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,.., .-� /���� <br /> APPLI�..�►TION FOR CONSTAJCTION <br /> PERMIT <br /> 1he Everpreen rw�rrl� <br /> CITY OF � <br /> everett <br /> BUILDING DEPARTMENT <br /> 259•89�o TO BE COMPLETED IN INK— PIEASE PRINT <br /> � q MAiL�0�BE55 C11V dIV PNON! <br /> �'ia��.e,e i S Cl��}-C�L�-,�►i�G (�' L�t�r�etE- �-�—L�_`�� <br /> �-rc.�___ <br /> �N� MPILADOPE55 GIiY 21P PHONE <br /> AIIGHITECTOR0E51GNER MRILPD�RE55 GITY ZIP PNONE <br /> OENERA��ONTRAGtOR M.11L�UORE55 CiiY 2iP PHONE LICENSE• <br /> \M�C�NICAICONTR�pG,t ,1 M�I��E� ��G���� ����� �lZl�� � � � ' 1�� IICENSE• <br /> r� � i\ t ��1c7; ci _c;t/ Y��4/� <br /> PLUMBINOGONT TOR MAiLRDORE55 Clf ZIP PMONE r LCENSE <br /> ClA53OF WOFN <br /> OANTEMPROV❑EMENTDOATINOtER�ql n. A^OELRONON ❑ REPAIR ❑ DEMOLITION co❑ACWORDOSNONOPMONENOSERT ❑ OUILDINGFE�OCATION � <br /> CANTMCTPRIGEOFWORK / <br /> DE p�BEWORK NDS �IAAEFOOT�GEINVOLYED <br /> -t�' t C ' '� <br /> sEousEore u I I.iEREBYCERTIFYTHATIHAVEREADANDEXAMINEDTHISAPPLICATIONAND <br /> � L/ KNOWTHESAMETOBETRUEANOCORRECT.ALLPROVISIONSOFLAWSAND <br /> LE(NLDESCNIPTIONOFPFOPERtt�SHOWNBEIOWORPR�CMFOURCOPIES� ORDINANCESGOVERNINGTHISNPEOFWORKWILLBECOMPLETEDWIM <br /> W HETHER SPECIFIED HEREIN qR NOT.THE GRANTING OFA PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVIS�ONS OF <br /> �or e�ocK or ANVOTHERSTATEORLOCALLAWREGULATINGCONSTRUC710NORTHEPER• <br /> FORMANCE OF CONSTRUCTION.THAT I AM AUTHOR12ED BY THE OW NER OF <br /> THIS PROPERTY TO PERFORM THE WORK FOR\NHICH APPLICATION IS MADE <br /> AND I COMPLV WITH THE STATE CONTRACTORS LAW 1827 RCW AND <br /> 296200 WAC. <br /> $IGNATUREOFCONTRRCTOAOFRUTNORREDAGENT OATE <br /> X ���� �o%/d'9 <br /> �,u�,�u,• � <br /> PqOJECTA�35 � • '/ pPFIiCRNiS YBU9NESSUCENSENO�NOBUSINESSN�ME <br /> ✓ I �� <br /> PLUMBINO MECHAN�CAL <br /> NO. T/PE OF FIXTURE ON ITEM PEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSEf(TOILEn A/C—A/HNDLG UNITS—H.P. <br /> BATHTUB FORCED AIR SYSTEMS—6T.0 M EA <br /> LAVATORVIWASHBASIN) UNITHEATERS—&T.U. M <br /> SHOWER CLOTHESDRYERS <br /> KITCHEN SINK 8 DISP. VENTILATION FAN <br /> OISHWASHER RANGE HOOD <br /> LAUNDRV TRAV WATER HEATER <br /> CLOTHES WASHER WOOD S70vE <br /> URINAL METAL FIREPLACE 8 CHIMNEY <br /> ORINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR ORAIN HEAT PUMP <br /> BACKFLOW PqEVENTERS GAS PIPING <br /> ROOF ORAINS—RAINLEADERS EXHAUST FAN <br /> SINK(SERVICE—BAR,ETC.) <br /> SUBTOTAL 5 SUBTOTAL 5 <br /> PERMIT E PERMIT S <br /> TOTAL FEE $ TOTAL FEE 5 <br /> FNONTSEf6AGN RERRSETBl�LN SIDESET9�CN PUNCHECRNOM9Eq FEE RELEIPTNO. <br /> use2oNe �oreqea VNCANTSITE FEES VALUATION FEE <br /> ❑ves n r+o <br /> BUILDIN� <br /> TYPEOFLONST. OCCUPANCYGROUP NOAFDWELIINGUNITS <br /> e��ow�B�EUGtua� pLUMBING <br /> SREOFBLOG NO.OFSTORIES oYT. a��o"o MECHANICAL <br /> ❑ N <br /> MEIGNiLIMITATION OTHER � <br /> FIRE SPRINNLERS REOIIIREO ❑VE$ ❑NO STATE BUILDING SURCHARGE <br /> STATE ENERC�V SURCHARGE <br /> pPPlIG4ilONAGCBY PLANSAPPP.BY PUBLICWORKS <br /> TOTAL <br />