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� � <br /> APPLICATION FOR CONSTRUCTION <br /> PERMeT <br /> fhe Evs�Oroen ev�reU <br /> CI7Y OF <br /> everett e <br /> BUILDING DEPARTMENT <br /> 259-8870 TO BE CC�NIPLETED IN INK- PLEASE PRINT <br /> OWNER M�tLeUDPE8630� j�^ [ �(%/(q GITY ZIP PMONE <br /> � ��K K (.v//�iEI�Y ,��� ,,.� ,x„� s�s,e�� �Fi2 I �Z,3-D33/ <br /> TEHfNT MML�OORESS CRY IDP R10NE <br /> I1F.CMOEQOFDEBqNER M/JLIIUDRE88 C�ir 21P P11pNE � <br /> / <br /> rL ' <br /> �NERN.CANI GTOH MAILMORE88 GITY ZIP PHONE L�GENSE• <br /> MEp��NIGIILGONTRI�CiON MAtIAD�RE6B Q1Y 21P RiONE 4CENSE• <br /> PLU�7MBINOCONTP�GTOfl — M�ILA�NNE68 / GIY Z1V P11ONE L�CENSE� <br /> I�Oe�S �S' c�r1SS /��umb;df, ��/7 /�ccC/t S� E�eret`t c�/7• 3S3:i-� �oesrt.�izi.c�. <br /> IXA980F W(1RK <br /> �I NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIH ❑ DEMOLIT�ON ❑ WOODSTOVFJKRPL�NS[RT ❑ BUILDINGFELOCATION <br /> TEN�Ni IN.PPWEMENL OR INTGHIOR REMODEL ONLY CONULT PF.RSON�ND PHONE N0. <br /> CONTRACT PpiCE OF WOHK <br /> DEBGNiBE WOFK�ND 80U�FE FppTMiE INVOWEU <br /> PROP09E0 USE OF BUILDING I HEREDY CERTIFv THAT�HAVE REAO AND EXAMINED THIS APPLICATION ANJ <br /> .A n�2��^N� KNO W'H[SAME TO BE TRUE AND CORRECT.ALL PROVISIONS OF UWS AND <br /> �» OfiDiNANGES GOVERNING'fH1S TVPE OF WORH WILL BE COMP�ETED WITH <br /> ��e4,pE�wvtIONU��POPERiY�SMpNHBELOWORR1hCHFOUflCOPIEp W�IETHERgPEGFlEDHEREINORNOT.THEGRANTINGOFAPERMITCOE5N0T <br /> /}/�m��IrZ_ BIOCK��3 pF P/_i/�1rJ� /'�e��/� P(lESUMETOGI\'EAUTHORITViOVIOLATEORGANCELTHEPROVISIONSOF <br /> ANY OT HER STATC GI7 LOLAL LAW REGULATING W NSTRUCTION OR TME PER� <br /> � , FOFtdANCE OF CONSTRUCTION,THAT I AM AUTHOR2ED BYTHE OWNER OF <br /> ��/ THI$PROPERTV TO�Ef7FORM 7HE WORK FOR WNICH APPLICATION IS MADE <br /> _ AND 1 CO�dPLV WITH 7HE STATF. CONTRACTOI75 LAW 1827 RCW AN� <br /> 296200 WAC. <br /> SiGNAtUAEO�CONTRRGiOV'OR�N. .9REOAQEN7 D�TE <br /> b X � �y- �s <br /> PROJER��DPE55 qPP�IC4NL6CITYUUSINE55L�LEn5ENOnN09U5iNE5 � x E <br /> PLUMBIN6 MECHANICAL <br /> NO. TYPE OF FI%TURE QR ITEM FEE NO. TYPE OF EOWIPMENT FE�E <br /> g WRTERCLOSET�TOII.En A/C—A/HNDLGUNRS—H.P. <br /> � $ BATHTUB _� FORCED AIR SYSTEMS—B.T.U. M EA _ <br /> lAVA10RY(WASHBASIN) UNITHEATEFS—B.T.U. M <br /> SHOWER CLO"iNES DRVERS <br /> 6 KITCHENSINK8015P. _ VENTILATIONFAN _ <br /> DISHWqSHEF FANGE Ii00D <br /> 6/' LAUNORVTRAV WATER H[ATEF ��� <br /> 6 CLOTHESWASHER _ �NOODSTOYE <br /> URINAL METAL FIREPLACE 8 Ch11MNEV <br /> DR�NKING FOUNTAIN FIREPLACEINSEFT <br /> FLOOR DRAIN HEAT PUMP <br /> � BACKFLOW PREVENTERS GAS PIPING <br /> pppF Uf7AIN5—RAINLEADERS E%IiAUST FAN <br /> SINK(SERVICE—BAR,EiC� _ <br /> SUBTOTAL S SUBI�OTAL S � �_ <br /> PERMIT S PERMI7 S <br /> TOTALFEE 5 TOTAL FEE S <br /> fRONTBEiB�CK PEARSEIBAGN SIOESETBnGIt PUNCNECKNUMBEN FEE PEGEiVfNO. <br /> us[zaNe LO1/�EA wc�m srtE FEES VIILU0.TION FEE <br /> ❑VEB O NO — <br /> 1YPEGfCONST. OCGUPANGYOPOUP NOOiOWEILINOVNII9 BUILDING _ <br /> u�owRe��incru�L PLUMBING <br /> SiZE OF BLDO. ND.OF 6TUFiEB B6Mi. OCG LOM <br /> o r MECHANICAL S�I _ <br /> ❑N - <br /> NEIOY.ILIMITRION OTHER <br /> 1'1RE SPRINNLERB REOU�RED O YEB O NO STATE BUILOIN�SURCHARGE <br /> STATE ENERGY SURCHARGE <br /> pPPLIGATION�CGBY fMNSPPPflBY <br /> � PUBLIC WORKS <br /> � Y TOTAL l� <br />