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. . , <br /> - ' <br /> APPLIC�►TION FOR CONSTR�CTION <br /> PERMIT ; <br /> M�Ev�ryrNn ' <br /> CIfY OF everett <br /> everett e �� <br /> BUILDINa DEPARTMENT R <br /> 268�BB10 TO BE COMPLETED IN INK—PLEASE PRINT <br /> i <br /> IMIL♦ REB�/(��[� CiTY '1' 21P PH NE <br /> /� S �//Qt� ��PE83 - /" /D�� �Cll�v e� SIP�� PHONE���_��O� • <br /> / � N �N z z3 14'-`A�c S�J eame i,l,�, 98 L � . (,- �(e ( <br /> OEC70110E6qN[R MMI��DREB! GTY ZIP PNONE I <br /> 1 <br /> 0[NFMLCONTIUCMB M11L�OORE85 diY 21P PNONE 4CENlE• � <br /> / �.S ��%�eis 1�/� �19�7 /�'—�l.�. �' tVerciT �,y�oy 3;3•-7yvS L25IS�1tvljs�'n�' <br /> �NIGICANTMCTOR M�IL�DOPE!! GTY IIP PHONE �ICENSE• <br /> nuurracor�m�cro� MAIL�UDREB! CRY ZIP PNONE LICENlE• <br /> tuu a wa� � <br /> NEW ❑ �DDITION ❑ ALTEMTION ❑ REVAIR ❑ OEMOLITION ❑ W0009TOVE/FRPL INSER7 ❑ BUIL�INO RELOCATIUN <br /> 7lWWT IMMIOV[MEM 0111M7EIIION 11[AqOEL ONLY CONT�CT PERBON AMD P1qNF NO <br /> �,�,.�o.� .��"F J r�vE� s—r,3 -7yoy� i <br /> a waa��Noa��r T1WlINVOIv[D <br /> �. CtA1 � <br /> , <br /> ���� 1' IHEREBVCEHTIFVTMATIMAVEREADANDE%AMINEDTHIBAPPLICATIONANO � <br /> �n,�� ��y�L�/ 2��tN'rlij(_ KNOWTHEBAMETOBETpUEANDCORRECi.ALLPNOV1810NBOFLMN6AND ' <br /> u k a �rr Hownanavo��rt�cHrouncowEe� ORDIN�4CE800VERNINOTHIBTVPEOFWORNWILLBECOMPLETEDWITH � <br /> WMEI �RBPECIFIEDHEREINOHNOLTHEORANTINOOFAPERMRDOEeNOT ;�, <br /> �', �� �� �F PRESUME TO UIVE AUTMORIiY TO VIOLATE OR CANCEL TME PRONlIOIM OF � <br /> ANVOTHER6TATEOHLOCALIAWHEOULATINOCONBTRUCTIONORiMEPE1F k <br /> FOFMANCE OF CON9TRUCTION.THA71 AM AUTNORIZEDlV TME OWNE110f <br /> iNIS PROPERiV TO PERFORM THE WORK FOR WHICN APPLICATION 18 MADE <br /> AND 1 COMPLY WITM THE BTAiE CONTRACTORB lIW 1l.�7 11CW AND <br /> 2D8.200 WAG (� <br /> &ON�TUREOFGdI7Ri1LTOIlOPMI/NONI2E0�0ENT UATE7��3�Q � <br /> �!. <br /> X /,� � r� <br /> niox«�as ( v �wGs+�-'f i,:: <br /> O/� /� ��� �Ut,T ���. �VPII 6C 81NE8lLICENBFNO�NOW NE!lN11M! I� <br /> /►yM�1NQ M[CMANICAL �( <br /> M0. TYKOf fIllTUM OII IT�M f![ N0. 1Y/[Or[OUIMAlNT It[ �{ <br /> _'�� WATEpCLO6ET�TOIIEq '� MC—NHNOL6UNIT8—H.P. �.I� <br /> qpITU! FORCEDAIR9Y9TEM9—fiT.U. MEA �� <br /> UVATqiY1WA8HlAOIM '—' UNITHEATER9—flT.U. M �t' <br /> BHOWER CLOTHEB DRVER9 i;' <br /> KITCMEN BINK�DIBP. — VENTILAiION FAN <br /> DIlHWABHER RANOE NOOD <br /> LAUNCHYTMY � —" W�TERMEATER �'� <br /> CLOTHEB WABHER WOOD BTOVE <br /> URINAL ME7ALFIHEPlACE6 CMIMNEV � <br /> DPINKINfi fOUNTAIN FIREPLACE INSEHT <br /> i FLOOII DMIN HEAT PUMP � <br /> lACKFLOW PREVENTER9 OA9 PIPING t�� <br /> ROOF DRAINB—MINLEADERB El(H�UST FAN i�� <br /> BINK(BERVICE—BAR ETC 1 �� <br /> — — '� <br /> 1 <br /> � �;I <br /> SUBTOTAL { — SUBTOTAL t ���' <br /> I PERMIT { PERMIi t �� <br /> TOTAL FEE { tOTAL FEE { �,' <br /> REARlFf �{ BIDEBETlAC �IANCM CMNUMNII f!! ��C/� M0. ��' <br /> `�� 1� �� `.�( i�n��c'`_7�tS 'j`>��- :.��)��J {': <br /> , . <br /> ueetoN[ �or�au VM'�N7lRE �, <br /> �' �fjq� Q ea o Ho F[[� VALUATION R[{ ; <br /> J•�� BUILDINO �O]4$ r' <br /> lYrEqGONlT. OCCUP�NCYOIqUP NG OFGWELLINOUNIt9 �, <br /> �L��v� p/ �3 � PLUMBINQ �•� <br /> 42[Of SLOQ "� lq OIlTOPIEO B9MI OCC IO�D � <br /> ��r / �r � MECHANICAL <br /> ❑N �[ <br /> , NEqNTLIAMT��H OTHER <br /> fM!WPIMNL[R!REWIREO o YEs No STATE BUILDINQ SURCHARQE <br /> �, <br /> STATE ENEROV SURCMARaE �,� <br /> �vn�noH�cc er PL�H!MPR BY ' <br /> PUBLIC WORKS I��� <br /> � ���� TOTAL <br /> �`� � �� <br />