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APPLICw�ION FOR CONSTRI.�TION <br /> PERMIT <br /> Ihe Ewrprasn <br /> CITY Of �w�'ir�� <br /> everett e <br /> BUILDIN4 DEPARTMENT <br /> 26B•8810 TO BE COMPLETED IN INK— PLEASE PRINT <br /> OWN N M�IL�U011ES9 CI�Y llP PIIONE <br /> �,Ic��i �l,U C�If:Y�^.nj �/ � •S� �i.� In7�l��C�ita✓ 1"�ll 'i.5 � ' C�3�`r� V <br /> IEN�NI M�II� ES9 CII� ll� MIONE <br /> MGNIIECiOPDE810NER MAIl�DU11E9� � CIIY �� 2�P MIONF <br /> OFNEMLCONIRI�CtOP MML�OO�ES9 --'----LIIY"-------... lIP ----"'—PIIONE ---IIGFN9Ei <br /> MECNIINIL1ALCONIP�GIOP I MMl�D00E83 CIIY IIP � �RIONE LICEMSE� <br /> ���.Nc`1RtC �-U2���<cl.�'..ilPr�-ut �'/Gj? iLk`i.(l��. `���i�.r.mt51. �i�52S'p S(S ?ut"� �c•<:'c' 71exGBo� <br /> %UMlINOCONiP1C10R MMl�DD11E9S C�IY liP MMNE IIGEN9E• <br /> CL�!!OI MORM — -'-----___"___ <br /> NEW ❑ A�DITION ❑ ALtER�T�ON ❑ REPAIR ❑ DEMOLITION ❑ WOOO:iIOVE/FRI'LINSERT ❑ OUILOINOREIOC�TION <br /> —'—'_ __"_"'_"_'_'_'. _'___. ""_'____"_"__'_"_ .__".__'__--'—'_____ <br /> 1lNANT IMMqVfMENI OR INIE11q11�EIM`U[L ONLY CONI�CI PE1�90N�NO PIqN[NO <br /> CONiMGf MIG[OF VYORK <br /> pElCMlE WORI(1NDbOWNE f00f10E INVOIVEU -- <br /> �co nee a euameo I HEREBV CERtIFV TNAT I HAVE READ ANU E%AMINED THI9 APPLICATION AND <br /> KNOW THE SAME TO BE iRUE AN�CONRECT.ALL PROV1910N9 OF LAW9 AND <br /> IEWLOElCMIPiqNOf PIIOPE11TY1lIIOWNBELOW011MIBCIIiOUPCOP1E91 ORDINANCE3 OOVERNINO THIB TVPE OF WOPK WILL BE COMPLETED WIM <br /> WVIETHFR Sf'ECIFIEDHElIEIN Ofi NOT.THE ORANTIN60FA PERMIi DOE9 NOi <br /> IOt xocK of PiiESUMEtOO1VEAUIHORITYTOVIOLATEORG:.�YCEIiHEPROVI&ON90F <br /> ANY OiIiER StAiE OR LOCAL LAW REOULATINU CON97RUCTION OR iHE PER <br /> FOFMANCE OF CONSTIiUCT10N.THAT I 11M AUiHOR12ED BV THE OWNEH Oi <br /> Tf II9 PqOPER7Y TO PERFORM TNE WORN FOR WHICN APPLICAtION 19 MADE <br /> AND 1 COMPLY WITH THE &TATE CONTRACTOR9 LMN 1B.Y7 RCW AND <br /> 2BB.200 WAC <br /> s�aNeruneacoNtnecronrn�eunanirroenENr D�IE <br /> �ir ' G(I � �I ��'(fJ��1! <br /> Mq.KGiMOPf6! �l�c�•"`^�] L�A-�.'�a.i.� <br /> �PPIIC�NfB GtY BUSINE99lICEN9E NO�ND BU91NEB9 N�ME <br /> G l L I G-L • �1(= <br /> KUM/IMG MECN�NICAL <br /> NO. irMO�fIXTU11[OIIIT[M FEF NO. TYPEOiE0U1PM[Nt Rt <br /> WATER CL08ET(TOIL6T) A/C-NHNDLO UNITS-H.P. <br /> BATHTUB FORCEO AIR SV8IEMS-B.i.U. M FA <br /> UVATORV�INA9HBA91N) UNITMEA7ERS-B.T.U' M _ <br /> BHOWER CLOTNE9 DRYEi18 <br /> NIiCHEN 81NK{OIBP. VENTIUiION FAN <br /> DISHWA9HER RANOE HOOD <br /> LAUNDRV TMV � WATER HEAiER <br /> CLOTNEB WA9NEP WOOD 9TOVE <br /> URINAL METAL FIREPLACE 8 CHIMNF.Y <br /> ONINKINO FOUNTAIN fIREALACEINSEHT <br /> PLOOR URAIN HEAT PUMP-�~ <br /> BACNFIOW PREVENiER9 _ _S_ dAS PIPINO ' —�� � <br /> ROOF DfiAINS-RAINLEAUERB EXHAUST FAN <br /> BINN(9ERVICE-BAR ETC.) <br /> SU8 TOTAL S SUB TOTAL S _ � _� <br /> PERMIT { PERM17 S <br /> TOTAL FEE S tOTAI FEE S <br /> IIONIBEiMGN REARBEI&1CK S��EBCIB�GY, qANCH[CIINUYlFII Ff! �[ClI�TMO. <br /> usezoNe Lot�u+ee v�Hroue FEEB VALUI1TiON FEE <br /> U YES ❑ NO <br /> ttPEOFCON9t OCCUPIJIGYOROUP NOOfOWElLiH011Ni1S BUILOINO _ _ _ <br /> �uow�e�v�ciu�i r�uMeiNa — — — <br /> —__ _- -'_____- ___ .___—._—_—_.. _ __.__._.._`_'__ .'—_ <br /> BREOiBl00 NOAf810fUE9 89M1 OCCLOeO ��� <br /> u r MECHANICAL <br /> ❑N _.__—_—._ _. __ _______—___ __-__'—__ <br /> IIEIUNIUMtl�IION OTHER <br /> iIBE8PRINNLEf13REWNEO ❑v[s ❑no uTATEBUILDINOSURCHARGE <br /> STATE ENERGY SURCHARGE <br /> �VPLIC�110N�CGBY R�H9�VFp8Y <br /> PUBLIC WORKS <br /> TOTAL � <br />