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APPLICATIOI _ FOR CONSTRUCTI. N PERMIT <br />TO BE COMPLETED IN BLACK INK —PLEASE PRINT <br />BUILDING DEPARTMENT I HEATING SYSTEM: V_&AS U ELECTRIC ❑ _ _ <br />259 8010 <br />DEMOLITION COMBINATION BUILDING J>QECHANICAL PLUMBING SIGN <br />pNAfl WlA[Cflf69 CITY 11 WIP[ <br />iv6 /%�tOEVNAicL Z41S itl SE F-vr 353 0 3L/ S <br />1FNANI WlADplf eS CRv p" RIOAE <br />RRLwirC7MMsAV`A MAC Am rss Cal lily <br />Uf,aw LPRRnCUNI W4AMRr95 CRY M PIdIL ITAU LCEME0 <br />4fCMYiIC4LOI,PAC,OR W4 Ar FSS CRY M Ix E,AM ICEW0 <br />CIT• M PICI( MAIL LCM9f r <br />w NEW AnnITION kAALTERATION REPAIR DEMOLITION WOOOSTOVE'FRPL INSERT BUILDING RELOCATION <br />c.W,TIAc, IwcE a WdR ZYO °O <br />rA11tAL1 PFfl9pl ANR Rld! 1q <br />- <br />prygBr N AM KNOW rw,AW AnAXAD <br />�WMWI <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES OOVEPNING 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 REGULATINO 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 ,18 2/7 RC W AND 296200 WAC <br />�r <br />is��-� <br />(EON rcscRoTKwvlwaoER11, K MIM DK A11M..H raw CMK s, <br />rat am. a _ <br />_ <br />PRWYti ADMr99 <br />vi oA Evr <br />SLLAAW <br />ws-✓y9z <br />I <br />V/ T <br />7.7,R9w991KT <br />Y� <br />PLUMBING <br />`r"CHANICAL <br />N0. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />No. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />BATHTUB <br />A C—AHNOLG UNITS - HP <br />_ <br />FORCED AIR SYSTEMS-6 T.U. M E.A. <br />LAVATORY (WASH BASIN) <br />UNITHEATERS-1117M M <br />SP- .VER <br />CLOTHES DRYERS <br />KITCHEN SINK A DISP <br />VENTILATION FAN <br />' <br />T <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 />SACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS—RAINLEADER9 <br />EXHAUST FAN <br />SINK (SERVICE —BAR. ETC.) <br />—_ <br />SUB TOTAL { <br />_ SUB rOUL { <br />PERMIT { <br />PERMIT 6 <br />TOTALFEE 61 <br />_ <br />TOTAL FEE { <br />FnR nFFMI: IIAF CINLVI <br />ER011i 8E1lKA <br />RFM BFINQ <br />sOf NiMGx <br />RAN MISMER <br />'I' i RE'E/I MO <br />UK TINE <br />LOT AEA <br />vACAT wit <br />FEES <br />VALUATION <br />FEE <br />BUADINO <br />PLUMBNq <br />IMwCWI9 xL0RM1 <br />IREOIDMI A[IW <br />aaRAc• AORw.ufUeR <br />0 <br />IMIRMIKKI <br />WMIPCREe <br />EAEEYEN1 <br />MECHANICAL <br />ADOITgNAI PLAN CHECK <br />DCCUFANLv lOAO FIR[eKI1,A,lEq RF09 K[W1IARIAICN <br />fflt NFOR WIMWL E R9 <br />SPRIWLER <br />STATE BUILDING SURCMROE <br />WTAE eY <br />RANSAPR Psl <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE 18 3105 <br />PUBLIC WORKS <br />TOTAL <br />