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c� <br />� � pC <br />9Hf�i� <br />H�� <br />��� <br />��� <br />q1 N <br />xp <br />H <br />OHd <br />n <br />o�o <br />H <br />zH <br />�yy <br />c] C V� <br />� �+ <br />�Ht�/� <br />HOfn <br />� ' <br />fh0 EV6/p�BB� <br />CITY OF <br />everett <br />BUILDING DEPARTMCNT <br />,-�., <br />,APPLICATiON FOR CON5TF3UCTION <br />PERMIT <br />BE <br />iENANt MAII�OCPPSS <br />— PLEASE PRINT <br />D..ri/c//. c�4r7_/ <br />� ��l:ilY � � �IP I�NONC <br />♦RCHR[CLORpE51G4ER MAILA�DNE55 LIiY [�`• r'^•"'� <br />���1TJf�� C• tL� I,IN `' ez 8� ��oB�t'y�..i/2�t'z <br />Zlbl l y� S. 8r/�Y —_ 1� / 4 0 � s� i�cEHsc. — <br />GENERALCONiH�C10P M�iLAD�VE55 <br />una•ooecss cirv zia rrwue ur.cnsc. <br />MELH�NiC�Lf,ONIMGtOR <br />P�pMOINUCONiRPCiOF FI�ILAO��l�55 CI1Y LIP PNONE LICENSE• <br />N ckl S; ivG-_�..— �!�/� f'� --- --- --- <br />CtASE OGwURN <br />� NEW ❑ A�OITION ❑ ALTERATION ❑ REPAIR ❑ DFMOLITION ❑ WOODSTOVBFPPL INSERT ❑ 9UILDING RELOCFT�ON _ <br />tEN.NTIMPROVEMFNtORIMEPiORFEMOOELJNLY GONiRCIPER90�IPHD1410NEH0 — <br />f11NiPALi FPICE Oi WOPY. ----- <br />lui <br />>swuseoreuaoiNc • <br />�n/bLe ����lit� <br />BLOGn Of <br />�ll� G �BCl��;� '-�"dD. L/'�� <br />PPOJEGT�OOAE55 <br />PLJMBING <br />NO. n'PEOF FI%TURE OR ITEM FEE <br />� WATERCLOSETITOILET) ____ — <br />'L BATNTUB _._.. __—_ <br />LAVATORYIWASHBASIN) � _ <br />SHOWEF <br />KITCNEN SINKB DISP � <br />DISHWASMFP ___,,,�. <br />LAUNDRYTRAY <br />, CLOTMES WASMER _��. <br />Uf71NAL — <br />DRINKWGFOUNTAIN _ __ — <br />fLOOF DRAIN — <br />�AfKFLOW PREVFNTERS _ __ <br />qOOF �RAINS — F7A�NLEADERS _ <br />SI NK �SERVICF — BAR. EiC � __ <br />---. _ --�ar � <br />��I\ ����� FRON� 5� <br />\ �/ <br />PERMIT g <br />--TO1AL FEE 5 4 � � <br />nennson�cK/ sucscro<c� _ <br />KJ <br />_ �__'— _ <br />IOIPRER VAfrAbI511C <br />%YCS ' NO <br />/ <br />OCLUFANCYGeO11P NOOIOKClLIN4@Ii15 <br />_u 1��3 � <br />q�v <br />nR[SPRINKLEPSOE:U�PEO `.:YES <br />� <br />� _�� -- <br />��E�y�ll LIMI14P011 <br />� � <br />_� _ _ _— __— __ <br />snvvncr ' "I <br />i� W <br />I HEREBY CERTIFVTHAT I HAVE FEADANO E%PMINEDTHISAPPLICATION AND <br />KNOIY THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANO <br />ORDINANCES GOVERNING THIS NPE OF WORK WILL BE CO�dPLETcD W1TH <br />P ESUMEiOGNEADITHORITVTOOOLAEGORCANCE�LTHEEP JVIDSI�ONSOF <br />ANY OTNER STATE OR LOCAL LAW F[GULATING CONSTRUCTION OR TME PER� <br />FOHMANCE OF CONSTRUCIION. THA' I AM AUTHORIZED BY THE OWNER OF <br />THIS PROPERTV TO PERFORM THE WORK FOR WHICH APPLICAT�ON IS MADE <br />AND I CONPLV WITH THc STATE CONTRACTORS LAW 1N27 RCW AND <br />296200 WAC. ��p <br />S�GNRiunLovCONtaeC*UPnb�� ��0�1i1Eo�GENi DA1F �-sS 7 / <br />/I` <br />�v _ <br />ppp•'PNI$ Ivy115W6'.14RISkNO�N��l1`INCSSN�ME � <br />MECHANICAL <br />N0. TYPE JF EOUIPMENT FEE <br />A/C— WHNDLG UNRS— NP _ <br />FORCED AIR SVSTEAIS— BT.U. M EA __ __ <br />�% 11NITHEAlERS—B.T.U. M _,_ �" <br />I CLOTHESDFYLRS (��j T <br />2 VENTIIATION FAI! — _/.. � <br />HANGEHOOD __ _ <br />1YATER MEATER <br />WOOD STOV[ <br />METAL FIREPLACE 6 CNIMNEY <br />FIFEPLFCEINSERT _ _ <br />HEAT Pl1MP __."' ___ _ <br />GAS PIPING <br />EXHAUST FAt1 <br />SUBTOTAL __ 5 <br />PERMIT 5 <br />TO�AL FEE 5 <br />' FEES vwwwiivn <br />BUILDING � �� _'�`�Y <br />_.___—"___ ..__.__.... _ ..1 _ _ <br />FLUTABING _ _ _ <br />MECHANICAL <br />OiHER _ _ _ __ <br />STAT[ BUILOING SURCNARGE <br />�_.__I.__.I ��_-_ <br />STATE ENENGV SURCHARG[ <br />PUBUC YlORKS <br />TOTAL /y� <br />,� <br />