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Zumi CS <br />APPLICATICA FOR CONSTRUC70N PERMIT i <br />mE.w,D,mTO BE COMPLETED IN INK -PLEASE PRINT <br />COY (If <br />everett HEATING SYSTEM: Sp OAS ❑ELECTRIC U— <br />BUILDING DEPARTMENT <br />2598810 <br />DEMOLITION COMBINATION ' I BUILDING MECHANICAL PLUMBING------- SIGN <br />NEW I '. ADDITION � ALTERATION i.I REPAIR DEMOLITION WOODSTOVEATRPL INSERT I., BUILDING RELOCATION <br />TAcrrtmw(LNongla'ND <br />(:ONTHAci Rlr<awaNl r�i n(, <br />D{EGNEF Mdw NND EUM11E FOOTAGE fwDIVED <br />� L 1 <br />r pnsro uu afAAnra U <br />E0 THIS <br />I HEREBY CERTIFY THAT I HAVE READ AND ANDCORRECT. <br />APPLICATION F L KNOW THE SAME ORDINANCES SE TRUE AND CORRECT. ALL <br />TGOVERNING THIS TYPE OR <br />WORN WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />WORK lLL13E UWPLETEDS AND ITHWHETHER <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 10 27 RCW AND 296 200 WAG. <br />RMUiURE OftdIMCtDI1 d1 WrMORItED10ENt aiL <br />Xl� <br />7[Du aecnmTnN ar rnn[An,IMCRNafwNaIINNNCN rgA1DOREq <br />LOT_ _ rax M <br />3 ?,y L) - U <br />r <br />_ r• <br />FB9SCTADDIIEY <br />♦ \r - C <br />GHY NNREpI Na IRVIIN <br />PLUMBING <br />MECHAA9CAL <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />N0. <br />TIPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AC-A,HNDLG UNITS-H P <br />BATHTUB <br />FORCED AIR SYSTEMS -BTU MCA. <br />LI'79L' <br />LAVATORY IWASH BASIN) <br />UNIT HEATERS-B.TU. M <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK A DISP <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE A CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />' <br />_T <br />ROOF DRAINS-RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE -BAR, ETC) <br />SUB TOTAL { <br />SUB TOTAL f <br />PERMIT { <br />PERMIT f <br />TOTALFEE { <br />TOTAL FEE f <br />ERG OFFICE USE ONLY' <br />fMllr tErYLN <br />11lMAFTYLII <br />MDE EETBAdI <br />RYI CN MI n <br />rr <br />I1EC[rTW <br />UN20NE <br />LOT AMA <br />VfOWrElrt <br />FEES <br />VALUATION <br />FEE <br />Bun 01110 <br />-- - <br />rr11m0 xlmwf <br />mfwmKT AOIIYl <br />w Ae>wtu+fun <br />r <br />PIUMPIIID <br />i <br />FILE pf BIpD <br />ND Di 51oI1f5 <br />MM1lM <br />MECHANICAL <br />ADDITIOW'E PIAN CHECK <br />PCfMANLYIMD IIRf 5M1Flf R511f0D HEIO,11LMTAT10N <br />OTHER <br />IEAp?I IOR SVNMIf FS <br />STATE &IIlOHO SURCHARGE <br />_ <br />MNf er <br />RANS AromvfDer <br />CITY OF EVERETT <br />"ICWORKA <br />LOCALSALES <br />TAX CODE IS 3105 <br />'^if' <br />