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1 <br /> APPLICATI��rI FOR CONSTRUC7��ON PERMIT <br /> everett <br /> fne Ewrprcen <br /> CITY OF � <br /> everett <br /> BUILDING DEPARTMENT <br /> 259�B870 TO BE COMPLETED IN INK—PLEASE PRINT <br /> ��. DEMOLITION X COMBINATION : � BUILDING � �MECHANICAL PLUMBING - �. SIGN <br /> °�.NyT�E p'c9NK MAII�D�AE55 CILY ZIP FIKKIE <br /> O,OA- l3GqnCNB�QNR'fFo�irrY�isi !'o. Boy»e� $uercrT 9d'ao3 aue �s'-47j...S' <br /> rcHurt wuuoonrsc cm nv v�qr�e <br /> •PCNRECiOR�CSqN[F MAllA0011E55 Cf1Y S�V PIYJIIE <br /> ��Fo;DEsi�.�I /aB/lfraMT !�✓e w. Dlol �✓er�/-T Q9doy oto� �47�9Y1t <br /> GOIPULCpIfP�L10F M�IL/.ODPE55 GtY Ii1' P14^NE LiCENSE� <br /> cS/}'iNC /4r /1BOUE— OurnCr� <br /> 4CLN�NCALCONiP�CiOP M�M1�pURE55 CiIV T�P P'qNE I�CENSE• <br /> �gi�a� A.a RBe�e oruner- <br /> VWNB�NfCpltaECtO(1 MAR�CDFC55 CI1Y bP PIqNE IILfN$E• <br /> I�1RN/I✓;�k. Pt6.,✓� /�2Lin.Safvn C-�ids/` �tQ: 43s":�..�ss- <br /> a ss«wonK <br /> NEW . ADDITION �. ALTERATION . REPAIR . � DEMOLITION . WOGDSTOVbFR�LIIISERT ' BUILDINGRELOCATION <br /> IENIYi IMFPWFYENi q11NIEflUR REYCOLL pM1Y LONIACT P[RSp1�NC PNp1E NJ <br /> cann.crrn�c�awon.: .3 7� GY� E 8 .� e� 3.SS'Y7Lf <br /> pESCPiBE WdINAN05CU�BElWiAGE INVIXVED <br /> s F(� �u� C�ufe /a8� sas �r� <br /> nnoroseousr oonowe I HEREBV CERTIFV THAT I HAVE READ AND E%AMINEO THIS <br /> S•F• APPLICAT101!AND KNOW THE SAME TO BE TflUE A�D CORflECT.ALL <br /> i¢c.uo[scnm�w'worrnorcarcisrawwonowoaen�cHrouncoricsi PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOP <br /> WORK WI�L BE LOMPLETED WITH WHETHER SPECIFIEO NEREIN OR <br /> �m B�xe a NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> Lpr 7��q,.,p �/fL �/Y.f IS' faeT o �T f AUTHORITV TO VIOLATE OR CANCEL iME PROVISIONS OF ANv <br /> /JfAVLEEs �/�f1 �� a �d f OiMER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TME <br /> (/OLG!!y�E 7 OF P�r/s �/J6E �� LGs.f PERFOflMANCE OF CONSTRUCTION.THAT 1 AM AUTHOR�ZED BV TME <br /> �fr£ E/ Y B� FEG7` Y/{Y1/+ fa C%f� OWNER OF TNIS PROPEHTV TO PERFORM THE WORN FOR\YMICH <br /> � APPLICATION IS h1ADE AND I COMPLY WITH THE STATE <br /> �e/'e r-r Oer S w0 i9F/.0 S'Yim9 .�LL CONTRACTORS LAW 1027 RCW AND 29G2001YAC. <br /> SkSNAtM[C£GCNiReLLONON�UiNIXUZGp�GEHi M�F <br /> vna�c*�ponFss �£� `/�3/9Z— <br /> j�/:j �"!'rioi� �ve �✓r Gui[/ 4 �sci*vausiv[siKcxsExoavoeusw[�4��./��� <br /> 'Y <br /> PLUMBING MECHANICRL <br /> NO. TYPE OF FI%TUNE OP ITEM FEE NO. TYPE OF E�IIIPMENT FEE <br /> WATER CLOSET�TOILET) A C—A MNDLG UNITS—HP <br /> � BATHTUB FOflCEDAIRSV5TE6/5—E3.TU. M EA. <br /> LAVATORY�WASHBASIN� � UNITHEATEflS—�TU. h1 <br /> SMrJWER C�OTHESDRVERS <br /> KITCMEN SINK 8 DISP VENTILATION FAN <br /> OISHWASMER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES W�SHER WOOD STOVE <br /> URMAL METAL FIREFLACE 8 CHIMNEV <br /> ORINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFIOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—RAINLEAOEFS E%MAUST FAIJ <br /> SINK�SERVICE—BAR,ETC.� <br /> SUBTOTAL 5 SUBTOTAL 5 <br /> PERMIT 5 PEHMIT 5 <br /> TOTAL FEE S S' TOTAL FEE 5 <br /> lROi15EiMCR PEA15C1BAfM S��ESE M hNILNE IIWIXP iEE PELEiP1NJ <br /> -_-2lL� � � �/ 33Jtb3 i�f�35 <br /> uee � u mt�nu weunerE FEES VALUATION FEE <br /> J � YES � NO OWIOMe _�� ���� I � <br /> I�ryGIC04$I1110WM1! IYPf(f�,p�511{IWl 0.C.Nr[r kOMI'.1M:M'•5 i <br /> nn � <br /> �_ Q.3 PtUMBIN6 1�'/�; p`�'i <br /> S�Z�O��t00 MOOLs�-niFs BASEu[Ni MECNM11C�1 <br /> Z�� s� 'L � YES K NO � �� <br /> SCU�N1CVlQ�p �IPESVRNIILEfl5PF09 NEIGnI li�iqll OTNER '.�yL� L �`T'L <br /> - � VES pC NO STATE BUILOING SURGINflGE <br /> tlf�:.ONlORSPONYI[PS i l C! <br /> CTRC R1Cneyby����E' � � �L: <br /> ��•ia�c+ucw�r,cnr ruNs�rvnocmov CITYOFEVEBETT PU�IICWORNS � <br /> '1 LOCRL 511LES �� ��� <br /> p �2 3 qL TRR CODE IS 31U5 Tou� �,� � 1`-�;' <br />