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APPLICAi ION FOR CONSTRI►.:TION � <br /> PERMIT <br /> Ne Ewrpreen <br /> CITV OF everetl <br /> everett e <br /> BUILDING DEPARTMENT <br /> 258-BB10 TO BE COMPLETED tN INK— PLFASE PRINT <br /> OWNER M�II AppqE55 C�1Y !�� P��ONE �I <br /> cc�Fsraoon Nor,Es •� 6.�1- N��f�'-�'_�"�8'-x"�- �_��_- .�.so <br /> TENANT MAIt�pDHESS fliV ZiP PNONE <br /> •RLNITECTONUES�ONfR M�II�DONE59 CiIY 21P PMONE <br /> OENFN�LCONTPAGTOP M�IIA�ORE55 CITY SIP PNONE UCEN��• <br /> ( f /( �( // <br /> (I r ( 4JfS��I//✓/�/Ob'U <br /> MECN�NIG�LCONiNACTON MMIAppPESS CIIV IiP PIIONE UCENSE• <br /> PLUM&NOLONTR�CTOR M�1L�DORES9 CI1V ZiP PNONE LICEN9E• <br /> 7"w- S �� �m ��N G _ ��/g-vsl6 <br /> C1A880i WURK <br /> ❑ NEW ❑ AUDIiION ❑ ALTERATION C� REPAIR ❑ �EMOLITION ❑ WOCDSTOVE/FRf'L INSERT ❑ BUILDINO RELIX;ATION <br /> TEN�HT IMPROVEMENT ON INTERqB REMODEI OHIY CANtACi PERSON�Np o�IONE NO <br /> GONiPI�CT PRICE OF NOIIK <br /> OEBCRIBJE JM/�OPIt AND BOU�RE fO01/�0E INVOlVEO <br /> P110P08EDU8EOFBUIlUINO / �HEREBYCEPTtFVTMATIHAVEREADANDE%AMINE�TMISAPPLICATIONAND <br /> KNOW THE SAME TO BE iRUE AND CORRECT.ALL PFOVISION9 OF LAWS AND <br /> LEMLOElCRIPf10NUFPROPERTY�SNOWNBELOWON�RIiCNfOURtOPIEW ORDINANCEBGOVERNINGTHISTVPEOFWORKWILLBECOMPLETEOWITH <br /> WIIETHERSPECIFIEDIIEREINORNOT THEGRANiINGOFAPERMITD0ESN07 <br /> L� PRESUME 70 OIVE AUTHOFIiY TO VIOLATE OR CANCEL THE PHOVI910NS OF <br /> LOT__F_ e�oc� or ANVOTHERSTAtEORLOCALLAWRE0ULA71N6CONS7RUCT10NOFlTHEPEN• <br /> FORMRNCE Of CONSTRUCTION.THAT 1 AM AUTMORIZED BV TME OWNER OF �, '�. <br /> THISPFOPERTYTOPERFORMTHEWORKFORWNICHAPPLICATIONIBMADE . <br /> ANO I COMPLY WI7H THE STATE CONTR0.CTORS LAW 1827 FCW AND � <br /> 298200 WAC. <br /> 516N�ilIPEOFCOHip�LIOR�R�UT110NRE0�6ENT O�TE � <br /> x ,v � <br /> PROJEf.T�ODRE88 �PP eNT9C SME59 [NS �NOBIISINEBSN�q <br /> �a�. -B�Ik�'�i2R - f � <br /> � PWMBINO MECMANICAL <br /> N0. TVPF OF FIXTUHE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE � <br /> WATER ClOBET(TOIlET) ir, __ WC—/VHN�LO UNITS—H P. _ <br /> BATHTUB _I� FORCEDAIRSYSTEMS—HT.U. MEA <br /> LAVATONVIWASH B�SIM UNIT HEATERS—B7.0 M ' <br /> BHOWER CLOTHE90RYEHS <br /> KITCHEN SINN 6 DISP. VENiILATION FAN <br /> DIBHWASMER RANGE MOOD <br /> LAUNDRViRAV WATERHEA7ER �(Z � <br /> CLOTHE9 WASHER WOOD S70VE '�., <br /> . URINAL _ METAL FIREPLACEB CHIMNEV __ _ I <br /> OFINKIN4 FOUNTAIN FIREPLACE INSERT ! <br /> FLOOR DRRIN _ HEAT PUMP_ _ __ _ li <br /> _ - - _ — <br /> B�CKFLOW PREVENTERS uAS PIPING I <br /> . .—_ —___ _--.'___. __ .__ _—_ —_ — . <br /> ROOi DRAINS—RAINLEADER9 __ __ E%HAUST FAN_ __ _ �. <br /> SINN�SERVICE—BAR,EiC) _ — i <br /> SUP.TOTAL S _ __ __ SUB TOTAL 5 I <br /> PcRM1T S _ __ PERMIT S __ i <br /> TOTAL FEE S TOTAL FEE S �i <br /> fRONTBETBI�CN 4EARSEIB�CN SIOESE7B�CF PU�NCNECMMUMEEN FFE IIECEIPfNO. <br /> usezonE �OT�NE� VAf,ANT8ITE FEES WILUATION FEE I <br /> ❑ YES U NO <br /> rvPEOiCON9i OGLIIP�NCVOROUP NOOfOWEIIINOUNRS BUILOING _ _ _._ _ _ <br /> .«�,��,.�.�:.� ------- -- __4� <br /> PLUMBING <br /> piZE OF BLD9 NO OF BTOPIE9 88MI OCC IO�O �� <br /> uY MECHFNICAL ' __'_.__ __'_��"� `.. <br /> IIN —__"_"____'_____' "__--_ <br /> — ---� - -Ne,mrt uwiuuori � �- OTHER � ,� <br /> .___ _ —___—_ � <br /> f�PE BPRINRLERSREIXIiREO ❑YE9 ❑HO _— STATE BUILDING SUHCHARGE � � <br /> STATE ENERGY SURCHAqGE <br /> '__- -__."___ __ __ _ -__ .... ... __._—_ � <br /> piM:C�T10N�CC BY PL�N6�GPP BV � ; <br /> PUBLIC WORKS , !I <br /> TOTAL I <br /> _ l' <br />