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�-. — <br /> APPLICATION FOR CONSTRUCT�vN PERMIT <br /> . • everett <br /> �E��� e <br /> GTV OF <br /> everett <br /> BUIIDING DEPARTMENT <br /> - 7_59-8810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> � i DEMOLITION I_� COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> � u OMMER M � MAk�DDNF55 GITV 21P PNONE <br /> o E.I T �n�d S� � A��� �s�,� ,�1� d . F��p.;7 9bao � a 5a- �s3fr <br /> TEN�NT M�IL�DDPE55 Ciry ZIP PMONE <br /> � � �tiCNI�CTORDESKINER M�IL�DORE53 CITY 21P FHONE <br /> ��� 6QAn. 1�esiiNs aoi S"�Aue So . �dMo�s 98oao 77�f- 8'oo0 <br /> � fENERKCONTMCTOR M�� �ITY 21P ��t�,�s-y PIqHE LICENSE� <br /> ����y � <br /> �i, • �- �7'• � i �4rlv /o`ll$ l.1� PASb �� wS'/"err.�' 33f�-/65'3 P1n ' JMiih`�J� Ixl PP <br /> MECMNIILNC TR�LTOR AUR�DONE55 GITY ZIP P E LiCENSE• <br /> ��p PIUMBWOCONTMCTOR M�R�DDNE55 GITY ZI� FNONE LICENSEI <br /> v <br /> �{"�� tuss or wanK -. <br /> Q PO f-I NEW ❑ ADDITION �. ! ALTERATION X REPAIR . �. DEMOLITION i '. WOODSTOVE/FRPL INSERT (J BUILDINO RELOCATION <br /> • <br /> TENMlT IMPROVEMENT OF INTEBIOR,RE,M^ODEL ONLY GONULT PERSON ANO PNONE NO. <br /> �M LONiMCTPRIGEOFWORN: d {p,� �O �. , A��d as-a- 4 S-s8 <br /> � DESCRIBEWORNNIOSOU�NEFOOT�4ENVOLVEO C�y�C�R <br /> e..� oo F r-J..�vs, an. d Juo � 258- <br /> �� PROPOSEOUSEOFBU0.DNq I HEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND COflRECT.ALL <br /> �� lEd4DESCRIPTIONOFFROPERtY�6HOWNBELOWOR�TT/�CHFWRGOPIES� PFOVISIONSOFLAWSANDORDINANCESOOVEPNINQTHISTVPEOF <br /> �oHb-�F7-yB�ooK ov Q WORK WILL BE COMFLETED WITH WHETHEA SPECIFIED HEREIN OR <br /> /�n NOT. THE ORAN1'INO Of A PERMIT DOES NOT PRESUME TO OIVE <br /> � � � � . AUTHORITV TO VIOLATE OH CANCEL THE PHOVISIONS OF ANV <br /> . ____ J A��*r O J� OTHER STATE OR LOCAL LAW REOULATINO CONSTRUCTION OR THE <br /> - —� PERFORMANCE OF CONSTRUCt10N.THAT I AM AUTHOR12ED BY THE <br /> � � ' �O�k I'n /( O F P�A*5 - �S �� �WNER OF THIS PFCPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE ANO I COMPLV WITH THE STATE <br /> _�l^ 1 //'� CGNTRACTORS UW 1827 flCW AND 288.200 WAC. y /9O <br /> `yA/O F'f011'sf S � `A• �A• BION�TUREOFCONTR�CTOqOR�UTHOq12ED�OENT D�TE �/z O <br /> , / ��'1 � � . � e re A P � ���JC � .. <br /> '_' PNOJEC7 DDXE39 y3',J� AVPLIC�N�SCITVBUSINESSLICENSE ./JIDBUSIHE%NMIE �y <br /> K�y�p MECMANICAL <br /> I�I Np. Tr►E OF fl7RU11E OR ITEY iEE NO. TYPE OF ECUIPMENT FEE <br /> WATER CLOSET(TOILET) - A/C-MHNDLO UNITS-H.P. � <br /> ' ' BATHTUB - FORCED AIP SYSTEMS-B.T.U. M E.A. � <br /> UVATORV(WASH BASIN) i - i' UNIT HEATERS-B.LU. M i <br /> 1�I SHOWER CLOTHESDRVERS ' <br /> KITCHEN SINK 6 DISP ;' VENTIIATION FAN ' <br /> ' ' DISHWASHER 1- RANGE HOOD � <br /> UUNDRV TMY � WATER HEATER ' <br /> 1�' CLOTHES WASHER � WOOD STOVE _ <br /> '�' UFINAL � ' METAL FIREPLACE 8 CHIMNEV <br /> DFINKINO FOUNTAIN FIREPUCE INSERT <br /> ' ' FLOOR DRAIN � HEAT PUMP _ � _ <br /> � BACNFLOW PREVENTERS i OAS PIPINO <br /> '�t ROOF DRAINS-RAINLEADERS � E%HAUST FAN � <br /> SINK(SERVICE-BAR,ETC.) ; <br /> ��' ; <br /> � <br /> �' w <br /> '� SUB TOTAL S <br /> SUB TOTAL S i ;� �� <br /> � PERMIT S � PERMIT S <br /> �--- TOTALFEE S '� TOTALFEE S � <br /> FR01/T6�iBACK��� PE�R6ET61�( SIDE��GK PIANCNEG UM E� FEE � AEC��59 <br /> /� �� f w+ OC <br /> us�za+E �or,w� v�cu+*siTE FEES VAlUAT10N FE! <br /> ��� p Op � ves �O auaowa (oS Geu y�'.2 ; — <br /> fYPEOiCdlSf/iLLOWMLf 1Y!'EOfCON3[/�L11:.0 atwKr rwpoMtu�MGiwire — , � � <br /> s� ' PLUMBINO ,�'- _ <br /> 6 EOFg�W ND.OF6TORiE9 BASEMENT MECHANICAL 1' � <br /> ��)"�4 C1 VES %G NO � <br /> , <br /> OCCUiNICYLMO FIflE6PNN1(IERSRE7D NEqNTLIMi7/�ION OTHER � _ <br /> � � yES X NO STATE BUILOINQ SURCHARGE � <br /> REASON di6FNWNLERS <br /> SiATEENEFOYSURCHAROE i <br /> �PPlILA710N�CC.BV PlAN9APPROVEDBY CITYOFEVERETT PUBLICWORKS <br /> k 11i l g� LOCAL 8ALE8 <br /> ��)�� TAX CODE IS�105 roT�� Srf� �Sa <br />