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�' i ', <br /> APPLIC.+�IOI�i �AR CONSTF�I..�TION <br /> PER�!!IT <br /> In.•Evergreen evrr��l l <br /> CITY OF <br />, everett � <br /> BUILDING DEPARTMENT <br /> 259�88i0 TO BE COMPLETE�J IN INK— PLEASE PRINT <br /> O\':NER <br /> - ' e�ni�noor+ess cirv :u, a�wu=_ <br /> +� 21�_� •Z•- EL/'� l�i.. ni- 'E,. �Rn3E, -- P�wH���� -G `i3� _ <br /> r'7nl�% �QCLI� �.�ki�aoor+ess c�rv z <br /> iE11ANT <br /> lAFII.AG�AE55 QTV 11P P110NE <br /> hPCNIiEGT OF OESIGNEP tl - <br /> yrc�.C'TJ JlJuljl£5 DF��4/J; /7S'6,C/�'1ia�✓�Lf !1� 1.. 'C1TT/-E' /h'/3� O E3�� 6J �c sE - <br /> L•l�Y MAIL AODFE55 CRV � <br /> a y GENERALLONTRACTOF <br /> ,ox7z � , o io Fis�+J� 13�-1sc- �/'�3G 77y693� f�nuni,L'/L:r/' <br /> � H 17C/l; 1�jCUIT/�K�- `� Mai�noDaE55 arr ziP vHorv[ ueEHse= <br /> 9 y CA v.ec��nHieai r�v.oaeroA <br /> MxwG�� <br /> y MAILAp�RE55 CRY ZIP �HONE 4CENSt• <br /> G H PLWdBn�GLONiRACiOP <br /> K y� _._- <br /> � H� GLASSOFY FN <br /> ��""� NEW ❑ ADDITION ❑ ALTERAT�ON ❑ REPAIP ❑ DEMOLITION ❑ WOODSTOVE/FRPL INSERT ❑ BUIL�ING RELOCATION _ <br /> ry�. z2 iENANiI1dPROVEIAENiOAINiEPIOAAEMOCELOtlLT CONiACiPEP50NAY�PHONENO <br /> J �/ e �^�f� �-r ���ir.-/!oe =`3ST 9s9& <br /> � y�' CCYiRACiFPICEOFWOPK ��/ ��/ � G�r�i� <br /> � H OESCRIBEWOAMPNDSOUAPEFOOTNGEINVOLVEO <br /> � ho /.�i�lN � �1�2�.: /k'�5£ Cr .cfir- ��Ti'c,d — -- — <br /> �" n rr+oroseouSeoFeuaoiNc IHEflEBi"CER�IFVTHATIHAVEREAD4NDEXAMINEDTHISAPPLICATIONANC <br /> 7. y� � qlYLE �L"/�Iy KNOW'HE°4MET00ETRUEANDCORRECT.ALLPROVISIONSOFLANlSAND <br /> �y hAG-�.C' 4:LLa`N S N �E� � � OROINANCES GOVERN WG THIS TYFE OF WORK 4VILL BE COMPLETED WITH <br /> r y �Ecnioescaiv OGFPOPEPTVISHOWNOELO�YORnTiPL ouncories WHETH[RSPEC�FIEDHEREINORNOTTHEGf1AtlTINGOFAPERh7ITDOE5N0T <br /> Hy ���T ,,�� T � PRESUM1IETOGNEAUTHORITVTONOLAiEORCANCELTHEFRON5101JSOF <br /> C7 V1 iGi� B�OGrc aF I�.f��•,�G'Jf1[iltl`.�"'� n'v�""" ANYOTHEiiSTATEORLOCALLAIVREGULATINfiCONSTRUCTIONOFTHEPER� <br /> p H FOR1dANCE OF CONSTRUCTION.THAT I AIA AUTNORIZED BV THE OVJN�R OF <br /> (� C'JN n.y THISPFOPERTYTOPER�OFIdTHEWORKFORWHICHFPPLICaTIONIStdFDE <br /> C�" Cr � E If-lT�C�NE� AND I COMPLV VlIPi THE SiATE CO�TiiACTORS LFVJ 182"! FiCW ANO <br /> 3 C�7 296200�7:.C. <br /> C7 !TJ � ic� .� �+:c nr+ -��- � + eoncerv� o<-� <br /> z � n _ <br /> H o n - f � <br /> i=r.o�Ecrnoo �ss � X��n.��.� � ����itu- csc,�v,� - �_ _-_— <br /> -��:'< C�. ��1,�'��C' f�i:. � L" _ a 7. <br /> PLUMBING � MECHPNICAL _ <br /> NO. TYPE OF FIXTURE OF ITEM <br /> FEE NO. TYPE OF EOUIPMENT FEE <br /> '"�+' � '? WATERCLOSET(TOILETI �{I � NC--A/MNDLGUNITS-HP. ____ __. <br /> B � � - - _I � - FORCEDAIRSVSTE�15-B.T.0 MEA _. _____. <br /> ... � . � _ BATHTUB —___ _ j <br /> UNIT HEATF.RS--d.T.U. M Wfl�l.//CP7t•<+ �T <br /> /� LAVFTORYIVlASHBASIN) - r cn^�'3� ' <br /> � SHOIVER ��' i; �-- __T _ � CLOTHESDRVERS \g � ' <br /> VENTIIATION FAN � <br /> �' �' / KRCHEN SINKB DISP. � 3-- �� <br /> RANGEHOOD /,, <br /> �� ( DISHWASHER — � � — -�� WATER HEATER�`U��� _lL �-� <br /> LAUNORYTRAV � - <br /> -a+ CLOTHES WASHEfl `NOOD STOVE <br /> � � � �.�c1ni F+Y7M�CE8 HIMNE _ _- <br /> �-. :,y� URINAL - - � <br /> DRINKING FOUNTAIN _ __ FIPEPLACE INSERT — <br /> FLOOR�RA�N _ NEATPUMP - <br /> EACKFLOWPREVENTERS _ _ GASPIPING — <br /> � POOFORAINS-RAINLEADERS_ _ E%HAUSTFAN _ — <br /> SINK(SEflVICE-BAR,ETC� _ <br /> ' � _ — — <br /> E � e�� - - _ _ -- � <br /> - +� - SUB70iAl s � _ <br /> ' SUBTOTAL 5 '____ __- -- _ <br /> --- PERMIT 5 --' ____ PERMIT _ 5 _ <br /> -- - —Y- TOTAL PEE 5 <br /> TOTALPEE S <br /> �' i�ON1SLi0ACn PEARS�! SIDESLI�CK �tANCtlECMN11M0EN FEE /'�� PECEIPTNa. <br /> —G � — � SC ' (� --H , .I�i <br /> i�,�i���i �prqq�q nca+rsne PEES VALUIITION PEE <br /> �� 1 Y�r.4es �rvo Q r�� <br /> � o — BUILDING ���-�`�b� ��(J� �� <br /> tt.ECFCONSt OGGII nrvGYGROUi' NOGiGW[LLINOUHii!: .-- � -� ---� -- � �^ <br /> e.u.c:u.e�e/n�Ai � (`_5 � PLUMBING _ _ /^�� 7C'�/�`' <br /> s,��a�/yyLp�U iia or sloaics os`nr. 7�cc i.iir.o_� MECHANICAL __ (V�j��� <br /> 3'Z(:, (ds.�-r � ��� <br /> ���N�_ 11[iG.l��'iON OTHER _ _ _.� <br /> �i7 �i t( _ -.— —'_-" .� , <br /> nr,e sraiHrc�EasaEomne� �.�res ,il� __�__ __ STATE BUII�ING SURCHAPGE _ <br /> STATE ENEFiGY SURCF1AiiGE 1 <br /> pV•cLlC�iIONACCOY PLANSAPGPBY � � .'/ � �� <br /> PUBLIC WORKS <br /> ._�L`-� rorn� CC-�� ���... : <br />