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AP�LICi�:I'IQN FOR CONSTRI,'CTIOM <br />PERMIT <br />tho Eve�preen <br />CITY OF <br />l'verelt <br />everett � <br />BUILDING DEPARTMENT <br />259-8870 TO BE COMPLETED IN INK -- PLEASE PRINT <br />OWNER MAI� RD�RCS$ ��ry <br />ZIP PIIONE <br />Everett Ptall 1402 SG Everett Mall Fiav Everett, WA 98208 <br />TENANT MRILAO�RE55 CI1Y ZI� p110NE <br />Maurices (TI;^. Closet� 105 West Superior Street Uuluth Plinnesota 55802 (218) 727 8431 <br />�NGNrt.:GTORDESIGNER MAILR�DRESS GIIY ZIP pHONE <br />Envision Denver P.C. 1800 Granl- Street lE480 Denver Colorado 80203 (303) 894-08?2 <br />QENEPRLCONiPPGTOA M,11LpDONE55 CITY Zlf PHONE ULENSE• <br />N/A <br />PLUMBINUWNIfiRGiOP MAILAODRESi CILT )IP PIIONf IIL[NSf• <br />❑ NEW ❑ ADDITION � AITERATION ❑ REP.41R ❑ OEMOLIiION ❑.VpODSTOVFJFRPL INSEHT ❑ BUILDING RELOCATION <br />TEN�NTIMPppVEMENiORIl1tEPIJPPEMODELONLY ,/J /� CONIACTPEfi50NANOP110NEN0 <br />/1/ / 1 <br />LONTR�CTPNICEOFWORK $80�000 Ly� � �;�� <br />pE5CRI8E WOFK AND SOJRPE FOOTROE iNVOtVED <br />Remodel I 3,396 <br />lOT BIOCK OF <br />�.��G.a� sc <br />PLUMBING <br />NO. TYPE <br />WATER CLOSE <br />LAVATORY <br />SHOWER <br />KITCH EN ; <br />FEE <br />— RAINLEADERS <br />— ana. Frr. � <br />YtHMIT $ <br />TOTAL FEE g <br />RSEt9AGN �IOESEiBAGN <br />MEA VACANT LE <br />O YES �}` !O <br />UPu1CYGl10UP NOOFOWELLINC <br />� � � �' <br />JF SiOHIES BSMT. OGG LOnO <br />I N O <br />NEIGHT LIIAIiqTlp <br />❑ NO <br />IS APPIi.OY <br />� � <br />I H EREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA710N ANO <br />KNOW THC SAME TO BE 7R11E AND COFRECT. ALL PROVISIONS OF LAWS ANU <br />ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WITH <br />W HETHLFi SPECIFIED HEREIN OR NOT. THE GRANTING OFA PERMI7 DOES NOT <br />PRESUM E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANV OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PER• <br />FORMANCE OF CONSTRUC710N. THAT I AM AUTHORIZED BY THE OWNER OF <br />THIS PPOPERTV 70 FERFOI7M 7HE WORK FOR WHICHAPPLICATION IS MADE <br />AND I COMPLV WITH THE STATE CONTRACTORS LAW 1827 RC'vr AND <br />298.200 WAC. <br />sic tU�f:OFCONin:.Cionnn TIIORIZEOr1GENT oate <br />x �A..� �V f �� �1...,,�. Y 24-5� <br />APPLICPNTSGTYOUS [SSLI6 [NO.AND�II.WESSNRME <br />MECHANICAL <br />NO. TYPEOF <br />A/C— A/HNDLG UNI7 <br />FORCED AIR SVSiEM <br />UNIT HEATERS— B.T.I <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METALFIREPLACEB( <br />�q/aic��t <br />FEES <br />BUILDING <br />PLUMBING <br />h1ECHANI:AL <br />OTHER <br />STATE BUILDING SUFCHARGE <br />STATE ENERGY SURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />PEfiM1T <br />TOTAL FEE <br />FEE <br />M E4 <br />FEE <br />!7�{/3 <br />FEE <br />� <br />