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APPLIa.ATION FOFt CONSTI,JCTION � <br /> PERMIT <br /> Iho Evorqrean ���������� <br /> CIiV OF � <br /> everett , <br /> BUILDING DEPARTMENT <br /> 259�8870 TO BE COMPLETED IN INK- PLEASE PRINT � <br /> } �. �� Mnn nooness � cnv zu, nrarrt II <br /> �(�N`�_��L�2_�SOa�oA���l.�fj—/..�'G'�lit'� �/fj'��C�'`�� (Gc�- �7�4���—C-��/ <br /> ��7 <br /> RIONE <br /> 1EN i � <br /> arv n=;- o��oHe <br /> N ,,� _ — ----- <br /> PRLMIiEL OR ESIGNER � M4iLApUPE55 . <br /> � �J� � � _a?,2S'.S._�c�a�� �v_ '�'i�/��v�9_`/�'zn� t�rs'��rc <br /> �- cOd1 �,o�•� s( t� <br /> ��� c[r�Enn/�p "'nF nooFcss citv - -z�r l�'D�fA�F��'��L� G`7� <br /> � �G��c.t��-1C��-J�' .�!�J_,�.��i��c��.Js�.�[�x���-�C>_.6�K.9_��yc? <br /> �–] MEGNAMUICONiR CtOR MAILA��RE55 CI1V 210 VnONE � LICCt5E• <br /> ��H '__—— <br /> Y Hx y PLUMP�H6LONin�GiOP <br /> MAIL�ODPE55 C�iY ZIP vnONC liLR6C• <br /> N y 3i <br /> y �~ „uss r�wnrc <br /> � H.� �W ❑ ADDITION ❑ AITERATION ❑ REPAIR ❑ DEMOLITION ❑ \VOO�STOVE/FRPLINSERT ❑ BUILDINGRELOCATION <br /> � H� t[N4YiINPROVEMCNiOAINt[RiORREh100[LONLV �� � / CONiAGiPERSOHnN�P��ONENO �(J ��,-7 <br /> fA H � 1 ����"L'_�-GY'��if��-L�_— <br /> y r CONiF4LiPRICEOF\YONK �_— <br /> � Ti� OESCA�BE\\'O�KANp50U�REfO01AGEINVOIVEU <br /> �o �!/���45� = iS�Bc� — — ---- <br /> ra�ousEo�e uomG �HEREBVCEFTIFYTHATIF�,AVEREnDANDEXA0.IINEDTHISAPPLICA710NAND <br /> KNO1Y'HE SAME 10 BE T9UE AND CORRECT.ALL PROVISIONS OF LAW S AN� <br /> ��� ��� OHDINANCES GOVERNING TNIS TVPE OF WORK YJILL BE COMPLET�D W�TH <br /> �ecn�o[sc n Ho PROPERttI5N01VNBELOWORARACM�OURCOPIE51 y/HETHERSPEC�FIEDHEFEINORNOT.THEGRANTINGOFAPERMIiDCESNOT <br /> ^� �(y�/�(� PRESUtdE TO GNE AUTHORIiV TO VIOLATE OR CANCEL TNE PROVISIONS OF <br /> ',pH� �Or_.1�- e�ocn or J������-"-""--" ANVOTHERSTRTEORLOCALLAWREGULATINGCON3TRUCiIONORTMEPER� , <br /> [y y' FORMANCE OF CONSTRUCTIO�J.THAT I FM AUTHORIZED BV THE OWNER OF 'I <br /> HH �y. (J � THISPROPERTVTOPERFORMTNEWORNFpRWHICHAPPLICaTION15MA0E <br /> �y VJ �yQ L7- Q 'O�Q � tJ�C'�C—/ '� � G� pND I COMPLY WIiM THE STATE CONTRACTORS LAIV 7827 RCW AND , <br /> �"� 296.200 WAC <br /> sw�+arwao�covr ona:xu*��.oa¢cnncer�r o�re <br /> � �r �� i� U P/,t �� �A�/�� r/,-�.�� �^`'� I <br /> � 7�tc��• ,�aarLl��—r'� "'t� .� - ^ /���' '�--- <br /> :, H C/� // <br /> H C w { � ---- i <br /> PROJ[C)1AD�AE55 �/.�l APPI'i c<H i.L� 6 T.,SUCFNSENOAND SINESSfIn•.2 <br /> I�I��'7 ��C�����.�������� 7_i�, <br /> ..' MECMANICAL <br /> PLUMBING , <br /> N , TVPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOl11PMENT FEE <br /> WATERCLOSET�TOILCi) . __ NC-WMNDLGUNITS-HP. <br /> BATHTUB � '- _ _ FORCEDAIFSVSTEMS-BT.U. MEA _____ <br /> '�' � - LAVATORVIWASHBASIN) ,-,� = UNITNEATEf75-6TU. M = <br /> �! --1 SHOWER _�_-� CLOTHE3DR�[RS <br /> KITCHENSINKdDISP. = , . � � ! VENTILATIONFAN _ <br /> h DISHWASHEf� �� r; - -� qANGE HOOD — <br /> � WATER HEAIER <br /> I � LAUN�RYTRAY �� y�00DSTOVE I <br /> i� CLOTHES WASHER �I <br /> URINAL AfETAL FIREPLACESCNIMNEV _ <br /> ; �' DRINKING FOUNTAIN __FIREPLACE INSERT <br /> +.� FLOORDRAW __ HEATPUMP <br /> BACKFLOW PREVENTER$ GAS PIPING � <br /> � <br /> ROOFDRAINS-F7NINlEADERS _ EXMAUSTFFN 'i <br /> I ' � $INK�SERVICE-BAR,ETC) <br /> '� � — — <br /> ' SUBTOTAL 5 ' � <br /> SUBTOTAL S � - <br /> � r' PERMIT S ___ PERMIT S ��.,� <br /> TOTAL FEE S �� ' <br /> TOTALFEE 5 �'/ ncteivrno <br /> pRONiSETBACN AE�RSELOACK 'Si °°L6AGI( FIANCNE KM�MBEH_ �� FE�E '//� <br /> � .� �� - C�� /1 r'� J"7�.1� ��� <br /> � ' � lJ l �(%� i <br /> usezone � LOiARLA WCANTSIIE FEES VPLUATION FEE <br /> /YES ❑NO �r-� 1 � / <br /> 2 Bl11LDING'�t�� :_ _���C` �- L�����..!— — �:i,-� � <br /> 1��PE OF CONst — ���Op� NO Jf OK'EllINO ONI15 _ -- - – � <br /> PLOWApIE/ACLWL _ / � PLUA7BING __ _��/`� — <br /> vzc or etoc r+o oF stoei[s esn�t. occ�oeo MECHANICAL L�__ <br /> /,588 Sr- Z >o� ti!/A _ — <br /> ��fiG11iLIMIIAiION 01HER I J <br /> �� i <br /> RRESPlV�NKlEP5PEO111RE� ❑YES GCHO STATFBU��OINGSURCHARGEi � <br /> STATE ENERGV SUF7CHARGE <br /> i <br /> PPVLILAIIO���GC�Y i'LANSNPFP BY PUOLIC WORKS <br /> 1 <br /> yi� �� TOTAL �� ��"� �� <br /> T >- i � / � •l� <br /> ,� � _ , , �� , �� r C �:�� t�� ✓1 �/! .� , (. i;�. , . 1�, ��L/%�.� C <br /> , 'L (� i � ., . . <br /> � <br /> i./� �i 1 i �': -� '� - . <br /> --_. s._ -_ . <br />