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APPLICi;��;�ION FOR CONSTRG ::TION <br /> PERMIT <br /> Ih�Erorp�aen <br /> CITY OF �vrr��t <br /> everett e <br /> BUILOINO DEPARTMENT <br /> 269�BB10 TO BE COMPLETED IN INK— PLEASE PRINT <br /> hE� c�Fc�� Ti�v Ce. `�(�3tnN<«Id��.(C� 7,911�tIk�.11sr ��.,;i;� 7�.20/ .75d -1��o� <br /> ------- _ _--- ---__ _— __ <br /> IEN�NI M�R E��Pnr59 � � rptr !m Punqf <br /> �S/+t& � G�i�. <br /> ---- —---— ------ --—-- - -- ----- <br /> �IICMIEQO DESIONEN M��L��DRE55 f.m )iP PnONE <br /> r►1nr�/u►I2,�1 hxl,� LS�b�ST �Li,< .sE,�tl�---- SFro( -- yve—yo�/ <br /> OENkB�LC IP�GIOR MMI���flE99 CIIY � )II` � PNONE IIGCN9E• <br /> TR � !'b�ok �691 .1.ictl,; --�(_�Ll__- -•3�y-el9o_Gf'_uR �k-c3_7�rrC <br /> MECNIINIGQCONIPIiC� B M�IL�U�IIEAS Gi�v ]�f MIONE IIGENSF� <br /> RUMeINOGONIRIKl00 M�It�f10P155 G1�Y IIP MIOH[ LM,EH9C• <br /> �OE1ZSc1J�•N4KiLlUk.ryLC�` . 92��_C'+Y'P(��'ttic�-�tl.�-_--Sa`��lc.��----`18�03—_.1_F9�ou_9uc�nMrlsa: / <br /> CUM Of Yqllk <br /> ❑ NEW ❑ AOOITION � �LTER�TtON ❑ f1EPAlR CI DEMOLITION ❑ WOOOSTOVE/FRPL.INSCf1i ❑ OUILOINOPELOCATION <br /> IEN11Nt INPPOVEMENf OP IMFOiOF RF.MOOEI ONIY CAN1�C1{'EOSON�ND PNONE NO <br /> fpNiMCi VRICE 0�W011K _ <br /> pElCpllE NOqN�MD EOWNE fOOt�OE INVOlVEO <br /> PNOPO6EU U!E OflUKDINO I NEREBV CERTIFV THAT I/IAVE PEAD AND E%AMINED THI9�PPlICAT10N AND <br /> RNOW iHE SAME TO B[TqUE AND CORRECT.ALl PROVISION9 OF LAW9 AND <br /> UUI I4 J �I���J�j on e e �v unc�' o� ORDINANCES OOVERNINQ THIS TYPE OP WOAK WIIL BE COMPLETED WITH <br /> lE DF6GPIPtqNOfpNOi'ERIY�SIION WHFiHERSPECIfIEDIIEREINORNOT.i11E(iRANiIN60FAPEHMITDOESNOT <br /> PRESUME TO a�VE AUT110RITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ior e�oce or _ __---_— pNVOTHEFST�i[OI7LOCALL�WPEOULAIINOCONSTRUC710NORT1IEPER� <br /> FORMANCE O�CONSTntICTION.THAT I AM AUTHORIZED BV THE OWNER OF <br /> ilil8 PROPEfi1Y 10 PER�OqM TNE WORK FOR WHICH APPLICAt10N IS MRDE <br /> AND I COMPLV WITN TNE SUTE CONTRACTORS LAW 18.27 RCN/ AND <br /> 288200 WAC. <br /> �C�'� ���i �nrAi6 �y� /sro^uau/n[ovcowinec�onnnwmonizeoea[Ni oeie <br /> M110JEL1�DOPFlD — -- _\� /=�'-`���" _• \ 4 ��Y <br /> — ern7CFN�9C1�vpU9Mf5411CFN. NU�NONIAINH9N�ME <br /> _ __ _ v� <br /> PLUMlINO MECNANICIIL <br /> �Np, iYP!OF RUITURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> O WATERCLOSEi(TOILEn __.,SO DO NC-NNNDLOUNITS-MP <br /> BATHTUB FORCED AIR SVSTEMS-BT.U. M EA <br /> LAV�TORY�WA9N B�SIM �_�O Qy7 _ UNIT HEATERS-B7.U_ M _ <br /> BHOWER __,V 00 CLOTHES ORYERS __ <br /> � I(ITCHENBINKt�i1R _ _'S O VEN71LA710NFAN__ <br /> DISNWA9MER RANOE HOO[1 <br /> IAUNDRYTRAY WATER HFA7ER � <br /> CLOTHES WR9HER OO WOOD STOV[ <br /> UqIN�L _, METAL FIREPLACE 6 CNIMNEY <br /> ORINNINO FOUNiAIN _� o FlREPLACE INSEWi _ _ __ <br /> FIOORDRAIN O HEA7PUMP <br /> —� � -- ___ ._ _._-__ <br /> B�CNFLOW PREVENTER9 OAS PIPINO <br /> ROOF bRAINS-RA�NLEADER3 E%HAUST FqN <br /> � BINK�9EfiVICE-BAR,ETC) _�� O <br /> ' - 5 - _ _ <br /> _—_O � — _ <br /> 9UBTOTRL t _�� f�b _ _ 9UBi07AL S __ �� <br /> PERMIT f PERMIT S __� Q� <br /> Q- _-- ._ - <br /> TOTAL FEE f �3S.S 00 70iA1 FEE S <br /> iPONflE1B�GR PE�PBEI&1CM &OCtlFIBeC✓ PIANCN[CRNUMeFII IF! �[ClIRNJ. <br /> usEzoNE LO1�PEi WC�Ni5i1F FEEB V11lU1UlON FEE <br /> ❑YE9 !t N� <br /> — --------- �UILDIN(i <br /> IYPEOffAN9T OLGURINGYOROUP NOOiOWHIIHUUN119 .—__.__---_____'-_ - -- "_— --"-"-- -- - - <br /> u��,.a�E,.�T�.� —_ ---- ---��35 oa <br /> PLUMBINO <br /> e�ie or e�oa NO Of BIOBiE9 osu� — xc�o�o <br /> n v 61FCHANICAL _� C� <br /> ❑ N _ _--____— ____' — <br /> NEIOIIIUMi1M10N--- OTNER <br /> iIRElPRINMLEIISAEWiBE� O YE! ❑No STATE BUILDIN6 SURClIARGE <br /> STATE EN[RGY SURCNARGE <br /> �P%IC��IOH�CCBY PI�Nl�PPPBY <br /> �UOLIC WORNS <br /> • TOTAL <br />