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�`�f�'�= F ��� ' ' C�1c� I<'�'�� <br /> APPLIC�..�ION FOR C01�T-Rtic':�ION <br /> PERMIT ----�—� <br /> tne Everoreen „��,��,�� <br /> CITV OF <br /> everett e <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLEI'ED IN INK- PLEASE PRINT <br /> NER I.IAII AOpPl55 f.I1Y �. �ZIP PIIpN[ <br /> �h� r��� �- �llcl�Y1 �v I��I I�'�C�L��;_ [�ice,_L- ��e�t i_ ����cy -�'��,`i �oG7�-._� <br /> IEN�NT M�II.Fpf1P[5$ GIIV 21P PIIpNE <br /> •pCHITECTOROESIGNEN MMl40�RE55 CIIY 21P PIIONE <br /> GENER��CONTN�CTOR AUi�n00B[55 � �IIY 20' PIIONE tICENSE• <br /> ELNIINIC�LCONTR�CTOR MML��DRE55 Ci1V bP VI�O E LICENSE• <br /> _� Ir.� Cc�s;�Y�K��, nr�c�r�k,,,�-__��c:r��-1 �I;��r,l ,%��ti-SolEr=�Y►3�-_c�,-N�� <br /> PLUMBINaCOi R�LTOR MMI hpORE55 <br /> C1A.450FWORN .. __—_"—_. ' .____-- _--__ <br /> ❑ NEW ❑ ADDITION �ALTEPATION ❑ flEPAIH ❑ OEAIOLIIION ❑ WOODSTUVE/FHPL INSERT_O BUILOING RELOCATION _ <br /> IEN�NT IMPNOVEMENT OR INTERIOR REMOOEL ONIY CONIACI PER50N RNO PIIONE NO <br /> CONTRI�CTPRICEOFWORK . __' __._—_ . . ___"__.__."_"____.. <br /> _""_'"__'_.— _ _ _ '" — <br /> UEBCRIlEWORKIIND Ol1A Ef00TAGEINVOWEO <br /> �r�,��t���_��_��9- � ------------ --- --- <br /> pnoroseoy� BU1i(Lq� G IIIEREBYCER7IFVTNAlI11AVEREADANDEXAMINEDTHISAPPUCATIONAND <br /> `� F' KNOWTIIESAME70BETHl1EANOCORRECT.ALLPROVISION50FLAWSAND <br /> iEo�io65cnipnoNorvaor¢nrv�sr�owr+aEirnvonnn�ciivouac6i�iesi - � � uADINANCESGOVERNINGT1115TVPEOFWORKWILIBECOMPLETEDWITH <br /> WIiETMEH SPECIFIE�IIEREIN OR NOT.TI1E GRANTING OFA PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITV lO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ior ewcK or --------- pNYOTNERSTAIEORLOCnLLAWREGULATINGCONSTRUCTIONORTHEPEF• <br /> fORMANCE OF CONS7RUGTION.Tf{pT I AM AUTHORI2ED BV THE OWNER OF <br /> THIS PROPERTY TO PERFORM THE WOfiK FOF WHICH APPLICATION IS MADE <br /> — AND 1 COMPLY W11H 7HE STA7E CONTRACTORS LAW 18.27 RCW AND <br /> ---- Z9b.200 WAC �1..�1��I " V <br /> sicH�wn�orcoHur�ciui�o��nun�onutn.ceNi o��e <br /> _ ^� <br /> X��1��Y�����•°4- - --- � <br /> - ---- - ------ , <br /> ���qA�> �PVLf.� 'GIlYB115Nk55110EN51.N0ANfl�U51N[SSN�ME � . <br /> � ��L.�I�:� <br /> � <br /> PLUMBINO MECHANICAL <br /> Np. TYPE OF FIXTURE OR ITEM PEE NO. TYPE OF EOUIPMENT PEE <br /> WATER CLOSET(TOILET) A/C—A/HNDLG UNITS—M P. <br /> BATHTUB � FORCEDAIRSVSTEMS—BT. 1 EA <br /> LAVATORV(WASH BASIN) UNIT HEATERS--B.T.U. M <br /> SHOWER CLOTHESDRVERS_ <br /> KITCHEN SINKB DISP. VENT�LATION FAN <br /> DISHWASMER RANGE I100D _ <br /> LAUNDRVTRRY � WATEtiHEATER <br /> CLOTHES WASHER WOOD STOVE _ <br /> URINAL ME7AL FIREPLACE R CIIIMNEY __ _ <br /> DRINKINO FOUNTAIN FIREPLnCE INSERT__ _ _ _ <br /> FLOORDRAIN HEATPUMP __ __ _ <br /> BACKFLOW PREVENTEHS .ti�_ GAS PIPING _ <br /> ROOF DRAINS—RAINIEADERS _ EXHAUST FAN ___ __ <br /> SINKISERVICE—BAR.ETCI_ _ __ .__ ___._______. ___—__ ---- — — <br /> SUBTOTAL E _____SUBTOTAL E <br /> PEFMIT S — -- — ___ PERA9T S _ <br /> TOTAL FEE E TOiAL F[E S <br /> FRONiSETB�GK R[�PS[TBACK S�ES[iB�CM PUINCNECKNUMBER FEE MECEIPTNO. <br /> uSezoNe LOT�PG VAC�NTSIiE FEES VALUATION FEE <br /> ❑ YES ❑ HO <br /> BUILDING <br /> 7VPEOFCANSi. OCCUP�NCYGAOUP NOOFOWELLINGUNItS — — <br /> ���pWABLE/�C7UAL PLUMBING <br /> SIZEOFBL�l3. NOOFSTONIES BSMt OCCIA�D <br /> n r MECHANICAL <br /> ❑N _.__—_____ _—___ _ — <br /> ue�c�rtiin+n�rior+ OTHER <br /> FIRESPRIHNLERS REOIIIRED n vEs i i eo ____ g7piE BUILDING SURCHARGE <br /> SIATE ENEHGY SUHCIIARGE <br /> . __———.__ _._____ __.____.--- _. — <br /> �PPLIC�TIONACGBY PUNSAPPROY <br /> PUBLIC WORKS <br /> TOTAL <br /> � <br />