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APPLIC�i�.r10N FOR CONSTRG�TION <br /> PERMIT <br /> r�s Ewqnan �•vrietl <br /> ;ITY OF � <br /> everett <br /> BUILOING DEPARTMENT <br /> 258-BBtO TO BE COMPLETE� IN INK—PLEASE PRINT <br /> GWNE� M41L��DNE55 CIIY ZIP YIIONE <br /> s .a a ��il��i3ats �-y?-3 �n1tr/)�. ���.,�n��a.—�Sy-6 39� <br /> ��T N�p.�DORE59 GiIY ZI� >HONE <br /> ♦IICMITELTORDElIONEN M�IL�UORESS Ci�r 2iP R�ONE <br /> �JENEfMLGONINAGTON AUIl:0Uf1ESS – _–��IY -- lIP M�ONE 4GCNSE• <br /> r�� �. �cI ZSra 2_�?-JY S—_1' �� %v// tu� ✓�/�1C1/ thA.�.wAfi�/t? <br /> S�/�NN�1 s o , �. r ,���� �•. <br /> IIEGH�MICALCAN1MC10R MMI.�DCRESB p1Y IIP P�IONf LICEN9[� � <br /> /-y•8 <br /> PLUMNHOCONiMCIOR YMLApDRE53 CIIY 211` MIOHE 4GEH9E1 <br /> CLA0.70i MNPK <br /> � NEW ❑ ADDITION ❑ AUEMTIGN REPAIR ❑ OEMOLITION ❑ WOGDSTOVFJFRPLINSERT ❑ BWI.DINOREIOCATION _ <br /> IEhIJlTIMPR(NEMENIORMIENqF/N['MOOEION�.Y _ fAM�G1oEf190N�NpPNONENO <br /> GONIMCTPRILEOfWORK' � (y�DGM, - -._-- <br /> O^EBLMBE WUMK ANDlOUME fOpI�GE IMVOLVEU <br /> /�) h'�� �W� -- ___--_ _� <br /> vnoroato eEoreua r�a IMEREAVCERTIFYTIIA7IHAVEREAOA�IDE%AMINEOTHISAPPLICATIONAND <br /> � ` � ✓l KNOWTMESAMET09ETRUEANDCA��RECT.ALLPROVISIONSOFUWSAND <br /> � J /\ 0�7DINnNCES 60VEFNING 7MIe TYPF.OF WORK WILI BE COMPLETEO WITH <br /> LEMLOEOLN�Vt10N �OPEPtY18tlJWNBELOWOR�fUCI1fOURCOPlE9� WHETHERSPECIFIEDHEREINORNOT.THF.GRAN71N60FAPERMITDOESNOT <br /> PRESUME TO GIVE AUTHOFITY 70 VIOLATE OR CAIJCEL THE PROV1510N80F <br /> �m B�p�K OF ANVO7HERSiATEORIOCFL�AWREGUUTINOCONSTRUCTIONORTNEPER� <br /> FORMANCE GF CONSTRUC710N.7NAT 1 AM AUTHORIZED BY iME OWNER OF <br /> .�{.�/,���/J / THIS('ROPER7V i0 PERFOFM THE WORK FOR WHICH APPLICATIUN 19 MAOE <br /> 'f-��9���-� RND I COMPLV WITN TME STATE CONTRAGTORS LAW 10.47 RCW AND <br /> _ 298200 WAC. � �I ^�_ <br /> I' SiGN�NREOICON1Mt10lOI�/.UI��O�iZE0�6ENt D�TE ff� <br /> ^/" <br /> vnaecr�uoncee x�c�wrnci�_F�H�woeusi��ME <br /> PLUMBINO MECHANICAL <br /> Np, TYPEOFFIXTUREORITEM FEE ND. ttPEOFEOUIPMENT FEE <br /> WATEP CLOSET(TOILEn W C–NHNDLO UPIITS–H.P. _ <br /> P�THTUB FORCED AIR SYSTEMS–aT.U. M EA . <br /> UVATORYIW�NBA91N1 UNIIHEATERS–flT.U. M _ <br /> BHOWER CLOTHE5DRYERS _ <br /> KITCMEN 91NK d DISP. VENiILATION iAN _ <br /> DISHWA9HER FANGE MOOD <br /> LAUNORV TMY WA7EP HEATEH <br /> CL07NE9 WA9HER WOOD SiOVE <br /> URINAL METAL FIiiEPLACE6 CHIMNL'Y _ _ <br /> DRINRINO FOUN1nIN FIREPUCE INSERT _ <br /> FLOOR DRAIN NEAT PUMP <br /> BACKFLOW PRE'VEN'fEH9 OAS PIPINO _ <br /> qppF DRAIN9–iVJNLEADER9 E%HAUST FAN <br /> SINK�SE/7VICE–dARETC) — — <br /> l3UBTOTAL i SUBiOTAL S _ <br /> PERMIT S PERMIT S <br /> TOTAL FEE i TOTALFEE f <br /> lnO11I6ETMCN NE�RBEiNltlt BiDE6EiB�GY. MANCIItCItNUM![11 Rf 11[LORYO. <br /> usc[one ����'^E� ❑EBt80EMn FEEB VALUIITION FEE <br /> BUILDINQ <br /> lV{'EOfGJNlT. OGCUV�MGYOROUp MOO�UM'EllIHOUMII9 -- <br /> "uo'�aetvncTU'u PLUMBIN6 <br /> �zEpse�W NOOfOIONIE! &SMf. OLGLO�D MECHANICAL <br /> OY _ <br /> ❑N <br /> �"�--- HEqNT4WqiqN OiMER <br /> iIRE6PPINNLERlPEOUIPEO or[e nHo S7ATEBVILOINGSURCHAROE _ <br /> BTATEENEROYSURCHFRGE <br /> uruutqwwccn Puu6�-er PUBUCWORKS <br /> TOTAL <br />