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� � <br /> � APPLIC f10N FOR CONSTRI..:T90N <br />� PERMIT <br /> y�f-1 I�e Evergroen racictt <br /> '�5�� ';1 CITYOF � <br />; � �x everett <br />� � ��� BUILDING DEPARTMENT <br /> 25s-eB10 TO BE COMPLETED IN INK— PLEASE PRINT <br /> 1] �H pUIL A��RE55 GiiY Z�P PHONE <br /> II °WNE' fiVERETT 98203 353-4675 <br /> � H� SRIC HERRERA 2215 MONROB AV6. <br /> �H �{f iEl .Ni MAILPO�PE55 LITY ZIP PNON[ 'I <br /> i � <br /> � � Cltt ZIP PNONE <br /> �Q ARGIIRECTORpESIGNER MAILDDORE55 II <br /> � ^ � Ii <br /> �y �y GENENALCU4LF�CTOR AIPILAOORE55 CIiY 21P P110NE 4CENSE• <br /> M � O BVERETT BLDRS. INC. 5606 EVERGRGEN I1AY EVGRETT 98230 353-7161 EVEREB*301PH � <br /> (�]M Q GIiY Zi� PNONE LICENSE• I <br /> MECNANICALCONiRACiOR M.ULAODRESS <br /> `' y� PIUMBINGCONIRACTON MRIL�OCRE55 G11Y ZIP PMONE ULENSE� <br /> HH — <br /> y H <br /> ��y GLA$$O�WORK <br /> ❑ NEW CB ADDITION ❑ ALTEFATIOk ❑ REPAIH ❑ DEMOLITION ❑ K'OOOSTOVE/FPPLINSERT ❑ BUILDINGRELOLATION ' <br /> � TENANTIMPPOVEMENTGRINiEH10RREAlODELONLY p CONtALiPEP50NANOP��ONENO <br /> y p y CONIRAGTPPICEOFWORK -9-9�3-0� ��D� Ga9lP BIFF JONES (353-716) ' <br /> - �ESCRIBEWOReANO50U�REfOOiAGEINVOlVEO � <br /> Addi[ion (see lans) <br /> PflOPOSE�I.SE OF BWLDING I HEfiEBY CERTIFV THAT I HAVE READ AND E%AMINED THIS APPLICATION AND <br /> KNOW THE SAME TO BE TRUE AN�COFRECT.ALL f'ROVISIONS OF IAWS AND <br /> ORDINANCES GOVERNING THIS NPE OF WORK WILL BE COMPLETED WITH <br /> � LEGRLOESGRIPiIONOfPROPEPttISNOWNBE ORARACHFOIIflGpt'�ES� �yHETHERSPECIFIEDHEP.EINORNOTTHEGRANiINGOFAPE(iM1TD0ESNOT ' <br /> IJ e � PRESUMETOGNEAUTHORINTOVIOLATEORCANGELTMEPROVISIONSOF <br /> � �o��BLOGK�� oF �— ANYOTHERSTATEORLOJALLAWR'gG LAL CONSTRUCTIONORTHEPEfl� <br /> (j o FORMANCE OF CONSTRUCTION THl�A'T I P.M AU MORIZE�B5'THE OW NER OF <br /> CI� THISPAOPER7�TOPERPORM1ITHE�ORKFOF HICHAPPLICATIONISMADE <br /> o• AND�I COAIPLYW iH THE STAi GONTRAC OFS LAW 7827 RCW AN� <br /> �V �/1 � � �/ /�/� 2 6200 WAC. <br /> ��^ �f ����' 1'��NTJ 1L {h _ ^ �._1 5� 1A111PEO�CONt41nCiG10RAU1110RiZE0 GENT D�tE <br /> ��J�v_ \J �Al—�J t/`-� � � . <br /> CC��O X - � <br /> vAaee.zZlSsMONROE AVE. EVERETT 98203 A��UCAMSCIIYBUSWE$ IG�E OAN�BUS�NESSNAIE <br /> ' 1 PLUMBING MECHANiCAL <br /> ' ' TYPE OF FI%TUHE OH ITEM FEE NO. TYPE OF EOUIPMENT FEE — <br /> NO. <br /> � WATERCLOSET(TOILEf) _ A/C—A�HNDLGUNITS—H.P. <br /> FORCED AIR SYSTEh15—6T.U. M EA <br /> ��1 BATHTUB — <br /> LAVATORY�WASHBASIN) UNITHEAtERS—BT.U. M <br /> 1 ' SHOWER CLOTHESDRVERS <br /> � KITCHEN SINKB DISP. VENTILAiION FAN <br /> DISHWASHER _ RANGE HOOD — <br /> 1 LAUNDRVTRAY WATERHEATER <br /> ' CLOTHESWASHER WOODSTOVE — <br /> i METAL FIREPLACE 8 CHIMNEV <br /> UPINAL <br /> ' DPINK�NGFOUNTAIN _ FIPEPLACEINSERT <br /> NEAT PUMP <br /> FLOOR DRAIN <br /> ' _ B4CKFlOW PREVENTERS GA$PIPING — <br /> ROOF DRAINS—RAINLEA�ERS EXHAUST FAN <br /> '�"'a SINK(SERVICE—BAR,ETG) — _ '_ - ��- <br /> } ;�.�rrs�- i� <br /> � — S' ~-M ' - � <br /> ,- �b -•�� � <br /> �1 — __ 1r•`s�`�'s S1`'' _ <br /> ;;���t. _"F_ <br /> 1 r <br /> SUBTOTAL 5 SUBTOTAL S <br /> � PERMIT 5 _ <br /> PERMIT g <br /> TOTAL FLE S TOTAL FEE 5 <br /> FRONTSET[iACN PEPRSEtBACH SIOESEIpAGH PIANCNCKNUM6E�^ FE�ID�� pECI1V� � 1 <br /> � � 7L ` � <br /> �� 2�, <br /> Use2o�+e wrneEA WLANTSIIE FEES VALUATION FEE <br /> p �7 �4 ❑YES jN0 '� <br /> „^L w�� _ ��r BUILOING ���__ <br /> ttPEOFGON51. OCCUPANCYGROIIP M1OAiOWELLINGUNILS <br /> ALlO\YAOLE/�CTWL ' PLUMBING -- <br /> si2Eove�DG r+o.ovsonies BSMt. ocG�oJeo/ MECNANICAL <br /> ys� �f Av / o Y ,v,+} c <br /> NcicHt�iM�r�norv OTHER � `� <br /> �B� --�_� <br /> FipE SPRINNlEP5RE0l11RED ❑vE5 " o STATE BUILDING SURCHARGE _ <br /> $TATEENERGYSURCHARGE __ � _ <br /> AI'PUCAPO� PLANS�f'P0.B1� PUBLICWORKS <br /> % <br /> � TOTAL __ '-. ' <br />