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�`F <br /> �~� APPLIC�ION FOR CONSTR�TION <br /> � ' PERMIT <br /> � fD�F.vfrpMn <br /> CIT'OF everca <br /> everett e <br /> BUILDINO DEPARTMtNT <br /> 26B•8810 TO BE COMPLETED IN INK— PLEASE PRINT <br /> M11l�DDRE88 GIIY IIV PNONE <br /> �o!� 13E.�,�E�e :Z So2 / ��E_y�f�,A?Vn �[�FRE � �5-9- J_ra�� <br /> lE NT � MAIL���REl� W1Y 2P PNONE <br /> MCMRELTORUE6qNER MA11�00RE8! GOY ZIP PNONE <br /> }p�Tpp ,yRo C1MML�ODAElB CiTY iiP PNONE LICEN�E• <br /> o4NQAt/N✓ GaN� !OK <br /> rnmcs �K WFNGF.P JSh/o 6 �il�A,oY✓,�rr �N�lj (�t�N G � P-2s!�Q <br /> MlGMNICALCONTMCtOR M�IL�OOPE88 CIIY ZIP OHONE L�GENSE� <br /> �� RUMNNOGONTMCTOR MML�ODRE99 plv 2iP PNONE 4LEHlE• <br /> ! CUINOFYqRR — — <br /> ❑ NEW ❑ ADDITION ❑ A�TERATION REPAIR ❑ DEMOlIT10N ❑ WDODSTOVE/fRPL INSERT ❑ BUILDINO RELOCATION <br /> j 7[IUMTIMPIIOVEMENIORIN�ERIGNNFMOOELOMIY CONGLIPERWN�NOPIqNENO ' <br /> �y GC <br /> iy CpNTMGTMIClOFW011KTyyOO♦ _ <br /> I+ pUC111�lWpRltllMplOU�REF �OEINVOLVEO (�GQ .�A� <br /> 5 `, <br /> � <br /> � rnOrWlou�for�ua wo e.V.,Q — IHEREBVCERTIFVTHATIHAVEREADANDE%AMINEDTHIBAPPLICATIONAND <br /> NNOWTHESAMETOBEIRUEANDCOFRECT.ALLPROVIBIONBOfLAW9AND <br /> LE OElGNIPfqNOfP110PERTYIeMOWMlELONONIITTACNiOURLOPIEW ORD�NANCESQOVERNIN7THIS7VPEOFWORKWILIBECOMPLETEDWITH <br />, WHETNER BPEGFIED HEREIN OR NOT.Tf'F ORANTINOOFAPERMR DOE9 NOT <br /> K PRESUME TO OIVE AUTHORITV TO VIOLA.'E OR CANCEL THE PROVISION9 OF <br /> W7 xocu or ANYOTHERSTAIEORLOCALIAWREQULATINOCANSTRUCTI0NOR7HEPER� <br /> � ���- �� ����U� fORMRNCE OF CONSTRUCTION.THAT I AM AUTHORI2ED BV THE OWNEH OF <br /> � TH19 PROPERTV TO PERFORM TI IE WORK FOR WMICH APPLICATION 19 MADE <br /> AND I COMPLY WITH THE STATE CONTpACTORB LNY 1877 RCW AND <br /> 288200Y'MC. <br /> lIOk�TUREOiCAN7R/�G10RORMI11qR12ED�0EMT O�IE <br /> X <br /> � � <br /> �..pq lJ <br /> .�,E � p � -�►�-s��- 9�y� 9 <br /> � � ��� /]���� I � I �I BCItYlV91HESllICEN8EN0�11DW EBlN�ME <br /> ��{f L/� '� I � �j <br /> II 1� KUM�INO lCHI1NICAL 1 <br /> r I�� Np, TY�[O�Fl1ITU11[OII IT[M FE! NO. TYPE OF ECUIPMBNT F!E <br /> � WATERCl08ETROIL NC–NHNDLOUNIT9–H.P. , <br /> BATHNB FO(ICED AIR 9YSTEM9–6T.U. M EA I <br />��I UVATORY�VYASH BABIM UNIT HEATERS–9T.U. M _ � <br /> BHOWEH CLOTHE9DRYERS <br /> KITCMEN BINN 6 DIBP. VENTILATION FAN ' <br /> 018HWABHER RANOE HOOD ,I <br /> UUNDHV TRAV WATER HEATER <br /> ' CLOTMEB WABHER WOOD BTOVE i <br /> URINAL METAL FIREPLACE 8 CMIMNEV <br /> DRINKINO FOUNTAIN FIREPLACE INSEFT <br /> FLOOR OMIN HEAT PUMP <br /> BACKFLOW PREVENTERB OA9 PIPINO <br />� � ROOFDRAIN9–MINLEADER9 E%HAUSTFAN <br />� 81NK�BERVICE–BAR,ETC) ._. <br /> � <br /> BUBTOTAL 6 9UBiOTAL i <br />. � ', PERMIi S PERMIT t <br /> TOiAL FEE t TOTAL FEE S <br /> TlETMCK AFANBEI&1GN &OEBETMCK ►4NCNlCItNUY�U /!! NEC�1►f1q. <br />� �I ueezoH[ �oTuiu VGC�NTBIIE FEES VALUATION FEE <br /> � o ree o No <br /> irr[acoNer. occuvu+cronour No.aoweuu.ouwre BUILDiNO <br /> � uLOW"°Lf�"�"�"` PLUMBINO <br /> �q��pp NQOFlTORIE! BlMt. OCGLD�O <br /> o r MECHANICAL <br /> I ❑ N <br /> NEIOMIlIMi1�TION OTHER <br /> FIRElPRINNlEpBNEWIREO OYEO ONO STATEBUIlDIN09URCHRROE <br /> STATEEN�R�VBURCHAROE <br /> K APAIGiION hCG BY iLANB�PPR BY <br /> ,' PUBLIC WORNB <br /> TOTAL <br /> t. <br />. <br /> l�1' 1Vh't%::�IS,^..J%�1J��"�. �- ::, . .._ .•., .n r . :� �n. � .. \it`hdt �'�1�1 <br /> , . � �1�" [i �'I:•l,.q r. <br />