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APPLIG.►TION FOR CONSTRaJCT10N <br /> PERMIT <br /> the Evarprean <br /> CITY OF ��������� <br /> everett e <br /> BUILDING DEPARTMENT <br /> 259•edt0 TO BE COMPLETED IN INK— PLEASE PRIN7 <br /> ONNEF APII ADpRESS CIIY IIP PIION[ <br /> � ^ C. ^vt 7ff f ' .f.�, / s�� 5�.1 �'.! <br /> ifia V �i f^ —LY /c _ – ��–'-f�`---_�"�.i`Cy i � _ __� – - ---- ---- y <br /> �ry�qT M41lnDOPE55 f.IIY Z�P P�IONE <br /> L� Lv/t/`/� .____________ ____._" '_" - <br /> �RCHITEGTOROESIG EF MAL�ODRESS CIIY� SIP PNONF <br /> OEN[RAL CONTNAGTOH IAnit AG�RESS � LI1Y i1P PIIONE LICENSE• <br /> ��CiIl1P � <br /> MECH�NI ALCONTN�LTON M�IL�OORESS � CIIY ZIP P�iONE I�CENSE• <br /> PLUM&NO GONTR�GTOR MNL�OORCSS LITY 21P PIIONE IIf,ENSE• <br /> _-__ __" _'__. ____-_"'__ __ ___... .. . . _ "__"__"__- ____ __ <br /> C1�59 OF KORN <br /> ❑ NEW ❑ ADDITION �I PLTERATION ❑ REPAIF ❑ DEMOLITION ❑ WOODS�iJVE/FNPL INSEHT I� BtlILDING RELOCATIOi+ _ <br /> TEH�NT IMPPOVEMENT ON iN1ERIOR PEMOOEL ONIY CON I�CT Pf.N50N AHD PIiOt�L NO <br /> CONTRI1GTiPIGEOF WORn: /C '��___._'-__._. _ . _ _ ._ _ 1�I��•�/L R_' ��- L._.LX-(--/�.. ..- ---. _-' <br /> DE9CRIBE WORN�NO SOU�HE FOOTAGE INVOI VEO ' � <br /> i� <br /> SO sy�f'. if'/av��/1�i"C��L /u %�a J iil �{�� - -- —="�--`�—'�X------ -- <br /> rnorosco use or ewinir�o I HEREBY CERTIF Y THAT I HAVE READ AND E%AMINED T1115 APPLICATION AND <br /> ���f;,,_ �i� «<�Sh,T � vy�� ,�if/ �/����L.�4L� KNOW7HESAMETOBE7AUEANDCORRECT.ALLPROVISIONSOFLAWSAND <br /> LEO�LDE NIPTIONOiPROPERTYISN BEIOWOPATThLM�ncov�ms OHDINANCESGOVERNINGTHiSTVPEOFWORKWII.LBECOMPIETEDWITH <br /> WHEI HER SPECIFIE[�IIEREIN OR NOT.TI1E GRNNTING UFA PEfiMITDOES NOT <br /> PHESUME TO GIVE AUTHORITV TO VIOLATE OP CANCEL THE PROVISIONS OF <br /> loT BiocK or --_- ANYOTHERSTATEOHIACALLAWREGULATINCCONSTFUCTIONORiNEPER• <br /> FORMANCE OF CONSTRUGTION.THAT I AM AUTHORIZEO BY THE OWHER OF <br /> 7HIS PROPERTV TO PtRFORM 7HE WORK FOR WNICII APPUCATION IS MADE <br /> -- ----- AND I COMPLY WITH iHE STA1E CONTRACTORS LAW �827 RCW AND <br /> 29ti200 WAC. <br /> SIGNMIINLOVCONId4G10HUh�111110N121:0AGl.NI DAL[ <br /> vno�ecr�uoness --- --- X�E�/����L,�� �L/�'C-C'.� ���d'�� <br /> �P 1 AN SLIIIBU9W[551'� SENOAHpBU5ME55N�ME <br /> ��! /J �'' ' � .a i/ <br /> rLUM�INO MECHANICAI <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) AiC-A/H NDLG UNITS-H P <br /> BATHTUB FORCED AIR SYSTEMS-B.T.U._M EA __ <br /> LAVATORY(WASH BASIN) UNIT MEATERS�-BT.U._M _ <br /> SHOWER CLOTHESDRYEHS_ _ ___ _ <br /> KITCHEN SINKB DISP. VENTILA710N FAN _ <br /> DISHWASHER PANGEHOOD _ _ _ ___ _ <br /> LAUNDRYTR�Y -- _ — � - �WATCRHEATER_____. _____ _ <br /> CLOTHFS WASHER WOOD STOVE _ <br /> I�RINAL METAL FIf7EPl_ACE P CHIMNEV <br /> URINKING FOUNTAIN _ FIREPLACE INSERT_ __ __ <br /> F�OORORAIN _ HEATPUMP _ _ _ _ <br /> BACKFLOW PREVEN7ERS GAS PIPING __ _ _ _ <br /> - '_ _. _. --._.__ ___ <br /> ROOF DRAINS-RAINLEADERS L%11nUST fAN <br /> _ _ '_ __- --_---_ _-_ . . -_ __._. __ ...._ . .____'_-_'_______..__ --_ _- <br /> SINKISERVICE-BAR,ETC) _ ___.__. ____ __ _ — <br /> __ _._---__ __-__ - — <br /> SUBTOTAL 5 SUBTOTAL 5 <br /> _ -- . .. -__- _ __-- _-__-__ ____._.__- _ <br /> PERMIT $ PERIdIT S <br /> __- _ — _ .__' _'_-...__._ ___ ____ _--_-_ _ _ <br /> 70TAL FEE 5 TOIAL FEE S <br /> FrFAJiRE�BACN RE�HSBTBAGK SI�CS[T9ACN PLANCHEC6NIIMBEN FEE AECEIPfNO. <br /> usezor+E i.ar�ee� vecnr�isii[ - FEES VALUATION FEE <br /> i vEs i i uo - -- <br /> . __ _- _- _. t3111LDING ��l(�/ <br /> . ____'___'__" . <br /> TVPEOFfANCT. OCCOP�NGTGBOIIP NOO�IIWLLIINGIINpo . ._ . ._ . . . . _ ... _____. <br /> •LLOWABIHAGlUAL �=�.��M�ING <br /> _ --__ .__ . _ .. _ _.. - . - . _ . _ <br /> SIZE Of AIDG NO Of S�OHILS OSMI OLC 1 OAfI • <br /> �i y MGCIIANICAI <br /> 11 N _ _. . . .. _ . . . . . . .__ _ ' . _ <br /> - -- IIHGIIIIIMIT�TIOH ---- (1�HEfl <br /> . .. _ ._ . _-' . .. ___'_"". _"_-_'_". ___- ____ <br /> FIAEPPRiNNlER5RE0UIRE0 n ves n n0 _ STATe DUILDINGSUNCHANGE <br /> S1PTE ENERGY SURClIANGE <br /> . . __ . _.__.__ _____ - — <br /> evruc�rioH•cc er �ri.�Ns�rra �� <br /> PU��IC WORKS <br /> IVl � TOTAL <br /> � <br />