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APPLIC�.rION FOR CONSTR�.�:TION <br /> ffr�Ewpreen PERMIT <br /> CITV OF <br /> everett rverel� <br /> BUILDINQ DEPARTMENT � <br /> 259-0810 TO BE COMPLETED IN INK— PLEASE PHINT <br /> OWNEN MMt�oonEss citr IIr VrroNE <br /> �Y���<�s y8s9 �ine p�- C-�c�et�" Sba�3 ast3-G7cf <br /> TEN�N M�IL�DDNES9 CItY SIV 1'NONF <br /> •IILHIIECTOPpE01ONER M.11L�UDNE9S CIIY Iil' VIqNE <br /> OEMERqCONIqLCTOII MUL�OpOc55 CIIY Iil' 1'110NE �ILEN9E• <br /> MECNINICI4CANIRI�CtOR M�Il4DUPES9 GIIY IIP MqNE IICEN6E• <br /> /RryVM�M�NOCONTRA�f,tOq M�II�DORE9S LIIY IiP IMONE �ICENSe• <br /> �iiTe�rwoAkv - - <br /> ❑ NEW L� ADDITION ❑ AI:fERATION �REPAIP ❑ DEMOLITION ❑ WOOOSTOVE�iRPLINSERT L� BUILOINGRELOCATION <br /> 7lN1Nf IMPROVEMCHI OB INIEOIOP REMOOEI ONLY �pN1AC1 iKP50N�NO P110pE NO -' <br /> CONIMC7 PRICE Of WORK <br /> OLlCMlEWO KM/DlOUMEl001ME NVOIVED � — -- <br /> MIOP06 OU!!Jf UIlDINO ---"— <br /> I HEREBV CERTIFY iHAT I HAVE READ AND E%ANINED THI9 APPIICATION AND <br /> ��� KNOW THE SAME TO BE iRUE AND CORHECT.ALL PROVI910N9 OF LIM/g AND <br /> LEMLDElCIIIPIIONOFMIOPEPfY�9HOWN BELOWOP�RI�CHiOUACOPIEd ORDINANCES OOVERNINO iH13 TVPE OF WOHN WILL BE COMPLETED WITH <br /> WHETMER SPECIFIED HEREIN OR NOT.THE ORANTINOOFA VERMfTDOEB NOT <br /> LM e�ocK or PRESUMETOG�VEAUTHORI7VTOVIOLATEORCANCELiHEPROVISION90P <br /> --- ANYOTMER9TATEOfILOCALLAWREOULATINOCON9iRUCiIONORTNEPEI► <br /> FORMANCE OF CON9TRUCTION.iHAT I RM AUTHORI2[D BY THE OWNEH OF <br /> THIS PROPERTV TO PEiiFORM THE WOFK FOR WHICH APPLIC�710N IS MADE <br /> AND I COMPLV WITH THE S7ATE CONiRACTORB LAW 18.27 RCW 11ND <br /> 2BB.200 WAC. <br /> eIONIIUBEOFfANIMCfOf10R�OLINNItiED�OENT p�TE <br /> X����,� Y-d,�'Bf <br /> MqJFCTAGORES6 APPLICeNiBC YB IESSUCEN9ENONiOBUlME86N�ME <br /> N <br /> K���ND MECMANICIIL <br /> N0. fY►!Of flMTUM OII R[M P[E NO. TYPE OF EWIPMENT R[[ <br /> WATER CLOBET(TOILE7) NC—NHNDLO UNITB—H.P. <br /> lA7NiU8 FORCED AIR 9YSTEM9—HT.U. M EA <br /> LAWITORY ryVABH BABIM UNIi HEATERS—&T.U. M <br /> gHOWER CLOTHESORYEFS <br /> KITCHEN 91NK i OIBP. VENTILATION FAN <br /> D18HWA9HER RANQE HOOD <br /> LAUNDRVTMY ' WAiERHEATER <br /> CIOtMEB WABMER WOOD STOVE <br /> UHINAL ME7AL FIREPLACE 6 CHIMNEV <br /> DRINKINU FOUNTAIN FIpEPIACE INS€RT <br /> FLOOR OPAIN HEAT PUMP <br /> lACKFLOW PREVENTERS OA3 PIPINO <br /> NOOF DRAINS—RIUNLEADER9 EI(HAUST FAN <br /> 81NK�SERVCE—BAR, TC� <br /> SUB iOIAL S � 9U9 TOTAL S <br /> PERMIT S PERMII S <br /> TOTALFEE S TOTAIFEG S <br /> i1qN�tETB�CN qE1RBEIBACN 910EBEIB�LN RAMCN[CKNUM!!II f[I IIlC�'�iNO. <br /> UOE20NE io��ne� V�LANI9IIE FEEB VALUATtON fEE <br /> O YED ❑NO <br /> TYPfOfCANlI. OCCUP�NCYOROUP NOOfUWElU1qUNl19 BUILDINO <br /> QIONMXE/�CIUAL — -'— "-- — — <br /> PLlIM81NQ � <br /> NSEOlBIDQ NOOfBIOBIEB BSM[ OC4lWD — <br /> ❑Y MECHANICAI <br /> ON <br /> MEIOIIILIMIIAIqN OTHER <br /> RRElPqINNLE09PEWIRE� O YF9 u No __ gTATE BUILDIN(3 SURCNAf1OE <br /> STATE ENEHOV SURCHAR�E <br /> MPIICAl10H 11CG BY PL/J!S�PPP BY — — — <br /> � PUBLIC`NORKS <br /> TOTAL 5 ^ <br />