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� APPLIG�iT10N FOR CONSTR.�iCTION <br />PERM�T <br />Me Everpree� <br />qTV OF <br />everett <br />� BUILDING DEPARTMENT <br />259-8810 <br />TO BE COMPLETED IN INK — PI.EASE PHINT <br />♦RCN�1[CT 09 D[9qNEH <br />rnni�nooness � — urr nr. .�,,.� <br />GRY ZIP PNONf UCENSE • <br />O[NER�LLONIR�CTOR MAILRD�RE55 <br />MFCM�NIG�LCONiq�GTOH MA��AUOPE55 CRY _ IIP ^�NONE I ` ' ���ENSE• <br />c�U/ss ar woN� <br />lC! NEW ❑ A�DITION ❑ ALTERAiION ❑ REPAIR ❑ DEMOIITION ❑ WOODSTOVE/FPPL INSERT ❑ BUILDING REIOCATION <br />GONiRQ PEPSON PND PNONE NO. <br />iEN�NI IMPPOJEMCNI OA IMERIpR REMODEt ONLY <br />CONLR�GT PPIGE Of WOFR� � <br />�pi BLOCK OF <br />i��% <br />►LUMBING <br />WATER CLOSEI �lU <br />BATHTUB <br />LAVATORV�WASH B <br />SHOWER <br />KITCYEN SINKB DI <br />DISHWASMER <br />LAUNDRYTRAY <br />CLOTNES WASNER <br />ROOF <br />SINKI <br />SUBTOTAI S <br />PERMIT E <br />TOTALFEE S <br />f�RCSPRINKLER5HE0L11FC� �YEG ❑NO <br />❑v <br />❑N <br />r] YES ❑ NO <br />I HEREBY CERTIFV THAT I HAVE RE/+D AND EXAMINED THIS APPUCATION AND <br />KNOW ?HE SAUE TO BE TRUE AND CORRECT. ALl PROVIS�ONS OF LAWS AND <br />ORDINANCES GOVERNING THI5IVPE Of WORK WILL BE COMPLETED NITH <br />W HETH ER SPEC�FIED HEREI N OR NOT. THE GRANTING OF P PERMIT DOES NOT <br />PRESUME TO GNE FUTHORITV?O VIOLPTE OR CANCEL THE PROVISIONS OF <br />ANV OTHER STAT E OR LOCAL LAW REGULATING CONSTRUGTION OR THE PER� <br />FOFMANCE OF CONSTRUGTION. THAT I AM AUTHORIZED BV THE OWNER OF <br />ANiD PROOMP VTWIT iRTH[ STA EWCANTRACTO�S'�LAWL18P7ORCWMAN� <br />286200 WAC. <br />$IOIdiUAEOfCONTRRQU0.pr,cpPrORREDAGEM DAiE <br />X �,--� c� �� -- <br />qpPLIG<NTS CITY 9USINESS lIL[NSE Np PND BOSME55 N41AE <br />MECM�NICAL _ <br />p� iYPEJFE0UIPMENT FEE <br />NC—A/HNOLGUNITS—H.P.��,:� iF: <br />FORGED AIN SVSTEMS— BT.U. M EA <br />UNI7HFATERS—BT.U. M _ <br />CLOTHESDRYERS <br />VENTILATION fAN ^ <br />RANGEHOOD <br />WATER HEA7ER <br />WOOD STOVE <br />METALFIREPLACEBCHIMNEV _ <br />GAS PIPING <br />EXHAUST F/ <br />SUBTOTAL S <br />BUILDIIJG <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE BUILDING Sl1RCHARGE <br />STATEENERGVSUF.CHAFGE <br />PUBLIC WCRKS <br />TOTAL <br />FEE <br />VALUATION I FEE <br />� <br />F <br />u <br />A <br />