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� , <br /> APPLICATION FOR CONSTRUCTION <br /> PERMIT <br /> rne Eroryreen <br /> CITY OF everelt <br /> everett e <br /> BUILDING DEPARTMENT <br /> 259-ee10 TO BE COMPLETED IN INK—PLEASE PRINT <br /> JWNEH MML/31UNE/49 G�IY 21P PIWNE <br /> !�/e�✓c,. �ivc�v��?� � .�nar isA��.ys_ ���•<c� 9Yze�' .33 - ��� c <br /> iENAHi 1M1l�ODRES$ CffY ZIP PNONE <br /> •RG111TEG70RUESNiN[R MWLII�DRE55 CITr LP PNONE ~— <br /> �o� � ��ISoc„ � � i✓ urru, lr�4 . �✓c.-�� 9�To3 3S 3'///;� <br /> GENEML TRhCTOR MAI��OORE55 � LITY 21P RIOHE h:ENSE• <br /> MEGN�HY..N.CAHTRI�LTOR MIJlA00NES5 GIY 21P PIIOHE I�LENSE• <br /> fRUM&NOCANiR�LTDR AUIL�0011CS4 GiV ZIP vNONE LIC[N9E• <br /> GU198 OF YqRK <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR �T. DEMOLITION ❑ WOODSTOVE/FRPLINSERT ❑ BUILDIN6NELOGATION <br /> iEN�NT IMPPOVEMENi OH IMifR1pR REMODEL ONIY OpNTI6T PERSON�NO PNONE N0. <br /> GONTRI�GT VPtLE OF WJRR <br /> DE9CRIBEWORR�ND80UMi_EFp�TAOEMV0I.VEU <br /> .I �`;k1'lC`� �I ��I 7 � �C` �,�"' <br /> MqN6ED USE Oi BUILUINO I HEREBV CERTIFY T11AT 1 HAVE REAO AND EXRMINED THIS APPLIC�TION I1ND <br /> 1 2 KNOW THE$AME TO BE TRUE AND CORRECT.ALL PROVISIONS OF LAWS 11ND <br /> L.MLDC9CR�Pf10NOfPPOPEHtt�SNONNBELOWOPAIIGCNfOURGORES7 OFDINANCESGOVERNINGTHI57YPEOFWORKWILLBECOMPL67EDWITH <br /> WHETNER SPECIFIED IIEPEIN OR NOT.THE GRANTING OFA PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL iNE PROVISIONS OF <br /> �Ot e�otK OF ANYOTNERSTATEORLOCALLRWREGULATINGCONSTRUCTIONORTHEPER� <br /> FOPMANCE OF CONSTFUCTION.THRT I AM AUiHURIZED BV THE OWNEN OF <br /> �� THIS PROPEpiV 10 PERFORM THE WORK FOR WHICH APPLICATION 19 MADE <br /> AND I COMPLY WITH THE STATE CONTRAGTORS LNW 18.27 RCW �NO <br /> 286200 WAC. <br /> SIONRUR[OfCONTPhGTORON�Ut110RIZf.DFOENT O�TE <br /> PqpJECTMDPEB4 �—v _'��,— <br /> ` ;� /j �)I���. /�� �, - 6 CITV BI�INES UCENS[N0.�NO BUSINE95 NI1ME I <br /> L_ <br /> PWM�INO � MECXIINICAL � <br /> N0. TYPEOFiUfTUREOFITEM FEE NO. TYf'EOFEOUIPMENT FEE <br /> WATEP CL03ET(TOILET) q/C—A/HNDLG UNITS—H,P. I <br /> BATHTUB FORCEO AIR SVSTEMS—B.T.U. M EA <br /> LAVATOHY�WASHBRSIN) UNITHEATERS—B.T.U. M <br /> SHOWER CLOTNESORYERS � <br /> KITCHEN SINKB DISP. VENTILATION FAN <br /> DIL'MWASMER RANGE NOOD <br /> UIINDRY TRAY WATER HEATER <br /> CLOiHE9 WASHER WOOD STOVE <br /> URIMAL METAL FIREPLACE 8 CHIMNEV <br /> DRINKIN6 FOUNTAIN FIREPLACE INSER7 <br /> FLOOR DRAIN hEAT PUMP <br /> BACKFLOW PREVENTERS GAS f'IPINO <br /> ROOF DRAINS—PAINIEADERS EXNAUST FAN <br /> SINKISEAVICE—B�R,EtCJ <br /> SUBTOTAL S SUBTO7AL S <br /> PERMIT S PERMIT S <br /> TOTAI FEE S TOTAL FEE E <br /> fRONTBETBdCN RE�q6E1BACN 91UESETBAGfl P4NCHECNHUMBER FEE PECEIPfMO. <br /> u.¢zone LOTARE� v�Nisrte fEES VALUIITION FEE II <br /> o res ❑r+o I <br /> h'PEOiCON9T. OGCUP�NCrOHOUP NO.OFOWEUINOUNIiB BUILDINO <br /> A��pWABLEUCU�L I <br /> PLUMBING <br /> 5�2EOfBLOQ NO.VFSTOfiIES BSMT. OCGLOAO <br /> v Y MECHANICAI <br /> O N — <br /> MEIOMTLIM1IATION OTNER <br /> FIRE9PPINNLERSREOUIRED OYE$ ONO �YP. <br /> STATEBUILDINOSUFCHARGE , y ; <br /> ��- <br /> STATE C!JERGV SURC4ARGE <br /> nrruwnon ecc.ev rur�s�rpn.or — <br /> • PUBLIC WORK3 <br /> TOTAL -'~ �` <br /> ( <br />