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i <br /> I <br /> APPLICA�'IUN FOR CONSTRt�.:TiON <br />' . P�RMIT <br />� the Everpreen r�rtett <br /> CITV OF � <br />' everett <br /> - - BUILDING DEPARTMENT <br /> 259•88�0 TO BE COMPLETED IN INK—PLEASE PRfNT <br /> y� QNNER MNLR'JJ8E55 L'.Y 1'� ��E <br /> ii� �° fcV��Elfis�focL D�ST �F�3a cc�8�r•�� �Js�t`T'1- 4FZo3 33Y`f2z� <br /> 1"� TEN�Nt NML4 ORE55 G%Y plt ONE <br /> �j �u� <br />� Fyy P9CNiiLCTOF�CfrGNER M411L�9NE55 LTY I �� <br /> y�� ��ut.�r ��ecNr��c-Ss 2�(1 Bor�D sr etl�e�7'r YF�zol 2sq-��f'�tl <br /> ~ C. NfRYGONTRKTON MI�Ill1UURE55 LTTV 21 �MGVE LIQNSE• <br /> .e n <br /> H 7J <br /> �H � IACCMINIC1iLCONTRI.CiOH M41LI�ODRC55 GTY 21P PMONE LIGCNSE� <br /> (A N <br /> Yp rivuaiNacartwcroa M�a�ooacss crtv zm n�ox¢ uc�sE. <br /> H <br /> �HO <br /> �n� cusso�wonK <br /> ~�4 ❑ NEW ❑ �DDITION ❑ A�TERATION ❑ PEPA�R ❑ DEMOLRION ❑ WOODSTOVFJFRPL INSERT ❑ BULLDING RELOCATIDN <br />� O� (pry{/yTpEq9pN/�NpPNONENO. <br /> ZM� TCN�NiIMVNOVEMENTOAM�CRIORFEMpOElONLY <br /> �F3 CONTPACT PRILE OF MAMK <br /> � y UCSGRIBEWOHKGNOSOV�REfOOT�6E�NVOLVEO <br /> S� N �tTic�fJ 9F �ABL6 o�'Frc� � <br /> �,�y w+oroseouseorem�oroc IHEREBVCERiIFVTHATIHPVEREAOANDEXAMINEDiH15APPLICATIONAND <br /> O _� G� KNOWTN25AMETOBETRUEANDC09RECT.ALLPRO'JISIONSOFLAWSAND <br /> �q i[�.�oExeiriionosrnov[eirrs��owNeetowOr+en�cnFounCOviEs� O(iDINANCESGOVERNMGTHIS7VPEOFWORKWILLBECOMPLETEDWITH <br /> W IiETNER SPEGFIED HERL�N OR NOT.TNE GRANTING OF A PEFIAIT DO[5 NOT <br /> y I-3 y PRESUME TO GNE AUTNOA�n'i0 VIOLATE OR CANCEI THE PROVISIONS OF <br /> O �pt g�p�M Of ANVOTH[RST4TEORLOCFLLFINREGULATINGCONSTRUCiIONOATNEPER- <br /> FO��JFNCE OF CONSTRUCTIpH.TFIAT I AM AUTNOR12E�BV THE OWNER OF <br /> THIS PROPERTV TO PER�ORM THE WORK FOR WHICN APPLICATION IS MADE <br /> . ' AND I COMPIV WITN iHE STATE CONTRACTORS LAW 1027 RCW 4ND <br /> � . 288200 WAC. <br /> acNn*unco�co �+r... �.r..�n,c�azeoeceN* o>rc <br /> PRQIEGT/+DOPE55 �PPLI �Ni CI1Y JSIN 5 .GENv �BUSINESSNFMC <br /> `'�`�3o GD(13 �1E � <br /> PLUMBIN6 MELHANICAL <br /> II NO. TYGEOFFIXTUREORITEM FEE NO. TYPEOFEOUIPMENT FEE <br /> WATER CLOSET ITOILET A/C—0.�MNDLG UNIiS—HP. <br /> t�' BATHTUB FORCEDAIRSVSTEMS—BT.U. MEA <br /> '�� LAVATOf7Y IWASH BAS�N) UNIT HEAiERS—B.T.0 M — <br /> SHOWER CIOTNESDRYEFS <br /> 1 ' KRCHEN SINKB DISP. VENTILATION FAN <br /> � DISHWASNER RP.NGE NOOD _ <br />. '�' LAUNDR'lTRAV _ WATERHEATER — <br /> CLOTMES WASMER WOOD STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEV <br /> " DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR ORAIN HEAT PUMP <br /> 'i BACKFLOWPREVENTERS CASPIPINO — <br /> ROOF DRAINS—RAINLEADEiiS E%HAUST FAN <br /> S�NK�SERVICE—BAR,ETG) <br /> �1 _ <br /> i 1 <br /> � _ <br /> � <br /> ;�' SUBTOTAL S SUBTO7Al S _ <br /> � PERMIT S PERMIT S <br /> TOTALFEE $ TOTALFEE S <br /> iRON15ElBACi AE�NSEitl�CN SIOESFT9>� PUHCMECKNUMBEP iEE <br /> PELEIOf NO. <br /> � � s <br /> usEzoHE LOlPNE11 vr�c�rvienE � FE VALURTION FEE <br /> � � ❑Y[5 ❑NO <br />� ." 'T, BUIIDING 3� g7Q J �J <br />, I I�'� ttpEOfCDNST. OCCUMMGYAHOUP NOOFpWELLIN011N�i5 - <br /> nuo+ue �u �� �y /y pLUMBING <br /> /v <br /> — � srze raioa r+ooFstoRiEs esur. ocC�o�o MECMANICAL <br /> �.�' �td�iP (�I.rill5�i � RH '� <br /> � � <br /> . HeiGniurii�TipH OTHER <br /> 1 <br /> FIPEBPPINI4ERSREWIPE� ❑YE9 NO STATEBUILDINGSUFCHARGE J J <br /> STATE ENEFGV SURCHAFGE <br /> ♦PPlIL�90N 4CC BY PUNBAPPF BY PUBLIL WORKS <br /> 6:d L J <br /> TOTAL �' �' '� <br />