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APPLICATI(,.� FOR CONSTRUCT JN PERWIIT <br /> everett <br /> «,�<<�,p-oo� e <br /> CITV OF <br /> everett <br /> BUILDING DEPARTMENT � <br /> 259��810 TO BE COMPLETED IN INK—PLEA�E PRINT <br /> I I DEMOLITION I I COMBINATION I I BUILDING I�CHANICAL I I PLUMBING 1.I SIGN <br /> .. owNcn Mna�ooness citr zm r��e 3y,7 •5,Z7J ' <br /> ��,t�lQ.��ti`�' )�tur�t� 2�slo �ot�ot- d�l�fJ�. �v�e.�k" 203 <br /> TGNANI MPILADOIIESS CIIY Zi� PNONE <br /> �RGIUfFCTOf1UESIaNER MAILAUDRES9 CIIY 21P PHONE <br /> 6ENCMLCONiqACT011 ��R�ODRE55 GIIV ZiP P/10NE UCENSEr , <br /> t+1[�1� <br /> uecunrucucornnecion unReonnEss cnr, rm r�w�+E ucEr+sr. <br /> ��ZH �uml..o K I Iq15 • t �4 �� NF- I'�141amd q4�0.3H 82� •N5y SUNLOW714(aT�) ; <br /> y y y rwuown eorrrneaon unn nooness arv zir PIIONE iie�Ns � � <br /> y �� anss or vronK ' <br /> � y� f I NEW I I ADDITION IxALTERATION I�I REPAIR I I DEMOLITION � I WOODSTOVE/FRPLINSERT CI BUILDINGFlELOCATION <br /> � H� iCN4NfIMPiIOVEVENfO01NiEf1�OpREM00El(MlLY CONT�CiPER5MI�NOP110NEH0. <br /> yHrr cor�tnn�irn�c[ovvronK• I (p�� ' OU <br /> � �� OESCIUPI WOnn n4U 5IX1AfIB�00t�f.E 1NVOLYCD <br /> C7 �`,'''ANrn�',(—�o- I <br /> p H � �couseo� nm owC o I I HEREBY CERTIFY THAT I HAVE PEAD AND E%AMINED THIS �, <br /> H ��j ����(�jyn/„lJ�/ APPUCAT�ON AND KNOW THE SAME TO Ac TRUE AND CORRECT ALL <br /> iean�oeun�� �r�sn +oeiowone cnrouncoPiesl PROVIS�ONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> z H❑ WORK WILI DE COMPLETED WITH WHEThIER SPECIFIED HEREIN OFi <br /> � y� ioi oioc� or NOT. THE GflANTING OF A PERMIT �OES NOT PRESUTAE TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEI THE PROVISIONS OF ANV <br /> H y OTHER STATE OR LOC�L LAW REGULATING CONSTRUCTION OH THE <br /> Cy f/�H — pERFOPMANCE OF CONSTRUCTION.THAT I AM AUTHOR12ED BV THE <br /> nd y OWNER OF THIS PROPERTV TO PEf7FORM THE WORK FOR WHICH <br /> G �+ APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> 3, Cs1 C" CONTRACTORS LAW 18.27 RCW ANU 296200 WAC. <br /> �1� � SIGN�iUREOFCONIf14C1080NAUL1101112E�AGENi ��lE <br /> y o� � �.c� ozo 3"12� <br /> X suml.�K. 4nc • �� �-(la�.oO"n <br /> r�r.crnooncss ��� � � Y1M �� � <br /> �,C,�vVVCi pPP��MIISCIIV[1USM[SSL�C[NSENORHDUUSMESSN�ME <br /> PLUMBIN6 MECHANICAI <br /> i NO. TYPE OF FI%TURE OP ITEM FEE ND. TVPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET) � !vC—NHNDLG UNITS—H.P. � <br /> � �� BAiHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. ; <br /> 1� LAVATORY(WASH BASIN) i UNIT HEAiERS—B.T.U. M <br /> SHOWER � CLOTHES ORVERS . <br /> � � KITCHEN SINK 8 OISP i VENTILATION FAN <br /> ! � DISHWASHER _ RANGE HOOD <br /> LAUNDRY TRAY ' WAlER HEATER <br /> � CLOTNES WASHER —�— WOOD STOVE � <br /> �+ ' URINAL ' METAL FIREPLACE 8 CHIMNEY ' <br /> � � — FIREPLACE INSERT <br /> DRINNING FOUNTAIN � <br /> FLOOR�RAIN � HEAT PUMP � <br /> � BACKFLOW PHEVENTEFS ' GAS PIPING �_ I, <br /> !' � ROOF DRAINS—RAINLEA�ERS —�— EXHAUST FAN i <br /> SINK(SERVICE—BAR,ETC.) ��, <br /> — � <br /> i �—T— <br /> '`'! — , 1 <br /> � I <br /> �— <br /> i..., � _ SU8 TOTAL 5 _ SUB TOTAL 5 UO'� �. <br /> � I PERMIT 5 � __ PERMIT S I <br /> TOTAL FEE 5 ' TOTAL FEE E �'O U � <br /> (nqlt5E1BACN REIJISEIBACR S�DESEiB�LR Pl6NCNECRHUMBCR FEE �ECE�PTNO <br /> . � <br /> weza+e IOTAPEA vecurtsne FEES VAIUATION FEE <br /> ! I YES � i NO BUiLDwG ' <br /> 1YMOi[OMS1AllVNABIE IYRdCOH51.ALluu aNw.� Wnpm�tnr.ut�.�s i <br /> �"� PLUTABING � <br /> S�ZE OF BLDO NO.OF S70RIES BISENENf AIECIIANICAL <br /> f 1 YES f I NO ' <br /> i <br /> OCCt1PANLYlWO Fl11ESPdHRlE�SREOD MEIGNiIA�IlAlION ����ER � �i <br /> � <br /> I 1 VES L I NO STATE BUILDING SURCIURGE ' <br /> � <br /> f— <br /> f1E�SONf0115VPMKlERS • � <br /> STA1E[NERGYSUHCF'4RGE � <br /> � <br /> �PPlIC�1i011AGG BV GlANSAPPROVEDBY CITY OF EVERETT PUBLIC WORK$ � <br /> LOCALSALES � <br /> TAX CODEIS 3105 TaT^� ' I <br /> I <br />