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�� � � <br /> k�:,t� APPLIC�i`f10N FOR CANSTR �`'� TION i <br /> PERMIT <br /> "+'`fh�Errynm everett <br /> -0ITY OF <br /> everett e <br /> �ICDING DEPARTMENT <br /> t <br /> 8-8810 TO BE COMPLETED IN INK— PLEASE PRINT <br /> q q MMLADDRESS QTY ZIP PH06E <br /> j Brvan Cook 6612 Conmercial Ave Everett 98204 347-0396 <br /> � h�µT MML�DDRESS GITY ZIP VMONE ' <br /> f � <br /> 1 MGN�TECfORDE810NER M�IL�ODRE55 CITY ZIP VHONE <br /> i <br /> I �OENEMLCONTIIACTOR MAIL�DDRESS CITY ZIP VNONE LILENSE• <br /> { �erett Bldrs. Inc. 5606 Etiergreen Way Etrerett 98203 353-7161 EVEItF9+'�301PH <br /> iMECNANIG4CONTMCTOP MAIL�DDRE99 CITY 21P PHONE LIGEN9E• I <br /> 1 VIUM&NOCANTRACTOR M�IL�OOHESS CITY ZIP PMONE LIGENSE• <br /> � <br /> 1 CLA!lOfWONK <br /> � ❑ NEW ❑ AO�ITION ❑ ALTERATION REPAIR ❑ DEMOLIiION ❑ WOODSTOVEIFRPLINSEHT ❑ BUILDINORELOCATION <br /> '7{ 1lNiWTIMPROYEMENTORINTEHIOfINEMODELONIY � /�1 �/ CANT�CTPENSON�NDPNONENQ � <br /> 1 • ,QW/7AACTPRICEOFWORIh ' ' :' �'1'1'�Q Dan Mann 353-7161 I <br /> � D!lCI11MWORNaNGlOUMEFOOTA(3EIN VEO <br /> ; Foundation repair <br /> ± Mqp![OUlEOF&IiLDINO IHEREBYCERTIFYTHATIHAVEREADANDE%AMINEDTHISAPPLICATIONAND <br /> � KNOW THE SAME TO BE TRUE AND CORRECT.All PROV1310NS OF LAWS AND <br /> � . LEMLDEBCXIPf10NOFPflOPER1Y�SHOWNBELOWONAR�CNFOURCOflES� ORDINANCESGOVERNINGTHISNPEOFWORKWILLBECOMPLETEDWI7H <br /> WHETHERSPECIFIED HEREIN OR NOT.THEGRANTING OFAPERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORI7V TO VIOLATE OR CANCEL TNE PRONSIONS OF <br /> .� �wi e�ocK or ANYOTHERSTATEORLOCALLAWREGUTATiNOCON3TRUCTIONOFTHEPER• <br /> FORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE OWNER OF <br /> � THIS PROPERN TO PERFORM THE WORK FOR W HICH APPLICATION IS MADE <br /> AND I COMPLY WITH THE STATE CONTRACTORS LAW 1827 RCW AND <br /> � 298.200 WAf;. <br /> SION�TUP OFCONTP�CTO AUTNOHIZEOAQENT DATE <br /> I X ` <br /> � MqJEGfA0DRE8S �PPLIC�Ni9Cl NESSLI 5 O.AND 1 N�ME ' <br /> 6612 Cam�ercial Ave. �erett <br /> -{"�r::'_.KIIM�INO MECHANICAL <br /> . ��}K��Np;' � • NP!OR flIf7U11E OP ITlM FEE NO. TYPE OF EOUIPMENT FEE � <br /> � '�'J'�`^�"""' �WATEHCLOBET(TOILEn NC—NHNDL6UNITS—H.P. <br /> :�:�-�' �mNg FORCED AIR 9YSTEMS—&LU. M EA <br /> LAVATORY�N/ASHBASIM UNITHEATERS—flT.U. M <br /> BHOWER CLOTHESDRYERS <br /> '��l':�`•�� KITCHEN 81NK6 DIBP, VENTILATION FAN <br /> � � DIBMWABMER RANOE HOOD <br /> 'Y',�.�'� � IAUNDRVTRAY WATERMEATER <br /> � �;-' " CLOTHEB WA3MER WOOD STOVE <br /> i ' <br /> � URINAL METAL FIREPLACE 6 CHIMNEY <br /> ORINKINO FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> -I BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAIN$—RAINLEADEHS EXHAUST FAN <br /> �-I 81NK(SERVICE—BAR,ETG) <br /> � <br /> � . . . <br /> I <br /> i <br /> � <br /> SUBTOTAL S SUBTOTAL S <br /> � ' PERMIT S PEFMIT S <br /> TOTAL FEE S TOTAL FEE S <br /> fRONT8Ef61CK flEAR9ETBACK SIDESETB�CN rIAMCNECKN MBER FE! 11ECEIRNO. <br /> � � S� �`T �57 3s= a3 a <br /> waxoNi� � wiuiew veanrs* FEES VALUATION FEE � i <br /> ! ❑YE8 �NO <br /> — BUILOING � <br /> TYROFCONET. 1, OCCUPANCYOR2OUP NO-0FMYELLINOUNI79 <br /> ���A�i+N R'✓ � PLUMBING <br /> �NLIWlLDQ NO.OFBTORIE9 89MT. OLCLO�D <br /> 28,X=3 (�ND � o N /�� MECHANICAL <br /> s{ SF HEiaNTUMir�.tion OTHER <br /> ' FlREBP111NKLERSREWINED OYES 0 W STATEBUILDINGSURCHARGE <br /> - STATE ENERCaY SURCHARGE <br /> APPLIGTIONACCBY PiANSAFP Y � � <br /> �� � PUBUCWORKS � <br /> TOTAL <br /> . <br /> .,`.dd!!:!i:YLT��'.'.�Fi7.7Y�...!- r :..��e;C'?: . , ..�..... ..:!, .�..-��:%L'•ifh.� . �^.L . J':�✓�' .. � . . . . _. ,. . 4 . i�..... . . >t-.. .'r�.� ..� ..'v.�� <br />