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APPLICATI( J FOR CONSTRUCT 3N PERMIT <br />TO BE COMPLETED IN BLACK INK —PLEASE PRINT' <br />HEAT Ll <br />BUILDING DEPARTMENT ING SYSTEM: GAS J ELECTRIC <br />— <br />2598810 <br />DEMOLITION COMBINATION BUILDING MECHANICAL kPLUMBING SIGN <br />pK{1! WIANKIISS CRY 7M' NIP< <br />VIVANT! <br />WAAPDKK <br />CIIY <br />m nAaa <br />AATCMRCI OR OFfgNFK <br />WA ADONN <br />CRY <br />tW N101Q <br />P(KMICONIRALrOR <br />Wa AOdfSE <br />CITY <br />!IP PIUIIE <br />STATEL"MI <br />STATE LICENffA <br />YECMWICAICWIMLTPI <br />Wa AppRfD! <br />CRY <br />DV VIIOIE <br />nLlllMCb1IPALId1 <br />VAI AO1INESS <br />CIM1 <br />}R M141f <br />STATE LCENSf1 <br />Annmvw 117ERATION REPAIR DEMOLITION WOODSTOVEIFRPL INSERT BUILDING RELOCATION <br />fAIIIRA[I.RCf Oiwrn. .(000 <br />CaKA[t PER!(R rHCK NO J� <br />I �V i •��i o4) <br />Pf scAe[ wales Ava equK rmtA,� NvaE�Yo �, <br />Cm!KE} hcY1j� Siam 8 ec i fE o <br />rllOrofeO LMiO NR[wA <br />as <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TORE 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 PF.OPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 10.27 RCW AND 296.200 WAC <br />H+Mlyy <br />CIY ACINY MO <br />Leah IKscN/TONIs vRarERrrlRnLw1fELONd1 ATTAEHwWIcvAf� <br />LOT_ Noa^ n _ <br />^N \t�� <br />41 ' <br />— <br />PRORCI AOdI[f6 <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR GEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY IWASH BASIN) <br />SHOWER <br />KITCHEN SINK A 0151' <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAWS. -RAINLEADE Dv, <br />SINK ISERVKIE--BAR, ETC.) <br />_� <br />_ <br />_ <br />A'C—A HNDLG UNITS—H P. <br />FORCED AIR SYSTEM" T U M EA <br />UNITHEATERS—BTU. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />WATER HEATER <br />WOOD STOVE <br />_ <br />METAL FIREPLACE A CHIMNEY <br />FIREPLACE INSERT <br />T <br />HEAT PUMP <br />OAS PIPING <br />EXHAUST FAN <br />BUS TOTAL <br />S <br />SUB TOTAL A <br />— <br />PERMR <br />A <br />PERMIT A <br />'S <br />TOTAL FEE <br />III <br />TOTAL FEE A <br />— <br />FEN( OFFICE 1111E nNLY- <br />rRINIMAACS <br />KWfSISaCK <br />SIOESEISACN <br />RAN cwm NLIYfEP <br />FEE <br />mailil NO <br />IIEEEaII! <br />LOT WA <br />w mfMtt <br />FEES <br />vALuATIOAI <br />FEE <br />BUILDING <br />PLUNAND <br />i <br />IYIIgNATt 41SAffL/ <br />REf lAETWa <br />RtvMn pNMllflA.n <br />AAo1 <br />A W KM <br />MD RI Na1Kf <br />WFKK <br />MECHANICAL <br />s r <br />ADOITOHALPW/CHECK <br />OVAIIEAIGY IOW /KIF frKKIlRS KOD KWRlMiIiTGn <br />RIAEON fan erwKl[M <br />AIWPIKLER <br />-- <br />STATE BUII DING 6URCIURGE <br />NfAAf SY <br />RI1NlANROYIOSY <br />1� <br />yIjT BF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />%1&K: NDRN9 <br />' <br />TOTAL <br />