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ssv <br /> II <br /> � aa � �rrt <br /> ,�—�=• APPLICaf ION FOR CONSTRLCTION � <br /> �; PERMIT <br /> f Ihe Erer9reen everelt , <br /> GTV OF � <br /> everett � <br /> BUILDING DEPARTMENT I <br /> 259•8870 TO BE COMPLETED IN INK— PLEASE PRINT I <br /> , pNNER M4ILADORE55 LIIY ZIP V110NE � <br /> ' I <br /> Wd� �0�. �\CaNATIa�� --- —P�aHe — I <br /> TENANL MqIADDfl[55 qiY ZIP <br /> �J��N�R- ISUL� IC�_`11p_����(,eEE.� �,.iA,Y 7�fZ�S�U _ <br /> pqGNREGTOA0E51GNEP MAILADOFE55 QiV 21P PMONE <br /> GENEFFLCONiRPGiOP MAILAOORE55 CIiY ZIP ���ONE LIGENSE• <br /> ��� M�Y�. s�(r1J 9.'2�NJ�_S�`�B 133 Ca2��3 nn�a'-�'����`t � e <br /> MECMANICA�CONLRACiOP MAILP�OR[55 CIiV 21P P��CNE LICCNS[• <br /> ry�H CRY ZIP PIIONC ULENSE� <br /> 9Hy o�UMBINGCONiPACtOP MAILAOOPESS <br /> H �� <br /> y 7 N CLASSOF WOPK <br /> � f]� NEW ❑ ADDITION ❑ ALTEPATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FflPLINSEFT ❑ BUILDINGFEIOCATION <br /> T NANTIMPROVEMENTOAINiERIONREMOOELONIY GONiACTPER50NANOPHONENO r��,� '� <br /> � VJN f�.�{�L�GQ- �it�C/C.r" <br /> CON1R4CiPPIGEOf WOPK�Ir� <br /> H <br /> x OESCFIBEWORKnN�50UPRE ODTRGEDIVOLV[0 / I <br /> (oxV l I 3x1 Po�E <br /> � �d �rayra�� � � 5�� �i �tz43 <br /> Q N PPOPOSE�USEOFBIIIL��NG IHEREBVCERTIFV'HATIHAVEREADANDE%AMINEDTHISAPPLICATIONAND <br /> H ��y � � �� KNOWTHESAME(OBE?RUEANOCORRECT.ALLPROVISIONSOFLAWSAND <br /> O � ORDINANCES GOVERNING THIS T'PE OF WORK WILL BE COMPLETED WITH <br /> H" n LEGR�ESCA�PT��OFPROPERTYISNOWNBELOWOPATtAGMFOURGOFIE51 WHETHERSPEGFIEDHEREINORNOT.THEGRANTINGOFAPERMITDOESNOT <br /> � y� PRESUME TO GIVE AUTHORI7Y TO VIOLATE OR CANCEI THE PaOVIS10N5 OF <br /> �pt__ elocK aF ANYOTHERSTATEORLOCALLAWREGULATINGCONSTRUCTIONORTHEPER- <br /> FORMANCE OF CONSTRUCTION.THAT I nM AUTMORIZED BV 7HE OWNER OF <br /> � F..�y �Q,��L. ..�f� THIS PflOPERTV TO PEPFORM THE WOFK FOR WHICH APPLICATION IS MADE <br /> y r��� AND I COMPLY WITM THE STATE CONTRACTORE LAW 7827 RCW AND <br /> �y 296.200 WAC. <br /> nd[/1 SiGNAiUREOFCOniRnLtORo��nUiNOR¢EOPGMt OniE <br /> � �� vHOJECTApDRE55 naPLICaNTSCItT UCEISENOnNOBU5IN�� E$$NAM1�E <br /> 1J�iQ P/�lr/� 'tJ�Ar <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%iUREOR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILEn A/G—A/HNDLG UNITS—H.P. <br /> BATHTUB FORCEDAIRSVSTEMS—BT.U. MEA <br /> �'� � UNITHEATERS—BT.U. M <br /> LAVATORY(WASH BASIN� <br /> � �' SHOWER CLOTHESDRYERS <br /> KITCHEN SINK 8 DISP. VENTILATION FAN <br /> �„ DISHWASHER RANGE HOOD <br /> � <br /> ' LAUNDRV TRAV WATER HEATER <br /> � CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE 8 CMIMNEY <br /> '�' � DRINKING FOUNTAIN FIREPLACE INSEFiT <br /> �! F�OOR DRAIN HEAT PUA1P <br /> BACKFLOW PREVENTERS G/.S PIPING <br /> � ROOF ORAINS—RAINLEADERS EXHAUST FAN <br /> s <br /> I ' SINK�SERVICE—BAR.ETC.) <br /> � <br /> ' <br /> a .� <br /> SUBTOTAL S SUBTG7AL 5 <br /> PERMIT 5 PERMIT 5 <br /> !' ' TOTAL FEE S TOTAL FEE S <br /> iNONiSETBnGN REARSETBAGe SIOESEIBACN PUNCHECNNOMBEP FEE PECEIPfNO. <br /> . ' / 5 � /— � <br /> . <br /> uSEZone ii*AaEs � vnC�rvrsiTe FEES VALUATION FE <br /> �) ❑YES ❑NO <br /> —I �I. BUILDING <br /> ttGEOFGONSi. OGCUGANCYGROUP NOOFOWELLINGUNITS <br /> ALLOWABLEUGTU4L PLUMBMG <br /> SIIEOFBLDG NOOf5i0alE5 BSMi. OGGLOAD MECHANICAL <br /> CV <br /> G N <br /> nE�cHruMirnnorv OTHEF <br /> / <br /> (IRESPRINNlER5RE0UIRE0 ❑ves ❑rvo $TATE BUILDING SURCHARGE <br /> STATE EN[RGY SURCHARGE � <br /> AFPLIG4110��/CC BY PLANS�PPP B'! PUBLIC WORKS <br /> I/ <br /> �� rora� <br /> � <br />