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APPLIt:.+►T�ON FOR C�NSTI�:yCT10N <br /> PERMIT <br /> Ine Ever9�een everett <br /> CIT"Y OF <br /> everett e : <br /> BUILDING DEPARTMENT � <br /> 259-8810 TO BE COMPLETED IN INK— PLEASE PRINT <br /> (N/NER WAILADORE55 CITY ZIP PMONE <br /> � 1 <br /> vI<AM t � �i., i.,, ...� � ��2��� -1�^' s�/-c._.r �..-,.���.,�•. 7 �lAo��� 7�GI �txi d' <br /> TEN�NT MML�ODF[55 GIl ZIV PMONE <br /> Il1�kr-s r�Lw� IO�S �.��e1f.�-,r�M1iai� �,.1n���ty �' UI��Gq --- — <br /> HCM�ivCTORDESI�3NER NAILAOORE55 ' "ITY ZIP PMONE <br /> C=� �,- <br /> GENEP�LCONTB�GTOR NAIL�DONE55 1 CITY ZIP PHONE IICENSE• � <br /> �„� C�,c.2 �,.� c (SL�21 zUf�t—C`'� l\ ,Jn o� 11 GRo"lt Z89�S�oC. E•�c,cLrm9^+3 �• <br /> MEGH�NICALGONTMCTON M�IL�DORESS CITY ZIP PHONE LILENSE• <br /> Z �, �c,a�l /��ez�J•�ctq�Q� cti�'✓Lrr+' {xiz-i�n-� �.4db9M iGGL4� , <br /> Pt MBIN�CONTP C70N MMLADOHE55 CITY ZIP FMONE 4CENSE• , <br /> � <br /> 1 <br /> CLA59 0F WJHN <br /> �NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ �EMOLITION ❑ WOODS70VE/FflPL INSERT ❑ BUILDING RELOCATION <br /> TENMIT IMPNOVEMENT OR INTENIOP HEMODEL ONIY CAN7ACi PENSON RND PHONE N0. <br /> . ; <br /> G4NTMCT PHICE OF WOFK <br /> DESCNIBE WOPN ANU:AUME FOOTAGE INVOIVED <br /> pnoros . . ewlou IHEREBYCERTIFYTHnTIHAVEREADAIJDEI(AMINEDTH�SA'PLICATIONAND <br /> 1 � KNOW THE SAME TO BE TRUE AN�CARRECT.AlL PROVISIONS OF LAWS AND <br /> ' t• ORDINANCES GOVERNING THIS NPE OF WORK WILL BE COMPLETED WITH <br /> �e L ESCHIPTIONOf POPENTYIS: OWOR�TTACNFOURCOPIES� WHETHERSPECIFIEDHEREINORNOL7HEGRANTINGOFAPERMITDOESNOT ' <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PqOVISIONS OF ' <br /> �ot e�ocK ar ANYOTHERSTATEORLOCALLAWREGULATINGCONSTRUCTIO!�ORTHEPER� <br /> FORMANCE OF CONSTRUCTION.THAT 1 AM AUTHOfl12ED BY THE OWNER OF <br /> THIS PROPER7YT0 PERFORM THE WORK FOR WHICH APPLICATION IS MADE <br /> AND I COMPLY WITH THE STATE CONTRACTORS LAW 1827 RCW AND <br /> 296.200 WAC. � <br /> ( IL� C�Lr SIGNATUOEOFCONTflACTORORAUTHOPIZEDAGENT DATE <br /> � rp'2p . b'�7 <br /> �a.s. � r�. l�taer �Ja .� �— � X � <br /> PflWECTA0DPE55 pPPUC TSCITY6USI ESSLICENSENO.A INESSN�ME � <br /> 1 <br /> PLUMBINU MECHAI�IICAL � <br /> Np. TYPE OF FIXTUNE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE f <br /> � WATERCLOSET(TOILEp A/C—A/HNDLGUNITS—H.P. <br /> BATHTUB FORCEDAIRSYSTEMS-6T.U. MEA <br /> . LAVATORY(WASHBASINI UNITHEATERS—B.T.U. M <br /> SHOWER CLOTHESDRYERS <br /> KITCHEN SINK 8 OISP. VENTILATION FAN <br /> DISHWASHER RANGE HOOD <br /> LAUNDRYTRAY WATERIIEATER - <br /> CLOTHES WASHER WO00 STOVE ' <br /> URINAI METAL FIREPLACEB CHIMNEY ' <br /> ORINKING FOUNTAIN FIREPLACE INSERi <br /> FLOOF DRAIh HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING � <br /> qOOF ORAINS—RAINLEADERS E%HAUST FAN <br /> SINK�SERVICE—9Aq,EfC.) <br /> � SUBTOTAL $ SUBTOTAL S <br /> PERMIT $ PERMIT S — <br /> TOTAL FEE S TOTAL FEE E <br /> FflONTSETB.�CK PEAfl5ET8ACR SIpESEf�AGN PIANCNECNNUMOEN FEE NECEIPiNO. <br /> use2oNe IOT�flEA vee.wTsrte FEE3 VALUATION FEE <br /> p YES n no <br /> BUILDING <br /> IYPEOFCANST. ��UPANCYGflOUP NOOFOWELLINOUNITS <br /> �LLOWABLEMCTWL PLUMBING <br /> 512EOFOL�Q NO.OFSTOPIES OSMT. OGGLOAp <br /> ❑y MECHANICAL <br /> ❑N <br /> '. HEIGMiIIMITAT10N OTHER <br /> FIRESPRINKLENSREOUINED OYES ❑NO STATEBUILDINGSURCHARGE <br /> STATEENERGYSURCHARGE <br /> AVPLIC�LIONACGOY PLANSAPPRBY <br /> PUBLIC WORKS <br /> TOTAL <br />