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APPLICA� IOl�il FOR CONSTRU.:TION <br /> PERM17 <br /> the Evorg�oon �•��crcll <br /> pTY OF � <br /> everett <br /> BUILDING DEPARTA4[NT <br /> 259-8810 70 BE COMPLETED IN INIC— PLEASE PRINT <br /> OWNER� /. // IdAIL ADDBESS ' GIiY ZIP PIIOI![ <br /> /) / <br /> .. /� ' � � i..i �i ..._. . -_ij /:'l' . . t.. ' • � -, ;' � .. � 1 ! r j Jj <br /> . � • , <br /> iENANT ��A1PIlAp�RESS " �._..--Gi1Y�_.. _. . 41•_._ . .-PIIOHE__._"._' __.___ . <br /> _—_.____-_......._... . ___ _ . . _... ._..__. <br /> PRCMRECTOROLSIGNER M11AlIPflP1iE55 � ('.IIY !IP PIIOI![ <br /> ..__ _—.__—____.. _ . .. . ___ . __ . ._._____.. <br /> G[NERALGONTqACiOR ldnl1n011N1:li . .. . . . (:IIY !IP Pli.�l�l . . .. . IICEflS[• <br /> _" '"'__.__ ___ . "___""_.___. .. _ _ ._ . . . . _�_ _. . ._ ...__.______--_ <br /> IIECMRNICALCONiIiACTOP AIAIIAOON[SS CIIY 11P �'������G IIC[NSE� <br /> __ _ . _ . . .. .. _ . __.. . . ."__ _ —_. . _. . ._ <br /> PIIIM�INGCONiRACtO❑ ��--- ldnll A11f11LL55. . . ❑1'! 4P .. .. . 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ANYO111GIi5L11HOHiUGAI.I_AIVRLGIILA7MGCONSTf7UCTIONOHTIIEPEH� <br /> FOHh1A1JCG OF COf15TfiUC710i1 TI1A1 I AP.1 nUTIIORILGO 8Y 711E OWNER OF <br /> 7HIS PIiOPER1Y TO PLNPOHIA 1 HE WOHH FOR WIIICIi APPLICATION IS MADE <br /> ------ ----- AND I COIdPIY WIIII �❑IE S7ATE CONTRnCTONS LAVV 1B2! RCW AND <br /> '-- --'-"" 2Jti200 WAC. <br /> SIGNAI�IREOI00lIIRaU:111u�.A�IIII.IIJLI.UAG61li t)AIL <br /> ______ ___________.... <br /> --'G�=�-__ � _�� �,�_ � 't � i �� X ` , ' � i , ; , � _ <br /> , ,;, ; .. <br /> PROJ�TAD�fi[55 TI'I91�A01...LIIYIIIISIfh SIICL115INOPNOp11SltlLSSIIAtJC <br /> PLUM8ING MECHANICAI. <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMtN7 FEE <br /> � WATER CLOSETITOILET) _ f (l A/C- -A/I II70LG UNI f5- � 11 P <br /> _. . . ___. . . _ _ __._. .... _ <br /> ___-- -__. ._.- _ _ _. <br /> �_ BATHTUB .. . . ... . . . F'ORCEDP.IRS7L7E615� BT.U. 1.11A .. <br /> ____ --_ <br /> -_ _ _ _. . . _ _- <br /> � � ) UNIT I IEAIEHS� � B 7 U 1.1 . .. . <br /> _ LAVATORYIWASIi BASItJ) . _ � -_ _ . _ - � - -- � - -� <br /> ' ._ _ _._ _—_-_ ._ . . <br /> L SHOWER tJ CLOTH[5 DRYERS <br /> �1�,,: : .__ . . . ....._ _.. . <br /> G� �. y / KITCIIEPISINKB[715P � VLtJIIIA�IONP.1tl <br /> '_"__ _'-_-. _ ___.. . - � <br /> �'� S __J DISHWASHER �. IiANGEIlOOU . . <br /> - . _ _' .._ '_ . __ _, <br /> I :_ _ ._._—. _ _ . . _ . . . � 6✓ATEHIIEA7[R _.__ _______ . � <br /> � LAUNDRYTRAY _. . . - ---�- ---�- <br /> ._.. ._._. _.. <br /> 0 — - � WOODSTOVE _ _ .. .. .-__. _.___ <br /> � CLOTFIESWASHER 7 . _.__. . . __- __ <br /> ��` �� I.IETAL FIREHLALE 8 CI III,IN[Y <br /> _ ____ . .___. __.___— . ___ _ <br /> " . 1: URINAL ._ .._ _ .._.. .. . <br /> _.__.. <br /> — ..... ._.' '_____. <br /> ,F . � � DRINKING FOUNTAIN �IREIIACLIp5ER7 _ <br /> ___'_'— ___. . .. <br /> . .__....._._... ._ _ _... _ ._._. . _._. <br /> �'"� � _ FLOORDRAIN IICATIUIdP <br /> ., - _ _'_ .. ' __. _ _'-. _.. <br /> ' ��., � BACI<FLOW PREVENTEHS � GAo f IPIFIG <br /> ROOF DRAINS-RAINLEADERS __, LZHAUST FAN _ . _. , _ __, _ ___ <br /> SINK�SERVICE _BAR ETC) ___ _ - -- - - -- <br /> __— — - ___ .__... <br /> . ___ -___'_ ..__ . _ .._. _.. - .._ gl II3 TOTAI 5 . ' "r- � _ .. <br /> SUBTOTAL 5 } �'_l9 ._. .-_- . -- - ---w -�- <br /> __ - . _.__ . __ _ . .__ ' <br /> PEFMIT 3 �^ ��'" . _ _ . . .. PERP.117 . 5 ._ !_� QQ- <br /> ' __ _.._ . ._ . — <br /> '_—_ __——._—' . ._ . ._ - �LL_ . � <br /> TOTAI.PEE 5 �IS�v r �-�' TOTAL FLE 5 _ <br /> FRONTSETBACH REARSEi�<CI( SIOESEi�ACH PI.ANCIIECKNIIlAI3E11 FEE f1ECEIPTNO. <br /> ._.... _ _ ._ . ...___. ._. <br /> �iisezoNe -�------ -�oinn[a - vunr�rsrtt FEES VALUATION <br /> iiv[s �� r�o <br /> _ .. _ . BUII DING ' <br /> .__ _____..__ . __ _ . <br /> IYPEOPCONST. OCCIIPANCVGflOI1P b00FOWClIJ1lGUNItS . _.__. . .. --� ---C . . . .'.. ---'-- <br /> _ _ ""___ __ _ <br /> ALlO14ABlE/AGIUAL ..._... • IS C�� - <br /> PLUMOING <br /> '.— _____ . _. _. _..' -_._ . <br /> __'_-- __ <br /> .._' _ . -_'_ . ___-__._ .. _. _.. <br /> SIZEOfOIDG NOOFSTORI[5 BSlAt. OCGIO/D -' <br /> i i V �d[CNANICAI. � <br /> n u _._. .__._ <br /> _.__.. _ __' _. <br /> _-_ __.____���- --� <br /> — -ueicritw.utnnor+ O�FIER __ <br /> vwesPr+rt+K�Ensaeowneo ❑res �.� rvo __ _ _ _ SiATE OWLDING SURCHARGE � . _ <br /> . _....___. <br /> STATE ENERGY SURCHANGE <br /> __ _'___. —'_.__.. <br /> _ __ _ <br /> APPLICATIONACC �Y viansnrrn ov � Pl18LIC WORKS <br /> 'N/� rl` TOTAL � <br /> �,� <br />