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n. <br /> � AP�I_ICL..'ION FOR CONSTRI�.:T10N ` <br /> �ERMIT <br /> Ihe Everyreen rveret� <br /> CITY OF � <br /> everett <br /> BUILDING DEPARTMENT <br /> 259-8870 TO BE COMPLETED IN INK— PLEASE PRINT <br /> � <br /> 015'NEP <br /> M1IAILADOFE55 GiY $�P PHO'�E <br /> Dot,�-+�.12 PGV�i+A�M�NT �• , 2"460 '76!>v���._Ft� :.rtcr ScaN�,, Wa 236_2439 <br /> TEN>NT MRILADDPE55 G1Y Z� PHON[ <br /> Pa���*KL I?�r��-A--Garz, 2''t�o 7�Tn /�v��.s,�. Mr2nc� ScAN If-!A. R8o 0 2� -z�3� <br /> ARGMRECTOROESIGNER AIAIL DDPE55 CIT ZI� PnONE <br /> `Davro �" Sr�n�an-r . �arn� �s ��o�iF� <br /> ��� GENERALLONTPAGLOR IIRDOPE..S CIIY ZIV PMO��E LICEYSE+ � <br /> � <br /> aH MECMANILALLONiRRCLOR MRILRDORE55 GIiY Z�P PMONE LIGENSE• <br /> C�",�H <br /> 9y� PLOM0INGWNiRALTOP IAFiLFODRE55 GITY ZIP PMO�lE UGENSE• <br /> H a �oss 'P��rnr3�N�, �Z�y-isa� _ <br /> K �n c�nssor-woaK T � . <br /> O `.r.O ❑ NEW ❑ ADDITION ' LTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOO�STOVE/FRPL INSERT ❑ BUIIDING FEIOCAT10N <br /> �f �H iENANiIMPFOYEMENLORIMEN10�(FHEMOOELONLY CANTACtPER5j0NAN�PHONENO <br /> � x� CONTPAGTPA!LEOFYlOriK� 'T��G • �� DA��Y STPNY�a�--f Z 3 6 — z<(-39 <br /> OESGR�BE WOAK FNU SOUAPE FOOTnGE INVOLVEO I <br /> Ht7 �00 Z� T�NP7J'f �M'�2�J• � VhM�$ G/�SSQN — <br /> ���yyy PPOPOSEO lISE OF BWLO�NG I HEREBY CERTIFV?HAT I HAVE READ AND E%AMINED THIS APP�ICATION AND <br /> ��� �V'�'J L- '[�'✓P.SIN�� KNOWTHESA1dETOBETRUEANDCORRECT.ALLPROVISION50FLANJSAND <br /> ORDINANCES GOVERNING THIS TVPE OF YJORK WILL BE COMPLEfED WITH � <br /> H � LEG�LOESGRIPIIONUFPROPERTYISMOWNBELOWOflAiIAGHFOUPCOPIE51 y./HETHERSPECIFIEDHEREINORNOT.THEGRANTINGO`APERMRDOESNOT � <br /> R SOJ'r �. -WI1 FRESUMETOGIVEAUTHORITYTOVIOLATEORCANCELTHEPROVISIONSOF � <br /> L,�yyx lpr v B�Ock or ANYOTHERSTATEORLOCALLAWREGULATIPIGCONSTRUCTIONORTHEPER� I <br /> H y FORMANCE OF CONSTRUCTION.THAT I AM iUThORIZE�BY THE OWNEP OF <br /> � �+ v THISPROPERTYTOPEfiFORMTHEWf)RKFlIRWHIGHAPPLICATIONISMADE <br /> yH f��'��O�J T� rVfLIZ�rTT �L-� � OL'• IZ pND I COMPLY K'ITH THE STA1E CO�iPACTORS LA`N 1827 RCW AND <br /> n d� 296200 WAC. <br /> � �tr ���.pT� PA�+I� ��� ���5 �F SIGNAiUREOFGONiRA�iOROHAU1110RRE�AGEYi oRr �2 • (G . aB ' <br /> 5 H C�/� �( �r_ . —� _ . <br /> y o m S}'�� oM Gou�vT AS!-F. ��� ,� <br /> .. PPOJECiAUORE'S� � ^ � � � 1 APPL�CANTSGiTY6051NE55UCE1lSENO.RNODUSINE5511AM[ . <br /> 5 ��n //n cv <br /> ts�-a�� <br /> PLUMBING MECHANICAL . <br /> N0. TYPEOFFI%TUflEOHITEM FEE NO. TY7[OFEOUIPMENT FEE <br /> � WATERCLOSET(TOILET) _ A/C-A/HNDLGUNITS-H.P. <br /> BATH7U8 FORCED AIR SVSiEMS-B.7.U. M EA <br /> •'_,` _ <br /> ' LAVATORY�WASHBASIN) UNITHEATEPS-flT.U. M <br /> � CLOTHESDRYERS <br /> SHOWER <br /> KITCH EN SINK 8 DISP. VEN7ILATION FAN <br /> �� DISHWASHER RANGE HOOD _ <br /> '� LAUNDRY7RAY WA7ER HEATER _ <br /> CLOTHESWASHER _ WOODSTOVE <br /> � � URINAL METALFIpEPLACEBCHIMNEY _ <br /> � FIREPLACEINSERT <br /> I � DRINKING FOUN7AIN _ <br /> �� FLOOR ORAIN HEAT PUMP — <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS-FAI NLEADERS EXHAUST FAN _ <br /> �s! SINK�SERVICE-9AR,ETC.1 <br /> ��0 1 -- <br /> w SUBTOTAL 5 SUBTOTAL 5 <br /> +.��� PERMIT 5 PERMIT 5 _ _ <br /> TOTAL FE�: ff 70TAL FEE S <br /> FRONTSEiBACN PEnR5Ef0ACN SIOESEfOnGK VIANLN CRNO�p � FEE /��, PEGEIP�.NO.� <br /> � ✓ // I <br /> , � i �I 15=� i`- ��l <br /> uSEzoHE � LOTAREA VALRNTSIiE FEES VALUPTION FEE <br /> ❑YES �1�0 � <br /> D� BUILDING � <br /> TYPEOFCONST. OCCUPANLYGPOUP NOOFOWELLINGUNRS <br /> pLLOWRBLE/ACTU � � PLUMBING __ <br /> S�ZEOFOLOG. NOOFSTORIES U4AT. OLLLOFD MECHANICAL <br /> []V �O -- <br /> Zgyz � <br /> MEiGHiLIMIiATION OTHER <br /> FIRESPPINKIERSREOUIRED ❑�ES . 0 STATEBUILDINGSURCHARGE �� <br /> S7ATEENERGYSURCH4RGE � <br /> APP4CAilONA C.BV PLANSAPPR.6Y PUBLIGWORKS <br /> �J • Tora� � <br />