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Ihe Everpraen <br />CITY OF <br />everett <br />BUILDING DEPARTMENT <br />259•8810 <br />APPLtCa('ION FOR CONSTRI..;TION <br />PERMIT <br />TO BE COMPLETED IN INK— PLEASE PRINT <br />I�d NEW ❑ ADD�TION ❑ AITERATION ❑ REPAIR ❑ �EMOLITION ❑ WOODSTOVE/FRPL INSEflT ❑ BUILDIN4 RELOCATION <br />TENANTIMVROVEMENTORINTE�/O'ONLY�= CONT�CTP[PSONA,P��ONENO �� ���`I��� <br />LONTRACIVPICEOFWORK _ �/j�� _L�L��L1�I.l1I�� <br />lOT BLOCN OF <br />uc�� wvnca� <br />� <br />�'��� �!^) �-�b�+� <br />l <br />PLUMBINO <br />VO. 7YPE OF PI% <br />WATER CL09ET (TOILE <br />BATHTUB <br />LAVATORV (WASH BACi <br />SHOWER <br />KITCHEN SINKB DISP. <br />DISHWASHEF <br />LAUNDRVTRAY <br />CLOTIIES WASHER <br />URINAL <br />ORINNIN6 FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTI <br />ROOF ORAINS— RAIN <br />ciuv mcomee _ wew <br />IYPE OF CAN91. <br />AILOW�BIEUGTWL <br />❑ YE9 ❑ <br />"l.;l\1( �� <br />❑Y <br />❑N <br />�� <br />5 <br />E <br />5 <br />❑ YES f 1 NO <br />rverell <br />e <br />I H EREBY CERTIFV THAT I HAVE FEAD FND E%AMINED THIS APPLICATION �ND <br />HNOW'HE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND <br />ORDINANCES GOV[RNING THIS iVPE OF WORK WILL BE COMPLETED WITM <br />WMETHER SPECIFIED f IEREIN OR NOT. THE GRANTING JF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL TME PROVISIONS OF <br />ANV OTHER STATE OF LOCAL LAW REGULATING CONSTRUCTION OR THE PER- <br />FORMANCE OF CONSTRUCTION. TMAT I AM AUTHORIZED BV THE OWNER OF <br />THIS PROPERTV TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE <br />AND I COMPLV WITH TN STATE CONIRACTORS LAW 1827 RCW AND <br />288200 WAC. <br />SIGN�iUREOF RAGI ORAl1�lORREU�0EN1 DALE <br />� � / <br />X 7 �" 8 <br />APPUC�N ITY USWESSlILE115E40eNDBJ51NE55N�M <br />NiECHANICAL <br />FEE NO. TYPEOFEOI <br />A/C — A/HNDLG UNITS — <br />� FORCEDAIRSYSTEMS— <br />UNIT HEATERS— 6T.U. <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />_I_ WATER HEATER <br />WOOD STOVE <br />MErqL FIREPLACE 8 CHII <br />HEAT <br />70TAL FEE <br />aui�oiNc <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE BUILDING SURCHARGE <br />STP.'iE ENERGV SURCNARGE <br />PUBL�C WORKS <br />TOTAL <br />