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. -. . ,. _,.:.;�., <br /> •.�-- _ � <br /> • � <br /> APPLICwT10N FOR CONSTRuCT10N i <br /> PERMIT �I <br /> IMEwryrsen everetl ` <br /> CITYOF � ; <br /> everett � <br /> BUILDING DEPARTMENT I <br /> 259-BB10 TO BE COMPLETED IN INK- PLEASE P'iINT , <br /> ( <br /> ayHEA M�II AppRESS (C�'IIY � 21P � PNONE �/ { <br /> ��`''S �- . �L�S en eonncs�, ` � _-_�C.l_l1`'L (.�. --�di3E �`1- -,�9SL. ` <br /> 1EN�NT <br /> �qGNITECTONOElIONER MIil�00RE55 Ci�Y 2iP PNOHE � <br /> �/^-LLl�,�-=,(r �J S�Q� -Seuvz.4:rta[-, � A�� r-l��h���l,`iio9 � <br /> OENEMLGONTp�CTaR � � MeII��DRE55 LiIY PP PHON IICEN9E• ,� <br /> _�,' �¢�. C�s`T �,.,�{c.,,r.� , � �v. c 31 S�re�t�"u'�3 ��9—sy�2 _ i <br /> ME 1\HI CANTR�CTON MAIL�OORESS LitY ZiP VNGNE �y LICEN9E• <br /> �, \ (1 �� ,� C �`�J�✓// ! <br /> PLUM&N�OfGOYN�TR�CTOF / MMl�00RE5S GIfY 21P PHONE � LICENSF• I� <br /> �Jn�wY iKR �Wh✓�h `I �� �� �� �. �r i <br /> cuae or wonK <br /> NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIN ❑ DEMOLITION ❑ WOODSTOVE/FRPLINdERT ❑ BUIlDIN6RELOCATION I, <br /> TEN�NTIMVFOVEMENTJPINTERIOPPEMOOEIONLY � fANt�CTVER50N�NOPMONENO A ` <br /> CONTRACTPPICEOfWUPK I�� ��"�f"-��X_ _��IC1S1.Z--i � �7Z 1. <br /> GEOCFIBE WOHM�NO BOUISIE iJOT�OE INVOIVED <br /> �ilt.[1 <br /> Pq0�P0lE UBEOFBUI�T' IMEREBYCERTIFVTHATIHAVEREAOANDE%AMINEDTH19APPLICATIONAND �� <br /> � �{�{�µt��'.y NNOW TME SAMc TO BE iRUE AND CORRECT.ALL PROVISIONS OF LAW9 AND <br /> �¢n�,��pt�`ipr�osrnop N NBEIOWON�TTACNFOUPGO%E5� �RDINANCESGOVERNINGTHISTVPEOFWORKWILIBECOMPLETEDWIiH <br /> i � WHETMERSPECIFIEDHEREINORNOT.THEGRAN7INGOFAPERMITDOESNOT <br /> 1�,,�'/la. , tI_ PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL 7HE PROVISION9 OF <br /> �pT�_ BLOGN___ Of _14.L,7 L-�--L� PNYOTHERSTATEORLOCALLAWREOULATINOGONSTRUCTIONORTMEPER- <br /> FORMANCE OF CONS7RUCTION.�fH�T I AM AUTHORIZF.D BY THE OWNER OF <br /> P^-'� A i i,L� � �je� �� s I� THIS PROPER7V TO PERFORM THc WORK FOR WMICH APPLICATION 19 MADE �. <br /> itr !i-dct �( �-J--- AND I COMPLV WITH THE STAfE CONTRACTORS LAW 18.27 RCW AND <br /> 288.200 WAC. � <br /> � � � SIONAI�REOFGONIReCIUROReUi110R11ED�6ENT UATE F, <br /> �� <br /> X L� �'� 9�1��— �; <br /> PIIOJECfMORE88 �PttICA iYBU9NE55Li 5 NO N�9INESBN�ME 4� <br /> 6 1 I.�Oo " —(L:7T W 1:- <br /> PLUMBINO MECHANICAL •� <br /> Np, TVPE OF FUfTURE OR ITEM FEE NO. riPE OF EOUIPMENT FHE �' <br /> WATERCL09ET1TOILEn " A/C-A/HNDLOUNITS-H.P. �. <br /> BATMIUB - FORCED AIR SVSTEMS-B.T.U. M EA _ f. <br /> LAVATORVIWAgHBA9�N) - UNITHEATERS-flT.LL M �- <br /> 9NOWER - CLOTHES DRYERS ` <br /> i <br /> KITCHEN 91NN6 DIBP. - VENTILA710N FAN �' <br /> pISHWA9HER - RANOEHOOD <br /> � LAUNDRVTRAV WATER NEA7ER i.� <br /> CLOTHE9 WA9HER WO'JD STOVE � <br /> URINAL METAL FIREPUCE b CHIMNEV ' <br /> DRINKINO FOUNTAIN FIREPLACEINSEFT � <br /> I, <br /> FLOOR ORAIN HEAT PUMP _ <br /> BACKFLOW PREVENTER9 6AS PIPING <br /> ROOF DRAINS-R�INLEAOERS E%HAUST FAN � <br /> 91NK(SERVICE-BRR,ETC 1 <br /> I <br /> _ _ — i <br /> __ ___ -'__ ;. <br /> SUBTOTAL S SUBiOTAL f `' <br /> PEfiM1T S PERMIT S � <br /> TOTALFEE S �� TOTALFEE S �, <br /> FPONT SETB�CN � PEAR SETB�GN 910E SETB�GN ry LN K NUMlER FFE RLC[�R NO. � <br /> ,�, zo � � � 6► �- ������� �I�l � a� 9� � <br /> uaezoee IOT�RE� WCANI6ITE FEES VALUIITION FEE ` <br /> �(YES ❑NO � <br /> l� O�V BUILDING � 9 °u � �' <br /> TYPEpiCANST OLWV�NGYOROUP NOOiDWELLINOUNlT9 � <br /> „«oW.B�u.c.u. N 1 PIUMBINO � <br /> I: <br /> 812E OF BL00 NO QF STOFIES BSMi OCG 10�0 � � <br /> � 21�5 X+ n r MECHANICAL � <br /> sr Z " N/A ` <br /> ��cioHriiuir�r�N OTHER I, <br /> iIRElYNINNLER9 REOUIRED ❑YEB IJ(NO � STATE BUILDINQ SURCHAROE L <br /> S7ATEENERaVSURGMAR6E /� � <br /> �MLIC�TION�CC BY PL�N9�PPH BY PUBUC WORKS (.J\ i <br /> � �� � i <br /> TOTAL <br /> C',�,[��,�- ��:"i.�1'f [�� � P'ac� l .� i i�u �, fE�E' St��t� c',L�'r ��,V�'�12� <br /> �4 ,��/1►"1 �'L- I� `" <br />