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f�e Everpreen <br />CITY OF <br />everett <br />BUILDING DEPARTMENT <br />259-8810 <br />QPPILIVdT10N FOR CGNSTRi1CTION <br />pE1�M�T <br />TO BE COMPLETED IN INK — PLEAS� PRINT <br />.ui�en�ness cnr rm r•no <br />�,r o_�� (�__� q��s �< �'_P.�Q�' c� StP U�'�� --- ���' ^ g3� <br />i u�nnaCSS CILY 21P ---_ � PIWNE <br />� � � � --- --- --- --- -- ------------ <br />�BLHRECTORDESIGNEP MAILAOOPESS LrtV ZIP P��ONE <br />_—__ —....__.__.. " -- <br />OE/NE�PAILONTP�CTCR/ MeiIADpPEuS LI1M IiP PHONE IILENSE• <br />( �� � ����I <br />ME M I �LCOH NACTOR FUiI.�ODPESS GtlY 21P PIIONE IiGENSE• <br />PLUMBINOGONTPACTOH MAII�OJf1E55 CiIY ZIP PIIONE Vf,ENSE• <br />❑ NEW ❑ ADDI710N ❑ ALTERATION ❑ REPAIR <br />DEMOLITION ❑ W�ODSTOVE/FRPLIN53flT ❑ BUILDINGREIOCATION <br />VONItFN s�1Vn Crwiwac�n.u..� I�� �. <br />'i"lr� I l 1 1 -�l"I�� .� <br />uy�bvew�omo <br />%� <br />CflIPT10NOiPNOPENTY15110`ryy 6ELOWOPATULIIfOU C�O,P/iES� <br />S��fo��! �(I I�r LJ�_f1`I��Y�(e.lGa��! <br />Y •Lt aJf�1,l(p1�u�� LJ�r �ji' V°!�G'`d (i° <br />;1� �J_�°��*yr i'4�j�e �� <br />D 41��_�i� ��'_i�-x e <br />u� F ��. S C U� U�"� � nC �J <br />�/i o <br />PLUMBINO <br />WATER <br />Cd• /� acu <br />DFINNING FOl1NTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENI <br />ROOF ORAINS — RAII <br />muviccovicc_ ae[ <br />,P�•p��Yf � t1� <br />d Y��e4 iu <br />z-�;��� <br />�UQ. �. <br />FEE <br />I HEREBV CERTIFV THA71 HAVE READ ANO EXAMINED THIS APPLICAT:ON AND <br />HNOIN'ME SAME TO BE TRUE ANO CORRECT. ALL PRO\'ISIONS OF LAWS AND <br />ORDINANCES GOVERNING TIIiS TVPE OF WORK WILL 9E COMPLETEO WITH <br />WHETHERSPEGFIEDHEHEINORNOT. TIIEGRANTINGOFAPERMITDOESNOT <br />PRESIIME TO GIVE AU7110RITY TO VIOLATE OF CANCEL TNE PROVISIONS OF <br />ANY Oi I lEH SIA1 E ON L OCAL LAW REGULATING CONSTRUCTION OR THE PEF <br />FORMANCE Of (lONSTRUCTION. TIIAT I AM AUTHORIZED OY THE OWNER OF <br />11115 PaOPER1 Y TO PERFURM TI IE WONk FOR WHICH APPLICATION IS MADE <br />AND I COMPIY WI1H 111E STATE CONTRnCTORS LAW 1827 RCW AND <br />296 200 WAC. <br />SII:N�fIINEO!COII�IUGIUNUIIAUIIIONI[LU�GINi IIAIL <br />i' <br />=7—1 '---- L�y '=- --- <br />uuic crtv N6iN!l4r5I IC[NSE NO ANp UIISINESS N�ME <br />MECHANICAL <br />A/C -- A/HNDLG UNITS — H P. <br />FORCEDAIRSYSTEMS—BTU._ M <br />___ _ _UNITHEATERS—B7L. M <br />VENTILATION FAN <br />__ ._ _ _ __._ _______._____._.._— <br />RANGEHOOD <br />__ .____ _ _ __ . . . _ —_____-- <br />. . � WATER IIEATER��_� �� � <br />._ _ __..___-". ___. . ___ _'_'__-'.. <br />... _ . . _ _ ____.__ __. __ <br />WO00 S70VE <br />-- _.. _ <br />METALPIREPLAGEBGHIMNEY __ __ <br />. _. _. _ . _ _ _ _. _. ._. . _ <br />FIREPLACEINSERT _ _ __._ <br />. _ IIEATPl1MP -_. . _ . . . _ _ _— <br />GASPIPING .___.___.__.____'___'___ <br />E%11AUST FAN <br />__---___ __ __ —"_ —_ '_._ _ _ _ _"—___ '__'--_ ---'— <br />SUBTO7AL 5 S11B70TAL <br />__"_'_- . _ . <br />_ <br />PhHldll _ _ __ . _ <br />PERfd1T _________b.—.__.____. _— ....- _ ...__ _.. - <br />TnTAL FEE E _ TOTAL FEE <br />❑r <br />❑N <br />nvnwafn n vE5 ❑ NO <br />n ves u rw <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />uniea <br />STATE BUII DINd SUflCHARGE <br />STATE ENERG'/ SUfiCHARGE <br />PUBLIC WORNS <br />TO7AL <br />�� <br />FEE <br />FEE <br />