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�!,PPLICA�'��1� FOR CONSTFiUCT10R! i�F:FiMIT <br /> .,,,,c„�,�r�•:�� <br /> everett <br /> CIi V OF � <br /> �verett <br /> BUILDING DEPAr�TMENT <br /> -,����� N BE COMPLETED IN INX-PLEASE P�WT <br /> ,� DEMOLITION I I COMBINATION i � BUILDING I I MECHANICAL i I aLUMBING I I SIGN <br /> or:ur�n unanuoness _ _ - <:nv nr �_-_—ruuin�.—. _ —.- <br /> 3 � � �-�[1=�u,. co,vc-�7, z�z � _Ii�s� �� L-=Ve'! C7TC&7-.:��---�.3 �-�is3 <br /> �r � ierin�ir ra�anuon[ss cirv zn� ,'�ror+e <br /> L�7 <br /> H <br /> (c� �7. AnCIuIECTOflOE51GNE(1 IAAIL4�0(i[55 � CI�Y ZIP �I�ONE <br /> t'H [/� >�}�� 'L. <br /> 6[NER��GONiRpCTOR MAILA�URE55 CIiY 21P PNONE IICENSE� <br /> H � <br /> y ('>(IlY Pf� _ ' <br /> K y � inEcr�nr�icuconrnncion rnnaiooness cnv nr ruor�e ucense. '� <br /> oxo I <br /> '�J H '9 <br /> U] H PWAIBINGCOiJ1FlACiOH IANLAO��ESS QiV Z:P �'lIONE IICENSE� � <br /> x <br /> H <br /> � � n�ssoFwonn <br /> O H d I I NEW LI ADD{fION I 1 ALTEPATION I I REPAIR I-7'4EMOLITION I I WOODSTOVE/FRPLINSERT LI BUILDINGRELOCATION <br /> H � p mi�nrvrimm�o�erneuroewrEnionnEniooe�ow�r co�+mcrrEnsor+nri/ori�or�euo 7 i <br /> �` n cor�rnacrrnicec�wonK: ,J���(�/ C .7 3I- 7�5� . <br /> H <br /> 7.H � OES IOE WOPY�ND SOO�RE FOOi�CE INVOLVF.D '�, <br /> H [�� <br /> 'N z P�unlf�ll bcI ✓�— � <br /> y�F3 rnoroseousecFomioiuc I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ' <br /> H APPLICATION AND KNOVJ THE S�ME TO BE 1 FUE AND CORRECT.ALL <br /> � b y L[GAL�ESCRIPTIONOFPROPERiV�SNOWNBELOWOR4Tt�CHFOUfiCOP1[S� PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS TYPE OF � <br /> C <br /> WORK WILL F3E COMPLETED WIiH WHETHER SPECIFlED HEREIN OR <br /> � � ior _ a�ocK oF _ NOi THE GRANTING OF A PEflMIT DOES NOl PRESUME TO GIVE <br /> � 0 � AUTHORITY TO VIOLATE OR CANCEL THF. PflOV�SIONS OF ANV � <br /> OTHEP STATE OR LOCAL LAW REGULATING CONSTfiJCTION OR THE <br /> � PERFORMANCE OF CONSTRUCTICN. fHAT I AAI AUTHORIZED BY THE '� <br /> OWNER OF THIS PFOP[PTY TO PERFORM THE NJORK FOR WHICH � <br /> — APPLICATION IS MAUE AND I COMPLY WITH THE STATE � <br /> CONTRACTORS L�W 10.27 RCW AND 296.200 WAC. <br /> 9GN�LUREOFCONTR....fOf10NAU1110R2E��GEIlI DAiE <br /> / �j9 ] <br /> PPOJEGT�O��E55 � �"fl L-"�- �, l�!_����L' (/ � _ <br /> � �. ^ �PPL�CANi5C1iY�U5R![SSIIC[NSEN NDOUSINESSNAIAE - <br /> U`Ci <br /> . � � PLUMBING MECNANICAL <br /> �� � �' NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> '�~ . WATER CLOSET(iOILET) A/C-NHNDLG UNITS-H.P. <br /> , BATHTUB FORCED AIR SYSTEMS-B.T.U. M E.A. <br /> �� LAVAIORY(V✓ASH BASIN) �— �NIT HE�TEPS-B.i.U. M <br /> ' �0� SHOWER CLOTHES DRYERS _ <br /> m�' KITCHEN SINK 8 DISP VENTILATION FAN � <br /> DISHWASHER �—T- RANGG HOOD —� <br /> � LAUNDRY T(iAY , WA7Ef1 HEAiE(1 ' � <br /> i <br /> _i'—_ <br /> ' ! CLOTH[S WASHER — —�- ��—�_ WOODSIOVG ..- --�----- _ —��-� .. <br /> i '�.1 URINAL _ �_ _ METAL Flf7EPL�CE 8 CHIMNEY i <br /> DRINKING FOUNTAIN i FIREPLACEINSERT � �� <br /> PLOOR DRAIN � HEAT PUMP '� <br /> ' BACKFLOWPREVENTERS i GASPIPING . <br /> �, �� ROOFDRAINS-RAWLEADERS E:HAUSTFAN —�— <br /> SINK(SERVICE-BAR,ETC.) � <br /> �- <br /> i <br /> a�.,�.� — � — —T <br /> —�— <br /> i . SUB TOTAL $ � SUB WTAL $ <br /> , PERMIT $ —�- PERMIT 5 <br /> I ���� TOT�L FEE 5 TOT�L�EE S <br /> �\ fRONiSEiOACK REMSETpACK SI�ESElO�CR PlA1lCHECKIlU1.1pEq FEE pECF.IPTNO. <br /> usrzor+e �ornn[n vncnur;in: FEES VALUATION FEE <br /> I I Yf_S I I NO —� <br /> _- ..___ ________ __...__ __._.__ . _ nunnir��: I <br /> fifCOftONSfALLOWNiIf IVPEUIC�n;51.ACI0�t wu.mnm:r ixi trxumnnru:s - ____ . ... .'- -_'__ _ _".___ ___'_'__�____. <br /> mrear �x ___--'— <br /> PLUI.IBING <br /> SIZEOPOL�G. NO.OFSTORIES OASEMENt MECIIANICAL � i <br /> lJ YES I_I NO I <br /> OCCUPMICYIO�D FIRESPpNKIEfiSPEOD IIEIGIrtLiM114110N OTIIER <br /> I-.I YES �I NO SiAiEDUIIUINGSURCHAIIGE i � <br /> R[ASON FOP SPRINKLEf15 -- �- <br /> STATE ENEfiGV SURCIIAFlGF <br /> nrrucnnor�ncc.nv r�nnsnvrnoveoor CITY OF EVEOETT PUOLIC WGfiNS � <br /> �� i� �ncn�sn�es ' <br /> �"+1� TAX COUE I$31OS 70TAL i <br />