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APPLIC�.�ION FOR CONSTRVCTBAW <br /> PERMIT <br /> 'oe E�e�preen rrrrrli <br /> C4V OF <br /> everett `��L �r ��� �,t� r� <br /> BUILDING DEPARTMENT � aC.�CS <br /> H �'� ,�� 259�8870 TO BE COMPLETED IN INK— PLEASE PRINT <br /> � � y ONNI�R IAAIL�D[lHESS PI �{' PHOM . —.. <br /> i0 �'. . �� -, - �� L"��� ' �Ut'!�t_ei- �/.',� yb'�{�l o7�s�l-�.)C1.S—. <br /> a H trr,� i�r i r ��.��� �c, 3., �- � r��:�, , f <br /> > H fA rr'�,�rv n.00n[ss u„ z�N cnone <br /> y �T <br /> M > '3' <br /> H� H �su�NRECfOR�ESIGNEN AWIADOPE45 G1Y ZIP PMOXE <br /> � H� `� <br /> � M � G EA�LGONTRACi 11 AWL�OD1iE55 CffY 21P ^ FMONE I�CENSE� <br /> v� H > � < < .z�o �ur,�Frr _cr%� `�� � �sv-ssas- <br /> y -7��c�S vic �k c;,_,t-�rr`L 3 �'C«u <br /> � �i � M[GHINI�ALGONiRALiO � M�IL���E55 GRY ZIV MOHE LILl.N9E• <br /> O �] <br /> HC <br /> �� � PIUMB�NGCONTRGGTON M�IL�ODflE55 CITY ZIP PnONE'CC��- ! LILENSE• <br /> 1(✓ <br /> �' s t���Y y�'�/ f)�rc�f�i�ic�7� /C 83/ r��E+�A� �b N�'c,,,�f�v �c� ss��3 �isv�vs.�>-i�. <br /> p� n 7i/l <br /> CLA53OF ROPN <br /> � y� �NEW ❑ AOOITION ❑ ALTEMTION ❑ AEPAIR ❑ DEMOLITON ❑ WOODSTOVE/FRPLINSERT ❑ BNIDINGRELOC�TION _ <br /> � t(M4Ni IMPRW EMENT ON INTFAIDF PEMOOEL ON.V CONLACT PERSON RNO PNOHE NO <br /> r-i y <br /> �J Vl CO4iRhGT1'PI�EOFVIOPK <br /> � �� ��Lp�BEwORK�NOSODUiEFODIA6EiNVJLVEO <br /> � F Oiseo oFeuuoiea IHEREBYCERTIFV!HATIHAVEREADANDE%AMMEDT1115APPLICATIOKANO <br /> zy� L_-�rn�f ,�� (� �4 KNOIVTH65AMETOBETRUEANDCORRECT.ALLPROVISIONSOFLAWSAND <br /> y p� K% ���1L ORDINANCES GOVERNING TIiiS TYPE OF WOHK WILL BE COMPLETED WITli <br /> L G�LOESGHIPTIONOfPBO [p��SHpWNBEIOMOR�TTAGMFOUFGOWE51 WNETHERSPEQFlcONEREINORNUT.TNEGRANTINGOFAPEA�.�ITDOE5N0T <br /> PRESU�dL TO GIVE AUTNORITY TO VIOLATE ti'n CANCEL THE PROVISIONS OF <br /> ior 6lOCK oF _— ANVOTHERSiAT[ORLOCALLAWREGULATINGCONSTRUCiIONOFTHEPER� <br /> FORMANCE OF CONSTRUCTION.TMAT I NM AUTHORIZED BY THL OW'NER OF <br /> iH15 PROPERTY;O PE�FORM 1.4E'llOAk FOR N'HICM APPLICATION IS MADE <br /> AND I COMPLY 4YITH THE S7ATE CONTRACTOf75 LAW 1927 RCW AND <br /> 2982W WAC. <br /> SiGNniUaCO�LOMR�L10nDMtuP�OH�, D<:[ui O�.�t IC `�V-� � <br /> X_'- ,� .— �,' , ,r,I c�Cltt <br /> iWOJECf�DOHE55 /•P�tG iS . P. S��h SIILEN END�NOBUSINE59NAME <br /> / n , , <br /> •'>.7�`7 �i? r��; � <br /> PLUMBING <br /> � MECHANICAL <br /> NO. TYPEOFFI%Tl1REORITEM FEE NO. TYPEOFE�UIPMENT FEE <br /> � WATERCLOSET�101LET) ��` �� � NC-WHNDLGUNITS-H.P. __ <br /> �C BATHTUB � _ — FORCED AIR SVSTEMS-flT.U. M EA __ <br /> ' ��j LAVATOPY�WASHBASIN) UNITHEATERS-BT.0 M <br /> i SHOWER CLOTHES�RYERS _ <br /> 1 ! — � = VENTILATION PAN <br /> __ KITCHEN S�NKB DISP. � qANG[IIOOD <br /> _� DISHWASNER — — � <br /> ��' LAUNDPYTRAV WATER HEATER <br /> ' � � CLOiMESWASMER '" WOODSTOVE <br /> � URINAL METAL FIREPLACEB CHIMNEV _ <br /> � �� DRWKINGFOUNTAIN FIREPLACEIt.SEFT _ <br /> I — �=; — MEATPUMP — <br /> i' FIOOF�RAIN <br /> BACNFLOW PREVENTERS GAS PIPING -- <br /> ROOF�RAINS-RAI NLEADERS E%NAUST FAN <br /> � SINK�SEfiVICE-BAR,ETG) `-��1� - <br /> � �,� - __._ � <br /> _-_— — <br /> r... - — <br /> _ � �_ <br /> SUBTOTAL 5 _ SUBTOTAL � •�� <br /> I - _"�._-,—' . <br /> PERId1T S PERMIT 5 _,� <br /> TOTAL FEE 5 ' � — TOTAL FEE � � � � <br /> I `1 � fRONTSEiBM1G1( REARSEIOAGK 51DESEtBALM PIANCHECKflUMBEfl iEE PEGEIVTND. <br /> \ <br /> � FEES VALUATION FEE <br /> - - lISEZONE LOTARE� VAGN151LE <br /> ❑VES ❑NO <br /> BUILDING _ <br /> ttPEOFCON$T. OCCUP�NLYAROVP HO�OFpWELL�NpUNlT9 -- <br /> ALlOWABLE/ACTU�L PLUM6ING C'c' �'"'� '•. <br /> 54EOf9LW. MOOFStONIES BSMt. OCGLO�O L � ' <br /> oY MECHANICAL _ <br /> ❑N <br /> HE�GNTIIMIiAT10N OTHER __ <br /> r�nesFn�Nx�rnsn[Wiucn nYEs nao STATEBUILDINGSURCHARGE <br /> STATE ENEtiGV SURCHARGE <br /> RPPI!L�PO�Y 0.�N9APPRBY I PUBLICWORK$ — <br /> � rora� . ' <br />