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. �:, <br /> APPLICI�.''i ION FOR CONSTRIi.":TION <br /> PERMIT <br /> �ne E�rervreen <br /> CITY OF evcrell <br /> everett � <br /> BUILDING DEPARTMENT <br /> 259•BB10 TO BE COMPLETED IN INK— PLF.ASE PRINT <br /> OWNEq MFILRDDRES$ GIiY ZIP PMONE <br /> �dd.I�sr�N C�Rot9P <br /> iEN�NI MRIlN00flE55 CIiY 21P 1'NONE <br /> ARCHITEGTOBOESIGNER MAILaODR[55 CIiY ZIP PIIONE <br /> DF�I,�1/BJ�W ���Y,�4- 'i3� (.d.t�BiAG�'T�c, �1'i� "n�4�io4-'to�g„ (�22-13�7 �.s <br /> pENENRICOMMCTOfi MAILADDl1E55 CItY IiP PHUNE LI�CE�GG-�-1` <br /> TC�P C4�T�� 7�Cp-t7Mp�� cet�1T��2, ��Ti� N/,4. ��04--109� 1p22-(3^s7 L4-�i� <br /> MECH�NIC�LLONtMGTOR M�ILADDRESS GIIY EIP PMJNE LICENSE• <br /> PLVMBINOCONIRACTOB M�I�AUDRESS CITY 21P PIIONE LICENSE• <br /> GtA5501 WONK �( <br /> ❑ NEW ❑ A�DITION ❑ ALTF.RATION ❑ flEPAIR /_]. DEMOLITION ❑ Y✓OODSTOVFlFRPLI45ERT ❑ OUIL�INGRELOCATION <br /> TEN�Ni IMPNOVfMEN10R INIERION PEMOGEI ONLY C{�O,�N,TRI�Q PERSON A`N�O PNONE NO <br /> p^YTRAGTPPIGEOF\VONK ,_�T� �,V�'�` • ��Z�I�� <br /> DE :NIBEWOPIt�NDSOUAREi00iAGEINVOLVEU <br /> G,�+vuT�a�l � 2N° �• 72% ��r <br /> FR/OJP0�9ED USE OF BUILDING I HEREBV CERTIr^/THP.T 1 HAVE READ AND EXAMINED THIS APPLICAT�ON ANU <br /> {y�'��I � _ KNOWTHESAMETOBETRUEANDCORRECT.ALLPROVISIONS'OFLAWSAND <br /> � ORDINANCES GOVC�RNING THIS NPE OF WORK WILL BE COMPLETED WITH <br /> i�o7�LPLa:RIP110NUFPl10PERtt�5110WN0ELOWOf1ATTACNiOUiiCOPIES) WHETHERSPECiPIE�HEREINORNOT.THEGRANTINGOPAPEI7MITDOESNOT <br /> Lor�"�2� BioGK OF h {-����}-'j�j PRESUMETOGIVEAUTF{ORINTOVIOLATEORCANCELTIIEPROVISIONSOF <br /> l��—�-� ANY OTH ER STATE OR LOCAL LAW REGULATING CONSTRUC f10N OR THE PER• <br /> FORMANCF.OF CONSTRUCTION.iHAT I AM AUTHORIZED BY THC OW NFF OF <br /> �(�✓�� '� � '7(�.�'T"�j p�� q/J THISPRO:�_RNTOPERFORMTHEWORKFOfiWHICHAPPLICATIONISMADE <br /> � AND I COMPLY VJITH THE STATE CONTRACTORS LAW 18.27 RCW AND <br /> 29G.200 WAC. <br /> sicr�aruneovcor+rnacrononnumonizr.oncer+� oare <br /> X <br /> PNOJECT��DRE55 ppPIIGPNI$GIIV OOSIN[5`v LIC[NSE NO.M:p pUS�NESS NA61E <br /> r92s ��C��a wa�Y <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF cOUIF+MENT FEE <br /> WATER CLOSET(TOILET) q/C—A/HNOLCa UNITS—H.P. <br /> BATHTUB FORCE�Alp SYSTEMS—B.T.U. M EA <br /> LAVATORY�WASFiBASIN) UNITHEATERS—B.T.U. M <br /> SHOWER CIOTHESDRYERS <br /> KITCHEN SINKB OISP. VENTILATION FAN <br /> DISHWASHER RANGE HOOD <br /> LAUNDHYTRAY WATER HEATER <br /> CLOTHES WASHER WO00 STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEV <br /> �RINKINl3 FOUNiAIfJ fIFEPLACE INSL2FiT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—RAINLEpDERS E%IIAUST FAN <br /> SINK(SERVICE—BAR,ETC) <br /> SUBTOTAL S � SUBTOTAL 5 <br /> PERMIT S PERMIT 5 <br /> TOTAL FEE S TOTAL FEE S <br /> FPONiSETBRGN REARSF.iBRCIt SIOESEiDACIt PUIHCNECNNIlMOE(1 FEE PECEIPTNU. <br /> u5E2onE �Ornncq V�CFIli51LF. FEES VALUATION FEE <br /> p YES ❑ NO <br /> TYPEOFGONST. OGGUPANCY6ROUF NO.OFOWELLINOUNIiS BUILOING <br /> ALLOWABLE/FGiUAL <br /> PLUMFiING <br /> SIZCOF9LOG. NOAFSTORIES BSMt. OGG�ORO <br /> a v MECHANICAL <br /> ON <br /> NEIGIITLIAVIPIION OiHER <br /> FIRE SPlIINNLERStiEOUIREO ❑YFS 0 NO STATE BUILDING SURCH�RGE � -�1 <br /> ���_J <br /> STATE ENERGY SURCIIARGE <br /> RPPL'CRLIpNPyyyGBY PUNSRPPR.BY <br /> �+,! PUBLIC WORKS <br /> _���V — <br /> 70L1L <br />