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APPLIC�ION FOR CONSTRI�TION <br /> � PERI�AIT <br /> , tM EHrpnrn <br /> CITY OF <br /> � eve�ett <br /> � everett � <br /> i BUILDING DEPARTMENT <br /> 266•eB10 TO BE COMPL�TED IN INK—PLEASE PRINT <br /> � M�IL�DORESB• p1Y ZIP PNOHE <br /> TIMSERLINE 1231 S. Director St. , Seat.tle, WA 98108 <br /> TE�T MML��DPESS CILY 21P PNONE <br /> � NICNRECfORDEeIONER M�IL�ODRESS CITY 21P PHON� <br /> 1 OENEMLCONTqA�{pq M�ILADDRE38 GTY 21P PHONE LiGENBE• <br /> � <br /> � <br /> iMEp111NIC11LGGdTMCTOR ' MAIL�DDRE69 GIiY ZIP PNONE LICENGE• <br /> 1 PLUM�INO CONTRII�fOP MML AppHE8S LICEM8E• <br /> ; Cinited Plumbing Bldg. 328, Paine Field, Everett, WA 98204 745-8315 UNITEP148R <br /> CL11M OF NOIIK <br /> �! ❑ NEW ADDITION ❑ A�TERATION ❑ REPAIq ❑ DEMOLITION ❑ WOODSTOVE/FFPL INSERT ❑ BUILDINO RELOC�TION <br /> 7iNM1i1M EMEMTORINiERIORPEMOOELONLY CANUCTPERSpNANDPMOHEND <br /> { COMTMCTFlI OFMVRK <br /> �I OE�CIM�f PYORK MIOlOU�RE FODT/�OE INVpIyED <br /> � Plumb new buildin — <br /> PIIOrO�ED U!E OFlUILD1N0 <br /> � I HEREBY CERTIFV THAT 1 HRVE READ AND EXAMINED THI$APPUCATION AND <br /> �-Plex KNOW THE SAME TO BE TRUE AND CORRECT.All PHOV1910N9 0F LINS AND <br /> LfMLDE�q11Vf10NOFPppPEqTy�BNOWNBELONOPIITG1CNi0URCOflES� ORDINANCESOOVERNINGTH137VPEOFWORKWILLBECOMPLETEDWITH <br /> P ESUME TOEtIIVE AUiHORITV TO VIOLATE OR CANCEL THE PROVI910N9 OFT <br /> , � �� �F ANYOTHERSTATEORLOCALLAWREOULATIN6CONSTpUCTIONORiHEPER� <br /> � FORMANCE OF CqNSTRUCTION.TMAT 1 AM AUTHORI2ED BY THE OWNER OF <br /> � THIS PROPERiY TO PERFORM THE WOqK FOR WMICH APPLIC�TION�S MADE <br /> AND I COMPLY N7TH THE STATE CONTRACTORS LAW 18.27 RCW AND <br /> 2BB200 WAC. p <br /> &ON�TUREOFLONTR�CtOHOF�UTNOf112ED�0ENT D�TE �U/�l,(/n � <br /> � I / I � <br /> 1 N�GJECfMU11E�! �� �.C/`!niL•- /�- ` _ J,�., <br /> 2515 Melvin Avenue, Everett �]F{ �����NiBCRYBUSINE6BlICEN8EN0.�NDBU I BgN�ME <br /> �M�� MECNANICAL <br /> MO• 7YK OF FIAT111E OII ITEM FEE NO. TYPE OF EOUIPMENT �E <br /> WATERCL08ET(TOILET) ZO. O /VC—NHNDLOUNITS—H.P. ' <br /> 4 MTMNB Z O O FORCED AIR SV9TEMS—B.T.U. M EA <br /> � LAVATORV(WA8HBA911� Z O UNIiHEATER3—B.T.U. M <br /> SHOWER CLOTHESDRYERS <br /> � KITCHEN BINK 6 DI9P. � VENTILAT�ON FAN <br /> DIgNWABHER RANGEHOOD <br /> j UUNDRVTRAY WATERNEATER <br /> � CLOTMESWASHEH j WOODSTOVE OO <br /> URINO.L METAL FIREPLACE 8 CHIMNEV <br /> � DRI'IKINO FOUNTAIN FIqEPLACE INSERT <br /> FLOOA DRAIN HEAT PUMP <br /> BACKFIOW pqEVENTER$ GAS PIPING <br /> ROOF DRAINB—RAINLEADERS EXHAUST FAN <br /> 81NK�BERVICE—BAR,ETC.) <br /> suerorn� s 12 suerorn� s 26. 00 <br /> PERMIT E <br /> PERMIT E . O <br /> TOTAI FEE b TOTAL FEE S <br /> TBETd1�K BEARBEi&1CN BIOE6ETBI�CK PIANCNECRHUMaEl1 FEE IIECEIPfMO. <br /> ueE2anE tpt�q�n WC�NTBIIE FEEB VALUATION FEE <br /> ❑VE8 ❑NO <br /> 7YPEOiCON9T. OCCUP�NCYUpOUP NOAFOWELLINAUNIiB BUILDING <br /> KLONM�I.bACfU�L <br /> PLUMBING <br /> 112EO�BlpO. NOOF810RIE8 84MT. OCG:.O�D <br /> �• AtECHANICAL <br /> ❑N <br /> NEI3NTLIM�T�TION OTHER <br /> FIREDPi11NKLER8RE0U'PED ❑YE9 O NO <br /> STATE BUILDING SURCHARGE <br /> SiATE ENERGV SURCHARGE <br /> MPLIC�TION IGG BY PL�N9�PPR 9Y <br /> PUBLIC WORKS <br /> TOTAL 161 <br /> ..i,r� . _,. { ._. .. ._.. -� . . . . _ . .. ._ . <br /> . � ,..� . �.. .. �r . �. . . � . . . � <br /> .i, ' .t: :�' -•Y.i <br />