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.,� <br />APPLIC�.�YION FOR CONSTR4.:TION <br />PERM1� <br />Ihs Erorprosn <br />CITY Of <br />everett <br />BUILDIN6 DEPARTMENT <br />259•8810 TO BE COMPLETED IN INK — PI.EAS[ PHINT <br />qyp M.n ennn[ss o�r �.�• <br />Qc�C�e �l�,�Non 330 �Jr,rih Cc��_..k'cl__��i.F�l _ ��32Q�� - <br />TEN�Nt MnILI�Uf111f54 Cllv !��` <br />__ _____ .____ ...___.__ _ <br />Me1l�DD0059 Cilv :�� <br />1`VPlfll <br />e <br />�RGIII�ELT ON UESIONE P <br />�_ _ ______..____ _____.---____ . .._ __ _ __..__ _ _. ____-___._ ______— -- <br />OEN[MLCONIR�GlO� M�ILMOflC99 Cliv JiP 1'11UN( I�CCN9C� <br />❑ NEW ❑ AOUITtON <br />TEN�HI IMPROVFMENI OR INTE' <br />fiMIT1ULiPRItEOf WJPK' I <br />lOT BtOCR of <br />VLUMlINO <br />BINK Q DISP. <br />FLOOR ORAIN <br />BACNFLOW PREVENTER9 <br />ROOF ORAINS — RAINLEA <br />SINK IAERV�CE — BAii. ETf <br />�%� <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />nv <br />p N <br />iINEBVRINNlEN9REWipED ❑YES ❑NO <br />qry � ]iP PUONE I�CENSF � <br />__ �te,-�a_ _ �ia�_ 2��r-5�� ��u.��,r� <br />CIII ln• P�xINI" IH'f <br />❑ REPAIR ❑ �FMOLITION ❑ WOOOSIOVE/i11PLIN5ElIT ❑ BUILOINQRELOCATION <br />�—�� fAN1At� P[IIbL aN01'I�ONE 110 <br />WCANI SIIF <br />❑ YE9 ❑ NO <br />I HERF BV CERTIFY TI{q� I IIAVE IlEAO AND E%AMIflED THI$ APPLICRTION RND <br />KNOW THE SAMF. TO BE iAUE AND CORRECT. RLL PROVISIONS OF UWS RNO <br />ORDINANCES 60VERNINO TNIS TYPE OF WORK WILI BE COMPLETEO WITH <br />WHETHF.R SPECIFIED II EREIN OR NOT. THE GRANTING OFA PERMIT DOES NOT <br />PRESUME TO GIVE AU1F10RITV TOVIOLRTE OR CANCEL iHE PROVISIONB OF <br />ANY OTI IER STATE OR LOf,AL LAW REGUUTIN4 CONSTRUCiION OR THE PER� <br />FORMANCE OF CONSitiIICTION Tf1�T I �M AUTHORIZED BY iHE OWNER OF <br />THIS PROPERTV TO PERfOFM iHE 1VORN POR WHICN APPUCATION 19 MADE <br />ANO I COMPL� WIiN 1NE SiATE CONIRACTORS LAW 10Y7 RCW AND <br />29R200 WAC <br />s�aNeuneorcor�m�c�ononeuuwnitro�arwr o�te <br />x� -- �' ��Z�� �"ll tJ � <br />� �N qi\BUS A9 GENSF �NOPUWNE99N�AIE <br />MECHANIC�L <br />NO. TYPE OF EOUIPMENT FEE <br />--i— A/C — A/HNOLO UNIiS — H P .�— <br />1 FORCEDAIRSYSTEMS—BT.UOuaeN <br />—� UNITHEATERS—B.T.U. M <br />CLOTHESORYERS <br />VENIILATION FAN <br />RAN4E HO00 ---_'—� ---_-- <br />WA7ER HEATER <br />W OOD STOVE <br />METAL FIREPLAf.E 6 CHIMNEV <br />FIREPLACEINSERT __, <br />—r� HEAT PUMP <br />L dASPIPINO _ _____ <br />E%HRUSTFAN ._ _ <br />9UNiUTAI S <br />PENMIT S <br />TOTAL FEE S <br />«E �e <br />VAIURTION I <br />BUILD�NC <br />i'LUMBIN[i <br />MECHANICAL <br />OTHER <br />SiATE BUILOINO SURCHAnOE <br />STAiE ENERGV SU(iC11ARGE <br />PUBLIC WORKS <br />TOTAL <br />