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APPLIG.aTIO�N FnR G�JNSTF�CTlON <br /> PERM�T <br /> thr 6 ergrrven 1P'�"��� <br /> CIT` OF <br /> everett � <br /> �n � BUILDING DEPARTMENT — <br /> 259-88�0 TO BE COMPLETED IN INK— PLEASE PRINT <br /> y c�,. z�� „��,�,� <br /> „wNi�� rnau aooness <br /> C � �INDMI E �-.a�r'N CRON�N 3��(o.�roac,WAy �.ver��7.Ba0_1— 35�� i'1�K0--- -_ <br /> y H VJ - � uei��ooness --1 c�tr— 'n a� iir --_.-- <br /> ii�+ar�i <br /> H �� I.IRIL PDUIiE$$ GIiY iIP VH01iC <br /> AiiCNRECT OR OCSIGNCR <br /> Ky � 1 <br /> o x o �t l �rxkua�_—�ll�_1.15_�oca �e.�Jcr��s_. ,4L.70�__c'15o�-�a,_$ <br /> � M� GEN[R�LCONiRRG1GF NRi:AD�AE55 Crtv � J PHOrv[ UCFNSE� <br /> NM 1/ /� <br /> � z � N[�pNl�CONe*qs UR MPIta0D4E55 QLV (Z�IP R�CNC � LIGLNSE• <br /> 4.t [� , ` C Y��� � + �l1�� ��S_J(OS t <br /> y _SJN�_�4��,75� S I NA �P�Pc 4.'--4���– . <br /> ��� VLUMB�NGCONiR�CTOR M�ILA�DRk55 CitY Lr P��ONC LIf,�Si.�u�F.li/'n <br /> � B� C� mecJwM.;c.u����� 4_�P�+�u. u��l'nrlr.�,,ca �� �a. 48���3____ <br /> H cussorwoAK <br /> 9 f]� � NEW ❑ ADDITION ❑ A�TERATION ❑ RFPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL INSERT ❑ BUILDING RELOCATION <br /> r H y et � � �pry{q�TpEqSpNANOPNONENO <br /> IFNPNtIMCqUVEMENtORIMERIOPNEMODELONLY <br /> y ppryip�GTpql[EOfWOPH <br /> ~ Il[SGF�B5WORNRNOSOVARE�OOiAGE16VOLVEU �� � <br /> gd �, _ — <br /> �� � � G�-�.�3 «� ' -- <br /> evorosED use or euaorvc I HEPEBY CERTIPY THAi I HAVE READ AND E%AMINED fH15 APPLICATI ON AND <br /> y y ��^ KNOW TNE S�ME TO BE TRUE AND CORRECT.ALL PFOVISIONS OF LMYS AND <br /> H O W ���- ,�jp�p9[ J+�1_C.L��� ORDINANCES GOVERNING THIS TYPE OF WORY.N'iLL BE COtdPL[TED Wf�H <br /> �eeuoesceieTiorvovraorcaT��FjjSnowrvaeiowoan**aC�+ cuacoeiES� y,�HETHE175PECIFlEDHER[INORNOTTHEGRAN'INGOFAPERMITDOESNOT <br /> ipt�_ e�oCn_� Dr �,� U � PRE�UME i0 GNE AUIMORITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> � ANV OTHER STATE OR LOCAL L�W R[GULFiIN3 CONSTfiUCTION OR TNE PER- <br /> FOA�dANCE OF CONSiRUCT10N iHAT I AM AUTHORIZED 9Y THE 01NIJER OF <br /> (' LI'�,p TMIS PROPERTV TO PERFORId T HE WORK FO'9\YHICH APPLICAT�ON IS MAOE <br /> O"� l�Vl��� ._ AND I GOMPLV WITH THE 4TFTE CONTR4CiOR5 LP�V 1027 RCW AND <br /> - 296200 WAC. <br /> sw�+A*uaeor orvrancroua� .mr�om.[oac,crvr o<re <br /> -�J3_r_aa��� _ ���1�. �"'s�f <br /> oPCJecleOOR[s5 v sU*�a sm s5l�6crvs �BuS�NEssNnuE <br /> �U�c�e <br /> PLUMBING MECNANICAL <br /> FEE , NO. TVPEOFEOUIPMENT FEE <br /> �/, , ryp, TYPE OF FI%TURE OR ITEM — -- — <br /> ' � WATEPCLOSET�TOILEn A/C—WHNDLGUNITS—H.P <br /> C�I BATHTUO — FORCE�AIR SVSTEMS—&T.0 M EA — <br /> LAVATORVIWASHBASIN� UNITHEATERS—BT.U. M <br /> � ` SHO�NER CLOTHESDRYERS —_ Y <br /> � �_ KITCHEN SINKd DISP. VENTILATIOIJ FAN 1 <br /> DIEHWASHER � RANGE HOOD <br /> � LAUNDRV TRAY WATER IIEATEN — <br /> -I CLOTHES WASNER _ WOOD STOVE <br /> � MGTAL FIREPLACEB CHIMNEY <br /> URINAL <br /> � ' DRINKINGFOUNTAIN _ FIREPLAC[INSERT — <br /> 1� � FLOOR DRAIN HEAT PUMP <br /> BACNFLOWPFEVENTERS � GASPIPING . <br /> ROOF DRAINS—RAIIJLEADERS � EXHAUST fAN _ — <br /> ' 1�� _ SINK�SERVICE—BAR_ETC) _ <br /> �'� — <br /> 6 SUBTOTA. S ' SUBTOTAL 5 _I � <br /> I ' PERMIT S _ PERMIT 5 _ <br /> � TOTAL FEE S '— i TOTAL FGE 5 <br /> ��1-.� PEGEIpfNO. � <br /> LRONTSPipACK RE�RSETBALN SIDESETBFGI( VIANLN"C UMBEP FEE <br /> c �q �3 035 533 � ��( < <br /> useiOr+e i� �ea 'nCnrvtSrt� — FEES VALUATION FEE-f <br /> � I�. . . �]VES �-NO �� �/�I �J ! f!� <br /> � � ' i BUIL�ING �i �'��' <br /> TYPEOFCq4Si OCLUPANCYGROIIP NOAFOWEIUNGUN115 -- � � <br /> ALIOWABLE/�CTU�L � �� �. pLUMB!NG <br /> t f� <br /> sizeare�o.o� �o.oFsoeies BSMT. OCGLOA MECHANICAL }� I1y1 ,� <br /> Y --�J �J <br /> . !� � � _��- ❑N <br /> ��� ���a�. MEIGMiLIMitAiION OTNER � <br /> / <br /> viaesaair�rc�easneouiFci ❑ves No � STAiEBUILDINGSURCNAFOE <br /> STATEENERGYSUPGHARGE \ <br /> APPLIUTIONPCCBV PUNS�PP/' `/ PUBLIC\NORKS /'��, —I <br /> `NIYv` TOTAL � <br /> I <br />