIT HEATERS —BTU. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />WATER HEATER <br />_ <br />WOOD STOVE <br />_ <br />_ <br />URINAL <br />_ <br />METAL FIREPLACE 8 CHIMNEY <br />_ <br />DRINKING FOUNTAIN <br />__—�— <br />FIREPLACE INSERT <br />_ <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS—RAINLEADERS <br />EXHAUSTFAN <br />SINK (SERVICE —BAR, ETC.1 <br />_ <br />_ <br />SUBTOTAL i <br />O iO O 1 <br />PERMIT f <br />TOTAL FEE i <br />PERMIT i <br />O N C <br />_ <br />TOTALFEE f <br />'Co <br />CYAO F mrc 119E nNI V. <br />F"IfIETWK <br />RFM BFIRELEI <br />114*w RKR <br />RYICMCIMIVIIER <br />11 <br />RECf Wr INI <br />UIt EOIIE <br />901 AREA <br />n tMIT <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />- <br />PIUMDMG <br />r111 AEdR Nl0RV11 <br />II11 tltOK1t AC11Ml <br />RPREE� bvRrR�su.l <br />VRR <br />p !' • D <br />I <br />ME[OFIR00 <br />ND OF BtOIrEE <br />6VEtRNT <br />MECHANICAL <br />ADDITIONAL PLAN CHECK <br />_ews D <br />OCCA,,%Wy LwD Im ERKIPIERS REOII KEOHt LRRTMKIN <br />OTHER <br />REAECN IpI EPRMIIRS <br />STATE BUILDING SURCNARDE <br />RIAKE BY <br />NANE AMROV[DBY <br />e�� <br />CITY OFE <br />PUBLIC WORKS <br />LOCAL BALE! <br />TAX CODE 1B 8105 <br />TOTAL <br />J <br />