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APPLICATIC I FOR CONSTRUCT. JN PERMIT <br />TO BE COMPLETED IN BLACK INK —PLEASE PRINT <br />BUILDING DEPARTMENT I HEATING SYSTEM: OAS U ELECTRIC U _ <br />259-8810 <br />DEMOLITION COMBINATION BUILDING <br />ECMANICAL PLUMBING <br />01MER wlM " _ _ nl C'"—_.. 3E — PRa< <br />CRY <br />AIYIRt S9 <br />n <br />ADOITION ALTERATION REPAIR DEMOLITION WOODSTOVEIFRPL INSERT BUILDING RELOCATION <br />•• L� ��J •OO <br />CONIRM:i TI:E W NCIO. <br />C�NLt PFRFd Yq RIbE NO <br />0[pllE WOR NN EpYRE f00fbE NVOl1t0 <br />naraaEoaLhpwFi <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVI310NS 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 RCCW AND 296 200 WAC <br />K <br />LEW DFECINTm of H10PERTV IbETYII WLMW AITACH FOIIRF 31 <br />for kaw . n <br />unAuw <br />Eauw.. <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR LTEM <br />FEE <br />N0. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AC—MENDLG UNITS—H P. <br />BATHTUB <br />FOR CEDAIRSYSTEMS—B.T.U. M EA. <br />LAVATORY(WASH BASIN) <br />UNITHEATERS-B.TU_ M <br />SHOWER <br />' <br />CLOTHES DRYERS <br />KITCHEN SINK S DISP <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />_ <br />_ <br />URINAL <br />METAL FIREPLACE 6 CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />_ <br />FLOOR DRAIN <br />1 HEAT PUMP <br />BACKFLOW PREVENTERS <br />I GAS PIPING <br />ROOF DRAMS—RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE --BAR. ETC)_ <br />1 <br />SUB TOTAL f <br />SUB TOTAL i <br />O ' <br />PERMIT f <br />PERMIT f <br />TOTALFEE f <br />TOTAL FEE i <br />COO ETCOIOF I IAC ONI V• <br />FRWI"TIACA <br />REMEEtBALII <br />TADFMIBN'w <br />RANCHECKAAAAAER <br />FEE <br />RECEVTM <br />3 -7iD <br />IAIEI)HE <br />wI WA <br />vA Twn <br />FEES <br />VALUATION <br />FEE <br />BUFDWQ <br />MEdmm AAtkEAkl <br />IYFE M CLEITI AFIIMt <br />mule AvvAlliswn <br />.. <br />PLUMBING <br />mmilklD <br />AA)OF EIDREA <br />BASEMENT <br />MECHANICAL <br />I <br />ADDITIONAL PLAN CHECK <br />ODLURNCvt0A0 IME APRIRR[MIIEOD NEAYIIIMIAIgH <br />SPRINKLER <br />IIGFOM Pd1EEIIIIRIAM <br />STATE BUHDYAT BNiCHAROE <br />i <br />wtkun <br />FEANFAMItOVIDEY CITY OF EVERETT <br />PUBLIC wdulS <br />LOCAL SALES <br />TAX CODE IS 3105 <br />TOTAL <br />