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APPLICA7SON FOR CONSTRUV PION PERMIT <br />ie <br />MrfWR«, <br />OREY W <br />everett <br />BUILDING DEPARTMENT <br />259-8810 TO BE COMPLETED IN INK —PLEASE PRINT <br />DEMOLITION COMBINATION BUILDING NGECHANICAL PLUMBING SIGN <br />MIAMI AoonFes +✓ MID,E <br />ARLMRlGT d1DEN9ER 144 ba1LY CITY la rrICIE <br />aFCW.NI,k F.(WF,RFCICR MAA ADDIIEq CRY Iro hAaR LICENSE. <br />%WniN lGCM1R.1Cip1 1Ml warEY LITY !/ %br! IICENBE• <br />NEW ._ ! ADDITION YALTERATION REPAIR DEMOLITION WOODSTOVEIFRPL INSERT i : BUILDING RELOCATION <br />ITNANT WROI[YFNI d1 ROR Pf11ILOFl MAY <br />CW,RAC, n1KEMNMa �900 VQ <br />CdRAC1 RR90N YO N1aE ND <br />SMNrc rmrADE rnav[D <br />7=7 <br />rrbn'A<-D/us[Maw _/'� <br />�j jT{]yL'EtM. N Cf <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 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 ANO I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 206.200 WAD. <br />SSN4t Dr CDNTMCTMIM AUENMRlFD Y`FNr DATE <br />X 'c * ozo viz S 13 y1 <br />�• <br />L[nN xnro, anaortnn sNMAN MLQYMAn .RrauRmrIESI <br />Loy _ SLocn M <br />� � ,,�� <br />Tln 90-oDO'Q/Q —D� <br />r'=-/—'"" <br />— — <br />RRGEaT AODRM <br />�t <br />AMLKw15 C�1Yn�M[A1 LC[M% rD wDRUSMEM NNE <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO, <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />BATHTUB _ <br />LAVATORY )WASHBASIN) <br />AC—AHNDLO UNITS-H P <br />FORCEO AIR SYSTEMS-B.T.U. M E.A. <br />UNITHEATERS--B.T.U. 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 />CLOTHESWASHER <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 />ROOF GRAINS-RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE -BAR. ETC.) <br />SUB TOTAL <br />1 <br />SUB TOTAL 1 <br />PERMIT <br />1 <br />PERMIT III <br />J06, O <br />TOTAL FEE <br />61 <br />TOTAL FEE $1 <br />f. Ir. .'o� <br />FRONT BE,InCR <br />REAR p 1W.. <br />ROF M,NACR <br />0.MI LIECR MUIFR <br />r[E <br />R[CEaINO <br />LIM EME <br />LOT ARIA <br />VADMI, SITE <br />' ! YES F NO <br />FEES <br />VALUATION <br />FEE <br />BUAOK1a <br />nnamNLT UTavwl <br />,m nnlsr uTuu <br />awN. <br />rw <br />aanLNr uYw <br />PLUMBING <br />- <br />�— <br />lIT[ M RlIlO <br />r1 Dr sr<MKS <br />IAMAEM <br />I I YES NO <br />MECHANICAL <br />JI <br />OTHER <br />1 <br />aCIRMNCY LONr 1111f srMMLFREIEGD <br />YES NO <br />RFAb.]M IM fiPRNn1 FRS <br />I<A11TlM1FAllM1 <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />i <br />AM ICAIM ACC ar <br />nwsAroaovFr'. <br />CITT 7F EVERETT <br />LOCAL SALES <br />TAX CODE 13 3105 <br />PUBLIC WORKe <br />TOTAL <br />10& <br />