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_. ; <br />APPLICATION FOR CONSTRJCTION <br />PERMIT <br />the Ererpraen <br />qTV OF <br />everett <br />BUILDING DEPARTMENT <br />rvr�ru <br />� <br />259-8810 TO BE COMPLETED IN INK— PLEASE PRINT <br />OWNEN MAlL�00�f55 Olv LP PIION! <br />C'o P P PGA��S��, i�4b s� 3�" 1����PU�P w��G E�� ig� <br />tEN�Nf M�IL�DDRESS Lllv lIP �HONE <br />OL�4N %1'l i�I s 'g�X �3�J56 C�Ic17T�N6by4_TN _l-BOD-�s/- �3J3----- <br />�RLMITFCIORPESqNER MAll�00RE55 OIv hP PRONE <br />�_ - ------- —'"— ' n..nue — vmc[ • <br />/ <br />RUMBINOCOHIRALI011 MAIIAU�RE39 Cilv ZiV PNONf. IICENSE• <br />'lJ NEW ❑ AODITION <br />�/TENAHiIMVROVEMEHTORI �C <br />VSONTR�LtPRIGEOiWOR <br />DESGRl9EWOAKAND50U� EfOC <br />� � ►u5�r�t � = <br />vnovQs¢ousE a euuoir�n <br />y� A i <br />LEML 0 9CHiPTiON 0� F OPERh <br />LOi B10Lk__ <br />C'd P P <br />�:E�.� O�5 �/ <br />a <br />PLUMBINO <br />NO. T'PE OF <br />WqTER CLOSE7 R� <br />BATHTUB <br />' LAVAiORV IWASH I <br />4NOWER <br />NITCHEN BINN 8 0 <br />DISMWA3HER <br />LIIUNDRY TRAY <br />CLOTHE3 WASHEI <br />URINAL <br />OHINNINO FOUNT <br />FLOOR �RRIN <br />BACNFLOW PREVI <br />ROOF DR�INS — � <br />41NN iRFRVICE — <br />❑ AL7ER�TION ❑ AEPAIq ❑ UEMOLITION ❑ WOODS70VE/FRPL INSERi ❑ BUILDINQ RELOCATION <br />P REM�cJOOEL ONl � CONI�tI PERSJN �NO PHONE NO <br />G!S O ___ - — _. _ <br />/ <br />, �o <br />ov <br />SUB TOTAL S <br />PERMIT f <br />TOTALFEE f <br />ipONT9E�B�LK AE�RSEtB�CF S�OESEiB�Cn <br />WEZONE � lO1�HE� V�VE9191�EN0 <br />6� <br />IYGEO�fAN9l OLCUP�NCVGROU� NO OiUWELUN0UNR5 <br />kioweeieieciwi <br />$RFOifl�DO MOOI9tORIES BSMI OLGLOAO <br />❑Y <br />❑H <br />-- NEIONItIMIT�iION <br />fIPE9P111NM1LEN4PEWI0ED ❑ VEB ❑ NO <br />IPPIILAPON�CCPv PI�NB�P BY � <br />� ' �/ <br />I MEREBV CERTIFY THAT I IIAVE READ AND E%AMINED THIS APPLICATION AND <br />NNOW THE SRME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND <br />OR�INANCES 60VERNINO THIS TVPE Of WORK WILL BE COMPLETED WITH <br />WMETHEF SPECIFIED MEREIN OR NOT. THE GRANTIN30F A PERMIT DOES NOT <br />PRESUME TO OIVE AUTHOR1IY TO VIOLATE OR CANC[l THE PROVISIONS OF <br />ANY OTHER STAiE OA LOCAL LAW REGULATINQ CONSTRUCTION OR iHE PER� <br />FORMANCF. OF CONSTRUGTIOt! TNAT 1 RM PUTMORIZED BV THE OWNER OF <br />TMIS PROPERTY TO PERFORM THE WORK FOR W HICH APPI.ICAiION IS MRDE <br />AND I COMPLY WITH iN[ STATE CON7RACTORS lAW 1B^.7 PCW AND <br />Y96200 WAC. �,/ <br />sicrvuuneorcomn.aonnnR�in�an¢en�ccm onc q/�/� <br />X ,� <br />�PPIIUNISCIlYPUS�ryl.3llC[NSf O� OBUSMESSN�ME <br />MECHIINIC�L <br />NO. T'PEOFEOUIPME <br />A/C — A/MNDL6 UNITS — H P <br />FORCED AIP SVSiEMS— B.T.U. <br />UNITMEATERS—BT.0 M <br />CLOTMESORVERS <br />VENTILATION FAN <br />RAN�EHOOD <br />WATFR HEATER <br />WOOD STOVE <br />METAI fIREPUCE 6 CMIMNEV <br />FIREPLACE INSERT <br />HEA1 PUMP <br />DAS PIPING <br />euaoiNo <br />PLUM9ING <br />MECNANICRL <br />OTNER <br />STRiE BUILDIN6 SURCHAROE <br />S1ATB ENEROY SURCMAROE <br />PUBUC WORKS <br />TOT�L <br />E <br />