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� � <br /> �';;:,� . (� <br /> 'r�" APPLICIlT10N FOR CONSTR�TION <br /> ��_• � � PERMIT � <br /> ,, . <br /> ��m� everett <br />;�, qTY OF . , . . _ : . . .. � <br /> �everett <br /> �BUILDING JEPARTMENT <br /> 269-8810 TO BE COMPLETED IN INK— PLEASE PRINT <br /> /.MII�DUNE9S GITY IIP PMONE rj � <br />,�-. 62.��- A���-ir��e �.�5�''->y n�„rP�e �'ve-u�f- t ` �i'3s' <br /> T n M/JIADDREBS GITT 21P PIqNE .. .:1 . � <br /> � (, <br /> .', MCIIRECiOP�EBqHEP M�ILAUDRESS GTY ZIP PIIONE � <br /> ::s:; . <br /> ' �E���� .y��� /�//OK�IMIL ODPE 9 � '/�f a� CITY �//..r 2�1PjI� �./�PHO,INE ./ Z G LICENSE• <br />' ,,��n'W /� MNL�DD�� �T''Y ��TY� / I Z/�^�Y/ ///Ri•y�/�Z� <br /> �,�=��L.� ��i�i��Edl <br /> ,, , _ ... /3LC�} <br /> `��1�f0� MIUL�DDRE89 GITY 21P VMONE LI EN • <br /> ...t. OfNVI1R . <br /> ❑ NiW. ' ADDIYION ❑ ALTEMTION ❑ REPAIR ❑ DEMOLITION ❑ N�OODSTOVE/FPPLINSERT ❑ BUILDINOHELOCATION _ <br /> IM►IIWEMENTORINTERIORPEMOOELONLY �„ WNT�CTPEFBON�NDPNONENO. <br /> . .CpNTMCTMIICLOF W011K <br /> ..�.�OpCIM�[W7�IKM/0lOU�M OOTAOEINVOWED�.�+�.�iC6�� // <br /> . ','' � � ��� � // <br />, 4�qrpfous[orem�aNa IHEREBYCERTIFYTHATIHAVEREADANDE7UMINEDTHISAPPLICATIONAND <br /> KNOW THE SAME TO BE TRUE AND CARRECT.ALL PROV1310N90F LAWS AND <br />,; -��-�,� � ORD�NRNCES GOVERNINO THIS TVPE OF WORK Wlll BE CAMPLEIED WRH <br /> ��-��fw�pEecpip�qN ppppQp7Y�&I�NNBELONOR�TD�CNiOUPCOPIEe� yyHEl'HEHSPECIFIEDHEREINORNOT.THEORANTINQOFAPERMITDOE9N0T <br /> ��:�3 �-'yJ�� PRESUMETOGIVEAUTHORI7VTOVIOLATEORCANCEITHEPRON310NSOF <br /> K pF ANYOTHERSTATEORLOCALLAWRE6UUTIN6CONSTRUCTIONORTHEPER• <br /> � FORMANCE OF CONSTRUCTION.TMAT I AM AUTHORIZED BY THE OWNER OF <br />�•�n''Y'���{^� �� THIS PROPERN TO PERFORM TME WORK FOR WMICH APPLICATION IS MADE <br /> ' � ANO I COMPLY WITH TME STA7E CONTRACTOH9 LAW 1827 RCW AND <br /> •;�' /� � �9� 2882 WAC. <br /> J� -�S-c�o—d�3 —oe o � gIpNAT OFGONTR ORAUTHOR12ED�(iENT DATE <br /> X C�V <br /> �w��/� � L� /� i/ ^�� � �p 7gGITYBU51NE59LICENSENO.�NOBU91 NAME i <br /> ;!'•�'_ G Gy K%1' <br /> .'•^'+.i M.YM�INO MECHANICAL � <br /> *pp .� .•... .. 7Y�[ORflX7UIlE0111TEM fEE NO. TYPEOfEOUIPMENT FEE � I, <br /> - -WATERCl09ET�TOIL � NC—NHNDLOUNITS—H.P. <br /> -�'�"� BATMNB FORCED AIR SYSTEMS—B2U. M EA <br />•�� '^'�� LAVATORV A8M B�81N) UNIT HEATERS—&LU. M <br /> v' <br /> s„�WER CLOTHEBDRYER3 <br /> �'�`4:'.`f � KITCMENBINM.BDISP. � VENTIUTIONFAN . <br /> ,tdi-d-' DIOlIWABMER RANQEHOOD � <br /> ���'��`��'"� � LAUNDRYTRAY WATERHEATER ; <br /> ''t�,a�'i•�'' CLOTHEB WA9HER � ' ' WOOD STOVE �� <br /> �'�6_ METAL FIREPLACE 6 CHIMNEY <br /> ` URINAL <br /> ' DRINKINQFOUNTAIN FIREPLACEINSERT <br /> � � " FLOOR DMIN HEAT PUMP <br /> � � NACKFLOW PqEVENTER9 OAS PIPING <br /> ROOF DRAINS—RAINLEADERS E%HAUST FAN <br /> - 91NK�8ERVICE—BAR,ETC.) <br /> SUBTOTAL S SUBTOTAL S <br /> � PERMIT E PERMIT S <br /> TOTALFEE S TOTAL FEE S <br /> TlETd1GK flFARBETB�CK 810E9ETBACK MMCN NNUMlEII FEE �«E���' <br /> � 6 �' g8 9-1353 rl�� l�-tb`-�g <br /> ��N �pT�p� V�G�NTBITE FEEB VAIUATION FEE � <br /> O YE8 �0 <br /> •'�;+'`• �i Goao BUILDINO ,000 <br /> � Tyrlpf00NlT. OCCIIPANCYOROUP NO.OFOWELUNOUNIiB <br /> hLLOw�w _ - 1 _/ � PLUMBING <br /> Jv <br /> Mzepra�oa NQOFBTOPIEe 89MT. � OGGl0�0 MECNANICAI <br /> ❑r � <br /> Ov � <br /> HEIOHTLIMIT�TION OTHER <br /> FlRE9MINNlERSREW�RED ❑YE9 0 STATEBUILDINGSURCHARGE <br /> STATE ENERGY SURCHARGE <br /> wruci,nOr+ncc.Br vuNe�arae� PUBLICWORKS <br /> � `��, TOTAL <br /> �..��..�.�. . - _t'.r..,.T.��.,.arT`wne�-��..-.�..�r���^^'..�.�':th��i`0."Y.�.'�:(�t <br />