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APPLIC.,;►f10N FOR CONSTR�:�TION <br /> �hsE,�„�ae� PERMIT <br /> CITV OF „��,���� <br /> everett e <br /> BUILOING DEPAFTMENT <br /> 259-eB10 TO BE COMPLETED IN INK— PLEASE PRINT <br /> OWNER MML/�DONES$ ��7 CI�Y 21p PIIONE ^ /` <br /> G �P G (G�Cv�]�1 J�IL�DPESS `!)�Y � IV` ' Gli��� 2iP PB�J (/ _�/l� ! � <br /> r <br /> AFpIRELTOR0E5tGNEH MAiL/.ODFE59 G�TY 21P PNpNE <br /> OEN[A�LCONiR�GTOR MM�,IDORE53 dTY ]I� MIONE UGENSE• <br /> MEGUMIGICONTR�CiOR M����D�BE59 pTY �_ 21P IMONE UGENSE• <br /> �t� �� f w r!�.�-3►1�_-- �� (� �� f� �—.- �ss - s�33 r /�� c � <br /> nuunwocor+tnecwn Mnnnnnnrss - r.nr � im t�nrtir.--- . .. . . ..inaH��i i <br /> a�ss or v.vnK <br /> ❑ NEW ❑ AOOITION AITEHA710N ❑ fiEPAlq ❑ �EMOLITION ❑ WOODSTOVFJfpPLINSERT ❑ DWLDIN6AELOCA710N <br /> TEM�NTIMPqpVEMENT0111MER1 RR[MOOEIONLY CqNV�LIPER$pNlWOPIIONEHO <br /> COMiRI�LT FRICE OF M'pRK <br /> UESCRIBE WORN�NO SOUME fOOT�GE INVOLKD - <br /> !�l ' o � GaS '���� <br /> PRO�OSED USE Of BUIl01N0 1 HEFEBV CERTIFV THAT I HAVE t7EAD AND EXAMMED iHIS APPLICRTtON AND <br /> /J I ♦ <br /> /��S 10`C��t`}y q. � NNOW THE SAME TO BE TRUE AND CORqECT.ALl PROVISIONS OF LAWS AND <br /> LEO�LDESCRIPIIONOfvN01'ERfYfSHpWNPEIOMOF�f1�CHfOUPfA14E� ORDINANCESGOVEnNINGTHISriPEOFWORHWILLEECOMPLBTEDWITH <br /> WHETHER SP[CIFIEO HEfiEIN OR NpT.I HE GRANTING OF q PEtiMIT DOES NOT <br /> �ot eiocK pr PRESUME TO GIVE AUTI10f71TV TO VIOLAtE OR CANCEL iHE PROVIS10N50F <br /> ANV OTH Eti 514TE OR LOCAL LAW f7EGULATING CONSTRUCTION OR THE PER� <br /> FORMANCE OF CONSIRUCTION.THAS I AM AUTHORIZED BV THE OWNER OF <br /> THIS PROPBI7TY 10 PERfORM THE WORK POR W HICH APPLICATION IS M�DE <br /> ANO I COMP�V WITH TNE STAIE CONTRACTORS LAW 1827 RCW AND <br /> 286200 WAC. <br /> S�QNATVf1[OfCONiq�dq110lIpUi110�IZCDpGENI DAfC <br /> PROJECT�DORESS 4K ' S � �/ <br /> X <br /> � ��I� �O � � �� �PPIIC i5C1TYDU8IN 'SIIC[H$ ORNDBUSINC ,N�RE <br />' PLUMSIN6 MECNANICAL <br /> NO. TYPEOFF!XTUREOHIiEM FEE NO. TYPEOFEOUIPMENT FEE <br /> WATER ClOSET(TOILEn A/C—NHNOLG UNITS—N.P. <br /> OATHTUB FORCEDAIRSVSTGMS—B.TU. MEA <br /> LAVATORV(WASHBFSIN) UNITHEATERS—QT.U. M <br /> SHOWER CLOTlIES DRVERS <br />�I KITCHEN SINKd DISP. _ _ VENTILATION FAN _ <br /> DISHWASHER RANGE HOOD <br /> LAUNDRVTHAY _ �_ WATERIIEATER — <br /> CLOTHES WASHER WO00 SiOVE <br /> URINAL METAL FIREPLACE d CHiMNEY <br /> DRINKING fOUNTAIN FIREPLACE INS€RT <br /> FLOOR DFAIN lIF.AT PUMP <br /> BACKFIOW PqEVENTERS GAS PIPING <br /> FOOF�RAINS—RAINLEADERS E%HAUST FAN <br /> SINK(SENVICE—BAR,ETC.1 — <br /> SUBTO7AL 5 SUB�OTAL S <br /> PERMIT S PERM❑� E <br /> TOTAL FEE S TOTAL FEE S <br /> flqNi6ET8�GN pERfV6Ei8eCR S�OEBETBACN PLNNCNEGKHUMBER FEE pECEIPTNO. <br /> u5ezor�E �ot�n�n vnt�Nrsne FEES VALUATION FEE <br /> O Y[9 ❑NO <br /> TYFEOFCAN9T OCGVMNCYOROUP NOAfOWElLiNOUNlT9 BUILDING <br /> MlOW�6Lb�QWI — — — <br /> PLUMBIN6 <br /> SIZEOF9LD(t NOOf9TORIE9 BSMT. OGGLOAO — <br /> ��v MECHpNICAL <br /> ❑N <br /> NEIGNTlIMI1�t10H OTHER <br /> 1!?L SPPINKLENS REOUIPED ❑YE9 O NO <br /> STATE BUILDING SUIiCHARGE <br /> SiAtE ENEI7GV SURCHARGE <br /> �PPUC�i10NRGGBY PUN9�PAR.9Y - <br /> rusuc woaKs <br /> TOTAL <br />