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f:��j% ���� 1�Y <br /> APPLICA=�ION FOR CONSTRU'�:TION <br /> PERMIT <br /> fhe EverOreen evcrctl <br /> � GTYOF � <br /> ; everett � <br /> � BUILDING DEPARTMENT <br /> i <br /> 259-Beto TO BE COMPLETED IN INK— PLEASE PRINT <br /> � OWNLP MRILR�DR[5S Y ZIP PIION[ <br /> I t�'�i�5 �d��ZA <br /> !�l/AQ �e�loA�n"�T <br /> � TENAN7 MAILAD�fVE55 CIIY ZIP PIIONE <br /> i <br /> ; T,P��+c/ Tr�e :s�a9 �=�r,��-� �u�v x�ce��T 9�z�� <br /> � �flCNITECTOR0E51GNEB MRILRODRE55 GItY ZIP PIIONE <br /> ! /vo.J� <br /> � QENERALCONIP�GTOR MML�DORE53 CIIY 21P PIIONE LICENSE• <br /> ' it/pN G <br /> MECM�NICALGONIRhGTOF MPIL/DORE55 fZ( L(J GITY ZIP PIIONE A�Lif�E��� <br /> /a�,��Ne �«=.Pg.�� �2�trv,� sy� , zti� ,cac�.T ��z�-_ ����i� �1�U�� <br /> pIUMBINOGONIR�G70R IARILp�O�[SS GItY ZIP I910NE llf,fNSE� <br /> G1A55 UF WOPK <br /> ❑ NEW � A�DITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVEIFRPL�NSERT ❑ BUILDING R[LOCATION <br /> TEN�NT IMPHOVEMENT OR INtEflIOR FEMOOEL ONLY f,ONUCT PEtiSON ANO PIIONE NO <br /> CONT9�CTPNILEOFWONI( "/���+' OD � ���,""'� ' ���'��/� <br /> DESGRIBE WORK AN�SOUARE FOOIAGE INVOLVED <br /> .��911 A-�t wv,ek ro �X�s�„�� ,�g��,;�, <br /> PROPOSED USE UF BUILDINO i HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS APPLICATION AND <br /> T�/� ��CNGy KNOW?HEShMETOBETRUEANDCORFECT.ALLPF70VISION50FLAW5AND <br /> LEOALOESCRIPiIONOFPROPEflIY�511pWN0EL onnnacnrouacoriesi OFiDINANCESGOVEFNINGTHISTYPEOFWORKWILLBECOMPLETEOWITH <br /> W HE7HER SPECIFIED HEREI N OR NOl'.THE GRANTING OFA PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> �o* BLOCN__ OF ANYOTHERSiATEORLOCAILAWREGULATINGCONSTRUCT10NORTHEPEH- <br /> FORMP NCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BY THE OWNER OF <br /> 1 THIS PROPERTY TO PERFORM THE WORK FOR W HICH APPLICATION IS MADE <br /> AND I COMPLY WITH THE STATE CONTFlACTORS LAW 1827 RCW AND <br /> 296.200 WAC. <br /> SIGNATUItEOi f.ONiP/Li000RPUiHOfiRE�AGENI DFIE <br /> ��rlc.ecC6,eCP.t� �J�t X .�� , ��Co�T/1ti,� G'y'��'� <br /> PfiOJECTA00PE55 AppLICRNTSGIYBlI51NEu5 ENSENO.RNOBUSINESSNAME <br /> PLUMBIN6 MECHANICAL <br /> NO. TYPE OF FIXTURE Ofl ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSEf(TOILEn A/C—NHNDLG UNITS—H.P. <br /> BATHTUB FORCED AIR SYSTEMS—B.T.U. M EA <br /> LAVATORY�WASHBASIN) _ UNITHEATERS—B.T.U. M <br /> SHOWER CLOTHESDRYERS _ <br /> KITCHEI�S�NKB DISP. VENTILATION FAN <br /> DISHWASHER RANGE HOOD _ <br /> LAUNDRY TRAY WATER HEATER _ <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPL�CE 8 CHIAINEY _ <br /> � DRINKING FOUNTAIN FIREPLACE INS€RT _ <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTEFiS GAS PIPING _ <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> SINK�SERVICE—BAR,ETC) .f S%/}/ ��C% G-r� <br /> SUBTOTAI 5 ' SUOTOTAL S � <br /> PERMIT $ PERMIT S <br /> TOTAL FEE S TOTAL FEE S <br /> FPONTSEiBAGK PEAflSETBAGK SIOESETB/GN PLANCIIECKNIIMOEfl FEE AECEIPTNO. <br /> us�aone toTaa� vncnnr5rce FEES VALUATIOt7 FEE <br /> ❑YES n rm <br /> BUILDING <br /> TYPEOFCANST. OGCUPRNCVUFOUP NO.OFDWELLINOUNiiS - <br /> � �LLOWABLE/ACTUAL PLUMBING <br /> SREOFBLOU. NJ.OFSIOfiIES BSMI. OCGL0�0 r, I G/� <br /> ❑� MECHANICAL �>< ;,��� <br /> ❑N <br /> MEIOMTLIMIIRIION OTHER <br /> FIRESPRINNLEH9 PEOUIREO O YES ❑ NO STATE BUILDING SURCIIARGE <br /> STATE E�IERGY SURCHARGE <br /> APPLICAiIONACGOY VLRNSAPF0.0Y PUBLICWORKS <br /> TOTAL <br />