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APPLICATIO� FOR CONSTRUCTI�N PERMIT <br /> everett <br /> Ma Ew�p're^ � <br /> CITV Of <br /> everett <br /> BUIIDING DEPARTMENT Tp BE COMPLETED IN INK�LEASE PRN1T <br /> 259�8810 <br /> DEMOLITION � COiA91N�110N ; �. BUILDIN6 y I�CHANICAL �. PLUMSING : SION <br /> �q wiwwcss cm zio narve <br /> rF�irna, �y �,��r� l3/0 �uFic E[k-'1'crr I S.�I �S1 S/o i <br /> i[M�NI T M�M1�DDRE55 LT' ZIP ��KINF <br /> �qCNrtECiOPOESIaNLP N�l.pd1C55 CITY Zro PNOME <br /> GENFPµCCNiPI.CTON N�M1�pOPE65 Cf1Y SF M04[ lCENSE• <br /> IIfCnI.NiC4LON1F�CtpP MI.IWll�[4L LILY Iro PMWE L�CENSF• <br /> e�,_ � ,T �T�yE ,L_ 35�// L1/IS'ES Etiffi%l/�b'Iol2S2-3/l`l cuq�65SIZ�e�'7 <br /> oi�n.�nmccwm�.cron u�2�dmEs�, cm zm nairt uctNv:. . <br /> tt�ss o�wonx <br /> NEW ADDITICN MTERATION � REPAIR � DEMOLITION :-�. WOODSTOVFJFRPLMSERT �, BNLDINGRELOCATION <br /> i[N�M A1PRpVEMENl011 M[XqN RC4�0[l ONLY C.UIT/�CT PEqSpNMID InqNF NJ <br /> [pIfRK1pPICEOrWJM: SC�/N <br /> pLSCPRE WPIR�Mp SW�PC f�il.G[INVIXNfO <br /> vn�,eousca�eukomo I HEREBv CEqTIFY TNAT 1 HAVE READ AND EXAMINED THIS <br /> C/Y�"N°C//� APPLICATION�ND KNOW THE S�ME TO BE TRUE AND CORRECT.�LL , <br /> uc+icescnirie�vavaov[uiv�5.onnee�owonen�cerounco��si PROVISIONSOFLAWSANOORDINANCESGOVERNINGTHISTVPEOF <br /> WOPN WILL BE COMPLETED WITM WNETMER SPECIFIED NEREIN ON <br /> io� aiocn or NOT.THE GR�NTING OF q PERMIT DOES NOT PRLSUME TO GIVE � <br /> AUTHORITV TO VIOLATE OR CRNLEL THE PRO�ISIONS OF�NY <br /> OTHER STATE OR LOCAL UW PEGUUTING CONSTRUC?ION OR TNE <br /> PERFORNANCE OF CONSTRUCTION.THRT I AM AUTMORIZED BY THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WNICM <br /> APPLICATION IS MADE AN� I COMPLV 'NITH TME STATE <br /> CONTRACTOFS LAW 1827 RCW AND 296 200 WAJ. � <br /> sbM�*uncorcw*n�cronon.urrron�zro,�cEw n�rc <br /> X �/ <br /> �POJCLI/�W(1E55 — <br /> / � T . <br /> � ���Y�� �PIRIC�MS �PUS�NSSLIC FNO�NOBUS'NESSN�IIF <br /> ��5� ��A�.A� <br /> NO. TVPE OF Fl%TURE OII ITEM FEE MO. TYPE OF E WIPMEMT FEE <br /> WATER CLOSE7(TOILFT� A�Cr/'HN�LG UNITfr—H P. <br /> BATNTUB FORCEOAIRSVSTEMS—BTU. M EA. <br /> LAVATORV pVASH BRSIN) UNIi IiEATERS-8 i.U. M <br /> SHOWER CLOTHESORVERS <br /> NITGHEN S�NK 8 DISP VENTILATION FAN <br /> DISH WASHI"-R FANGE HOOD <br /> LAUNDRVTPAV W�TERHERTER <br /> CLOtHF51VRSMER WOOD STOVE <br /> URINAL METAL FIREPLACE 6 CHIMNEY <br /> CPINKING FOUNTqIN FIREPLACE INSERT <br /> FIGOti DRAIN NEAT PUMP <br /> BAGKPIOWPREVENTERS � GASPIPMG <br /> ROOF OqAIN$—RAINLEA�ERS E%HAUST FAN <br /> SINN(SERVICE—BAR.ETC.) <br /> SUBTOTAL S SUBTOTAL f '— <br /> PERMIT E PERMIT 5 /,f � <br /> TOTALFEE S TOTqLFEE E � <br /> fi1:Ni5E19�CM HGflSE1B�CM 61IX6EiBMN IRAMCNELFNUMBER !EE REL[iP1NJ <br /> uxxw[ imene� vnc�msire FEEB V�LUIITION FEE <br /> ' ' vE5 � NO BURDiNa <br /> ��rtarcaxsiriow�e�� �m[acoxstutuu rccwK. .nawn�,ncu..�� — <br /> cm.. PIUMB�N(3 <br /> FPfM&D0. MpOv6i0R�E5 B�SEMEM MECMRNICR� <br /> '. i VES ' . NO � <br /> IX;cuvupvL040 fINE6PMMLEN5PE0U �2qMi�nitteipN OTHER <br /> . . VES � . HO SiREBUIL0iNf35URCNAROE <br /> ni.�50NfON9PRMNlENB --� <br /> St�iE ENERGYSUPGN�ROE <br /> .m•iw�irov•ncev nexsewwv¢oer CITYOFEVEflETT PUBLIGWORNS <br /> LOC11L E�LES � <br /> ill%CODE 1E 7105 ror►� 'C� ' <br />