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i '.y . <br /> ; APPLICATION FOR CONSTRilJCT10N <br /> PERMIT <br /> rne Everore9n vvo�clt <br /> GTV OF <br /> everett <br /> BUILDING DEPARTMENT <br /> 259-BBtO TO BE COMPLETED IN INK— PLEASE PRINT <br /> OWNCF MAII�D�PL55 PIY ZIP NUNI. <br /> Evstt..�l—sc.J�os��st�_�i7�o CnL �sv�. E�cr� SuZA', 3�5-y?2b- <br /> � y iI:H�NI M/.ILApDR[55 � GiY Z�� P110�1E <br /> q _��1__�1,���, a y i� c.s�Lb�y E�us'� �i�� 335 -y�t o�_ <br /> � 1.9CMREClOF�61GNLR MFLLPOUF[55 GItY 21C PHONE <br /> � �, Rr�c��c F,U. l�c.,c IL1QR Evcr� 9g2o�5�'S-�ny'��----- <br /> GENEP C iRPGIOR M�ILPDOF[55 CI1V 21V PNON[ LIGENSL• <br /> S N�. /Q-'.eEG'S3- <br /> �„� � �f�K£�G- ti��l���S _ �����X �.�c:G LlJ���n.,v✓i�-�-£ 9A07o2. H�f_s-Sdso �aioa"�v <br /> M Sti-- GItY ZIG PNONE 4GENSE• <br /> fZJ� MECMPNIUIGONi4lbton Meiieooaess <br /> �^� PIUMBIKGCONTR�CTOR IASIl�0�RE55 GTY 21P PMOMF 4GENSE� <br /> U <br /> p�� GUSS Of Vror N <br /> l9 �i <br /> � ❑ NEW ❑ ADDITION � ALTERAiION ❑ REPA�R ❑ DEMOLITION ❑ WOODSTOVL/FRPLINSEPi ❑ BUILDINGHEIOCAiION <br /> Oq .fNPNTIMPROI'EM[NiOP�I:{{'ERIIXwiHF�MODELONLV GONTPG�PEPSONANDPIIONENO <br /> Q�� CONTR�GiPaICE01"WOnMp�IY.b�j(,� - 4].�._I�h���=��� <br /> • ` <br /> OESGRIBEWORN�NOSOU�*EF ipcciHvliiveo Z6�OOoter- <br /> r <br /> �H fv pdrrn ��,}'ev� n-f f o ...,�,c� 1 (3 � � .. --- � <br /> morrosEo use Or-BuaOirvo I li[REBY CERTIFV THAT I HAVE READ AND E%AMINEO TMIS APPLICATION AND <br /> uKNO W THE SAldE TO BE TRUE AND CORRECT.ALL PROVISIONS OF LAWS AND <br /> �„� �5 f Q9��" S ORDINAIJCES GOYERNING THIS NPE OF VJORK K'ILL BE COMPLETED WITH i <br /> �� LEG�LUESCAIWIONpFPRDPEPTYI6HOYlNBELOWOR�I4GNPOUPCOVIE51 WHET1iERSPECIFlEDHEREINORNOT.THEGFANTINGOFAPEFMITDOESNOT <br /> PRESUME TO GIVE AUTHORIN TO VIOLATE 9R CANCEL TNE PROVISIONS OF <br /> r �oT BiOcrc �� ANYOTHEf75TATtORLOCALLAWREGUI/.TINGCONSTFiUCTIONORTHEPEF� i <br /> pq FOR�dANCE OF WNSTRUCTION.THAi I P.N AUTHORIZED BY THE UWNEP OP I <br /> � ��e � THIS PROPERTV TO PERFORld THE WORK fOR\NHIC�i nPPLICATION IS NADE <br /> W S�[ Slj-1 P1�,q AND I COMPLY WITH THE STATE CONTRACiORS L.., 1827 RCW ANO <br /> � - �+ 296200 WAC. <br /> $iGN�tUPCO�CON�ae(,�tin��in;.JiHOPiiED<GO�1 [)AlL <br /> I <br /> ��{.���D+l,1i/ r y_t rt�' 9k Lb 1 X }14.�nr� ,��^�;�L�'KTd,lA�.� = 1 -9 Cl_— <br /> PIIOJECI AODAESS pGPUCANiS GiY�US�NE55 LICCNSC N�A4D BUSIHc55 NAM[ i <br /> PLUMBING MECHANICAL j <br /> � HO. T'PE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE I <br /> � � WATERCLOSET�TOILEn NC—A/HNDLGUNITS—H.P _ '., <br /> I �� _ BATHTUB FORCEDAIRSYSTEIdS—OT.U. MEA i <br /> LAVATONY�WASH BASIN) UNIT HEATE(75—B.T.U. M <br /> , j SHOWEF CLOTHESDRYEFS <br /> IKITCHEN SINKB DISP. VENTIIATION FAN = <br /> '�� DISNWASMER RANGE HOOD II <br /> ��' LAUNDRV TRAV WA7ER NEAIER <br /> CLOiME51YASHER P✓OODSTOVE _ ', <br /> i UROJAL METAL FIqEPLACE 8 CHIMNEV . <br /> �e� FIqEPLACEINSERT _ <br /> iDRIYK!NG FOUNIAIN <br /> �� FLOOR DRFIN HEAT PUMP <br /> BACKFLOV�PREVENTERS GAS PIPING <br /> ROOF ORAINS—RAINLEADERS EXHAUST FAN _ <br /> I=1�i� SINK�SERVICE—�AR.ETC� <br /> � <br /> ��� _— <br /> �� <br /> Sl1BTOTFL S SUBTOTAL 5 _ <br /> � PERMIT S PERMIT S ___ �' <br /> �11 TO1AL FEE S - 70TAL FEE b I <br /> t ' FRONTSEIB�LN �• �U�SElBA�6 r� SIOESEtMCN PUIHCNECNNUMBEN FEE PECEIPTHO. <br /> �' �nnJG- x � u �as3z � 3 y��'. ' 8 3 �5 �5 <br /> ' uSEZONe ��oteaE� v�c�NtSirg FEES �ALUATION FEE <br /> ��� ❑YEO �NO I . <br /> BUILDING I $�9� �� S� <br /> ttPEOFCAlISi. OCCIIPAIICYGROU� NOCFPWELLINOVNILB yi <br /> "������ a� � ! /�-- PLUMBING I <br /> S�Z�D1 NOOFStOPiES WMi. OCGlO�� � <br /> �^�Q �� � ❑r �y! MECNANICAI _ <br /> � /(fl <br /> HE��:HtuMitaiipn OTHER . <br /> nae svniHK�ens aeomneo ❑�'�s :o � STATE BUILDING SURCHARGE � � <br /> STATEENERGVSURCHARGE <br /> qPv�i�qiIONACC.BY �LPNSAPPROY '� <br /> ) PUBLIC WORKS � <br /> ,r,�.. r � <br /> TOTAL ,,J <br />