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APPLIC�a�ION FOR CONSTRI�rCTIQN <br /> PERMIT <br /> Ibe Evurprcc� �,v�,��,�� <br /> CITY OF <br /> everett � <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK— PLEASE PRINT <br /> rnvr¢n rennnona[ss cnr nr rrwNE <br /> ��� r� « �cor2ac�r,� r74 � 3 �d���n ��a4—c;��. �'���i a:sa- �u�o <br /> tENANi � M�II�OfME55 QlY ]I� f'NONE <br /> �NGNIIECiORDE5�6NEP MAIL���AE55 G�IY ZIP RIONE <br /> OIINEA�L CONIRI�GTO� � Q M�II�U0AC55 9iY ZIP �IONE J G/{�����5 <br /> NO2�/ Sou Z3[��S /yS�o�Se�4-E� b'Z��I3cJcf �,�(c��c)� g�o'7U l�53-as/a /3� [cK <br /> MECN�NIC�lCON1MC10R MML�DORE55 CIiV Z�V RIONE IICENSC• <br /> RUMOIN6CONIR�GIIX1 MMLR)Df1IS9----- CIIY lll• IYtliNI. IIf.IN!if• <br /> CI.�55 01 N+JFK <br /> [] NEW ❑ ADDiTION ❑ ALiERATION � REPAIR ❑ DEMOLITION ❑ WOODS70VE/FRPLIHSERT ❑ DU�LDINGRELOGATION <br /> ifN�NtINPROVEMENTORIM[RIORREMODELONV / GON1�CiPER40NRNOP110NEN0 <br /> CONiR�GI PRIGE O�WOR�/5 y'oo /� _ <br /> DE9CRiAE WO�K�rv0 SOU�Rk fOOTAGE INVOIVE� <br /> l �,rios� �� Rc��nin�r�, WG9GL �FLA'tcr�/: _ ----- <br /> tmorD5EOV5E �eVi�OiNo —� IHEREBVCERi1FYiHAiIH�VEREADANDE%AMINEDTHISAPPLIGAT�ONAND <br /> �6 �L � ��a` KNO�'dTH[SAMETOBETAUEANDCORRECTALLPROVISIONSOFLAWSANO <br /> ieai Eo�scamr�onur rnorearr�sNowr+eeiowou�nncrvoancovies ORDINANCES GOVE�NINC THIS NPE OF YlORK WILL�E COMPLETED 1YITH <br /> W HETH ER SPECIFlE D H[7EIN pR NOi THE GRANTING OF A PERMIT DOES NOT <br /> FR�c"t 10� r_T5 q�) PRESUM[TOG�VEAUTIIJ�ItYTOViOLATEOF7GANCELTHEPROVISION50F <br /> LOT eiocK or �- — qNYG1H[RSTATEORLOCALLAWREGULAIINGCONSTPUCTIONORiHEPER� <br /> FORMANC[OF CONSTRUCTION.7HAT I AM AUTHORIZED BY THE OWNER OF <br /> p I Il / � p S�r �^'r' �t. ��'7C���Q(�.���� THIS PPOP[RTY 70 P[RfORM TIIE WO�Y,fOF WNICH APPLICATION IS NiAOE <br /> V �� A 4-� -- AND I COMPLV WITH iHG STA7E CONTqACTOnS LAW 1827 RCW AND <br /> 2962C0 W�C. <br /> �l� (�0 �. 3 oF b�LA-("5 �q� s�ctinruAeorcor�in�c�onrn;nun��nirroac�Hr cAiE <br /> �XJ•�j,�.s�.�.���-...�.�� ,�4 5�cz �� <br /> PROJ[GT PD�RE55 AfPUL�Nf 5 G1 Y�USINESS l ILCNSE NO ANO OUSINESS NFM[ <br /> � Y 3 '' t�'G2 a!� �J!1 c <br /> PLUMBIN6 MECHANICAL <br /> NO. TYPEOFFIXTUREORITEM FEE NO. TYPEOFEOUIPMENT FEE <br /> WA7EA CLOSET�IOILEn _ NC-NHIJDLG UNITS-II.P. _ ___ _ <br /> BATHTUB FORCED AIR SYST[MS-07.U. M[A _ <br /> LAVATORYNJASHBASIN� UIJITHCqTEf75--�T.U. M _ <br /> SNOWER CLOTIIES Df7VER5 _ <br /> KITCHEN SINK 8 DISP. VLNiILAl10N FAN <br /> OISHWASHER PANGEI100D _ _ <br /> LAUNDRY7RAV • WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL MEIAL FIREPLACE 8 CHIMNEV _ <br /> DRINKING FOUNTAW FltiCPLACEiNSERT __ <br /> FLOOR DRAIN HEAT PUMP _ <br /> BACKFLOW PREVENIERS GAS PIPING <br /> ROOF DRFINS-RAINLEADEF3 E%IiAUST fAN _ <br /> SI NK(SEf7VICE-BAR.ETC I <br /> SUBTOTAL S SUBTOiAL S _ <br /> PEfiMIT $ PERMIT 5 _ <br /> TOTAL FEE 5 TOTAL F[E E <br /> fPONISELURGN 11ER11SEi0�LN SIOESEIB�GN PUNCN`�i11MB� I fEE �/'1 AELEIPTNO. ` <br /> L —�j r `-' <br /> usezo��E �ornne� vnenr��sne fEES VALUATION FEE <br /> f1 Y�4 O NO /� <br /> BUILDING r�/�/' /'� �/ I ^ <br /> TY�EOfCpN51. OL. '�NGYGPOWP' NOOFDWELI.INpUNIIS ___—__-..._ _✓���lC�) ---1�-1- m- <br /> RLOWABIFMGfWI �/� <br /> PWMGING <br /> sizeoreioa j NO.orsiomes osMi. oceiono -- - - -- - — -- <br /> � iir MGCH�NICAL <br /> / ii N <br /> —"� HEipMTIllAii�110N OT11E17 <br /> �iR[SPpINKIERS REOUIRED ❑YES ❑NO STATE BU��DINO SURCHARGE '�� <br />� STATE ENERGY SURCIIARGE _ _ <br /> APPU,CR1104�CCOY PIAN�PR� — <br /> ruouc wo�ns <br /> rora� U �7 <br />