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APPLIC.+.TIA�I F�R C���TR��'�'f��f�f � <br /> PERlNIT �i <br /> I�eEvorc�roen rv��u41 i <br /> C�T�OF � <br /> everett '� <br /> BUILDING DEPARTMENT I <br /> 259�88�0 TO BE COMPLETED IN INK— PLEASE PRINT <br /> i <br /> r.i.v�auov[ss ,.�;. :�r i�iw•:� <br /> ownea I <br /> � �.�a,�e�'a�urHoRR���c��.R_�rr__�4�"'}�-Q��r`�I.A�F��,�Ct--aP�.,zn-:!-- --- --- � <br /> � � � euiinoonEss —_—._______— _.—— 11 <br /> CyA �� <br /> i0 A 5 lnauiec�onorsicuE�a -- •.,:.i�.r.eoress — _-- _ —rirv - ziv rr�or,E <br /> � � � ��-�a�+t�1_c_�-�2o_e1��G`�r-E�rY__9e��o�. 4,(���la_�_o���E�sE. li <br /> �� NEfiALCONTRACiOR 1.',nILFCOP[55 <br /> K y � i'n 1�J� �/� �I�v. � �ID ---—" �iG[NSE� I <br /> � N � UE�CH4NICALCONrP4CTOR � <br /> I.IAILAOUP[55 LIiY ]IP PIIONE <br /> N N — — <br /> y 1!aIL��JCRL55 GI1Y ZIP �HONE UCENSE+ <br /> � � � PLUTAPINGGONIAAGTOR II <br /> O H <br /> z n o GLASSOFWOFR <br /> H `� n I�NEW ❑ ADOITION ❑ ALTERATION LJ REPAIR ❑ DEldOUTION ❑ WOODSTOVE/FRPLINSEFT ❑ BUILDINGREIOGATION <br /> �y � i[NANiIMGROVEMENTORINiER10AAEMODELONLT CONTAGiPEP50NANOVNONENO. <br /> yp H [.�/ 'q��� I'i <br /> `' N y 0 LPACTPRCEOFYIORK�. %� v[�J/�JJ� . <br /> C N DESCRI9LWORNANOSOUAFEGOOiAGEINVOLVE� � <br /> pt��Jf��/,��.��;yr�� }��./_��-+qC�i_P�'J��i-1�alo� <br /> n O N V Us cSF ' —' -- — '� <br /> 3 aoaoseo e em�owc �HEREBVCEFTIFVTHATIHAVEHEADANDEY.Ah11NEDTH15APPLICATIONAND <br /> M � � <br /> KNOK'THESAMETOBETFUEANDCORRECT.ALLPROVISIONSOFLAWSAND <br /> y � y pRDINANCES GOVERNWG THIS iVPE OF WORK WILL 6E COMPLEiED WRH <br /> �[c+�NiPTiorvoFFnocenrvu���':+rvanowOaniTncirOuacocies� WHETHERSPECIFIEDHEREINORNOT.THEGRANTINGOFAPERh11TDOE5N0T <br /> PRESUMETOGNEAUTHORINTOVIOLATEOfiCANCEITHEPROVISIONSOF , <br /> io* BloGrc OF — ANVOiHERSTATEORLOCALLAWREGULATINGCONSTRUCTIONORTHEPER� i <br /> FORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV TNE OWNER OF <br /> �` � /' '��G� — THIS PROPERTVTO PERFORM THE WORK FOR WHICH APPLICATION IS�dADE � <br /> �1f IG —7U S AND 1 COMPLV WITH THE STATE CONTFACTORS LAW 7827 RCW AND <br /> 296200\�41C. <br /> SIaNA1U�EOFCONiR<G1nqpI.:.UiMOFI][�RGENT OAi[ <br /> LprtP�bK�v� . �_bsl���y�.�- - � <br /> PROJECtADORE55 J • APPLICa'�iSCIiY0U9NES5l�C[NSEN06N�Bt15ME5SNAME <br /> / ��� llU�7 �W L�� �I <br /> PLUMBII:G MECHANICAL , <br /> TYPE OF FI%TURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE ' <br /> NO. � <br /> /� � PJC—.VHNDLGUNITS—HP. , <br /> I '-- , � BATHT BLOSET�TJILEI) — _� FOR�EDAIRSVSTEMS—B.T. EA _ <br /> . � Q LAVATORYIN'ASHBASIN) UNITHEATERS—dT.U.3M <br /> �7 �LOTHES DRVERS I <br /> I SHOWER -- -- I <br /> I '�_ t�p KITCHEN SINK 8 DISP. _ Q VENTILATION FAN = I <br /> DISHWASHER �' RANGLHOOD � <br /> �s� NlAiER HEATER � <br /> � LAUNDRYTR Y �--- , <br /> �_ CLOTHESWASHE � wOOD570VE ��� __ _ — . <br /> Q URINAI. �� � __Q �dETALFIREPLACEBCHIMNFv <br /> —_ — ^ _— <br /> j d , _�_DRINKING FOUNTNW � � <br /> , 7 r�.............. <br /> +n�.� <br /> ! � ��' <br /> FRINIT�TBALK R[ARSLi�aCK SIDESETpACN PIAI CNECRIUMBEF FEE �ECEIPTNO. <br /> I a�iY �� �� /��� O� �� <br /> � d �� � '� '��----- ' � <br /> USEZONE �oinREA vnG�.rvr5i1[ FEES VALUATION FEE <br /> A XveS ,: NO <br /> ����(� BUILDING <br /> ttPEOFCOH� ���UFANCYGROl1P ��OOFaWEILINGUNiiS <br /> A��pWABLE/pCTUAL � �I �� -- p�Uh1BING _ _ <br /> h <br /> size0ae�oc. �+ooFsrou�es eSMr. occ�onD MECHANICAL <br /> �,��aP1' �" -`,�f.Ca�%� — <br /> riec�i*�n.u*nnoH OTHER <br /> (Jo. f3u? PRDYfG1E0 — <br /> naesF�wrc�easnEouweo nres xNo _ � STATEBUILOINGSURCHARGE <br /> � STATEENERGVSURCHARGE <br /> nrrucnnou ncc irr rin'+snvnn ev pUBLIC WORKS <br /> L � <br /> /..,1i� TOTAL <br />