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.... . . � i <br /> APPLICATION FOR CONSTRU�TION <br /> PERNIIT <br /> fhe Everpreen everetl . <br /> CITY OF <br /> everett e <br /> BUILDING DEPARTMENT <br /> 259•8810 TO 6E COMPLETED IN INK— PLEASE PRINT <br /> OWNEN AIAIL�ODRESS CITY ZIP PIIONE <br /> %�w..i.�� �'���.� S/ZG �o�-�£e,e_�ve Evr� Ltl.t_pB10 3 3Y7 08 ZS <br /> TEN�N MPILADDRE55 CITV 21P PHONE I <br /> AFCHITEGTOROESIGNER M�ILAODRE55 LIIY ZIP PIIONE `O.j `10 ySS/ <br /> / J <br /> �� J- �ure/a-,� !�e^`ap�+¢r'S 70dCslv Fr�s TY � =0 �q�-.�HOrt. 772zc�se. <br /> GENER��CON �CTOR <br /> �.n... ae aa.�,- <br /> MEGHANIC�LCONTMGTOR M�ILAOORESS CIiY ZIP PIIONE IILENSE• <br /> � � �r��i.%� ���ax 336 �� S1N.�e (.vw. 99zsd 335�yi/� I <br /> PLL`A81 GONTR�CTOR MAILApORESS GTY ZIP PMONE LICENSE• I <br /> ,�� �� .nq 9/3�z 52.�S.l �r/• !+ . 9BZo 3 2 sD' �1/S6 i <br /> GIASSOFNORK <br /> � NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMO�ITION ❑ WOODS70VFJFRPL INSERT ❑ BUILDING RELOCATION I <br /> iEN�NTIMPPOVEMENTOFINTENIOQRREMOOELONLY � CONT�CiPER50N�NDP110NEN0 / <br /> CONTMCTPHICEOFWORK `_.1�-���'1��✓� . / oviorL ���f�✓ JY/ —�B� <br /> DESCRIBEYIOPNAN�SOU�REi00TAGE1 lVEO Y . <br /> � <br /> �. ��, r'�.-,a.� 2oeo <br /> PROP09EOWcOFBU1LpIN6 IHEREBVCERTIFVTHATIHAVEREAUANDEXAMINEDTHISAPPLICATIONAND ' <br /> �D KNOWTHESAMETOBETRUEANDCORRECT.ALLPROVISIONSOFUWSAND � <br /> � OR�INANCES GOVEPNING TNIS NPE OF WORK WILL BE COMPLETED WITH <br /> LEMLOESGRIPTIONUFPROPENTY:SMOWNBEIOW(1fl�TT�CHFOIIRCOPlE51 WHETHERSPECIFIE�HEREINORNOT.THEGRANTINGOFAPERMITDOESNOT <br /> �oT.�[_ B�ocK ov �F��L���� PRESUMETOGIVEAUTHORINTOViOLATEORCANCELTHEPROV�SIONSOF <br /> ANY OTHEF STATE OR LOCAL LAW FiEGULATING CONSTRUCTION OR THE PER• <br /> FORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE OWNER OF <br /> THIS PROPERiYTO PERFORM THE WORK FOR WH�CH APPLICATION IS MADE <br /> AND I COMPLY WITH THE STATE CONTRACTORS LAW 78.27 RCW AND <br /> 296.200 WAC. � <br /> SIGNAiUREOFCONLP�GTORUIiAlIT110RIZEU�6ENT OALE//_� �/�. , <br /> C/ <br /> X /��..�%�'�-�.c � �� '. <br /> PROJECTAOOPESS � � �pp��CANTSCITYBUSMESSLILEN58NO�N INESSN�ME <br /> Il�ly �4� <br /> PLUMBINO MECHANICAL <br /> NO. 7YPE OF FI%TUHE OH ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> 3 WATERCLOSET(TOILEn Fj � AIC—A/MNDLGUNITS—H.P. <br /> BATHTUB Jd I FORCED AIR SYSTEMS—9T.U75 M EA <br /> 3 LAVATORVIWASHBASIN) UNITHEATERS—U.T.U. M <br /> SHOWER CLOTHESDRYERS <br /> / KITCHEN SINKB DISP. � _,� VENTILATION FAN � <br /> / DISHWASHER RANGE HOOD <br /> IAUNDRYTRAY � WATERHEATER <br /> . CLOTHES WASHER ` — METOA�L FI EPLACE 8 CHIMNEY _�� � <br /> URINAL ___L— — . <br /> DRINKING FOUNTAIN FIREPLACE INSEFiT _ � <br /> FLOOR DRAIN HEAT PUMP � <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—RAINLEADERS E%HAUST FAN <br /> SINK(SERVICE—BAR,ETG1 <br /> SUBTOTAL $ �— SUBTOTAL 5 � , <br /> PERMIT 5 PERMIT b ' <br /> TOTAL FEE $ TOTAL FEE S <br /> iFONT3Ef8�� NEAPSETBAGK SI�ET�� PU� � � 1p�� FE���� RECEI�NO, �� <br /> 1 � <br /> , � <br /> usezo IOTPNER WCAN�SITE FEES VALUATION FEE � <br /> _, I�FES Ll ND , <br /> �� BUILDING `/��'7/� <br /> TVPEOFCANST. OCGUPANGYGROUP N001 4ElLINGUNITS �LL" <br /> ALLOW�BIE/�CTWL�� O�� � PLUMBING <br /> A <br /> SIZ[OFBL06. NO.OfSTORIES esMi. occ�o.� MECHANICAL � <br /> �<y,� sF � l �N .+�4 • <br /> �n `� �r, MEIGMTLIMITATI,N OTHER � <br /> � ✓ /\ <br /> FIRE SPRINRLEflS PEOUIREU ❑YE9 �NO � STATE BUILDING SURCHARGE � '� <br /> STATEENERGYSURCHARGE il� <br /> APPL'CATIONALGUY PLAN9APPR Y PUBLICWORKS ��I <br /> � TOTAL ��fL/ �O', � <br /> � (931 �Y1721 � <br /> 1.3, r.�,!� .��nrn u��o�'l• i i� An � �l� �-�� <br />