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APPLIC.,�ION FOR CONSTRI.�TION <br /> �PERMIT <br /> fhe Everpreen <br /> CITY OF �.y�._���� <br /> everett e <br /> BUILDING DEPARTMENT <br /> 259-8610 TO BE COMPLETED IN INK- PLEASE PRItJT <br /> OWNER MAII AO�R[55 �ItY IIP PIIONG <br /> �PS�� f .c�f�r�::`� (�Y_'> _ rr_kr�'��_�_`_� caJr;.�'r�I ,`rc�k1�T ;�.�5-qG9� <br /> 7ENANT MAII Al10RCS5 f,I1Y zlP P110NE <br /> £�lM� <br /> — - ------- --- <br /> �RCNIiECTORDE5IGNEN M�ILAODR�55 CIIV IIP�� - PIION[ <br /> GENER�LCONTR�GTOR MAILAOORESS CIIY ZIP PIIONE LILENSE• <br /> _n/h.G- 1�9�'F ��/S �i�/1�� -��'a�'°— - �f%OS' S2s�-a?�U hf�CC(�'Q/�� <br /> MECM�NIC�LLONiR�CTOR MAILADORE55 C17Y ZIP PIIONE LiGENSE• <br /> VLUMBINOCONTRACTOR MAIL�OORE55 --"---CIIY --'—'----21P "--�---_ PIION[ IiCENSE� <br /> CL�SS OF VNRK --"--'— <br /> ❑ NEW ❑ AODITION ❑ ALTEFAiION ❑ PEPAIR ❑ OEMOLITION ❑ WOOOSIOVE/FRPL.WSERT ❑ BUILDING RELO(:ATIGN <br /> IEN�NTIMPROVEMENTONINTENIORREMOOEIONIY CONTACiP[RSONANDPIIONENO <br /> CONTR�CTPRICEOFWOpK L,�7(_��� <br /> OESCRIBE WORK AND SO WRE FOOTpGE INVOLVED — . <br /> ReRz�� �.�FP� <br /> PNOP09EOUSEOfBWtDiNO ---�---- — , <br /> IIIEREBYCERTIFVTfiATIHAVER�ADANDEXAMINEDTHISAPPLICATIONAND � <br /> KNOW THE SAME TO BE 7RUE AND CORRECT.ALL PROVISIONS OF LAW3 AND <br /> ieue�oescniPnoNOFrRorearvisnowNee�owoaen�cNwuncories� — ORDINANCESGOVERNINGTHISNPEOFWORKWILLBECOMPLETEDWITH � <br /> W H ETfiER SPECIFIFD li[REIN OR NOT.THE CaRANTING OFA PERMIT DOES NOT <br /> Lor e�ocK oF PRESUME TO GNE AUTHORITV 70 VIOLATE OR CANCEL THE PROVISIONS OF � <br /> ---- ANYOTHERSTATEORLOCALLAWREGULATINGCONSiRUCTIONORTHEPER� <br /> FORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BY THE OWNER OF <br /> i111S Pf10PERiV TO PERFORM TNE WORK FOR Wf{ICH APPL�CATION IS MADE <br /> — AND I COMPLV WITH ESTATE CONTRACiORS LAW iB27 RCW AND <br /> 296200 WAC <br /> SIGNAl11R QI CO ACI iN11Np11110RR(.U�6lM OA�L <br /> / <br /> ct'� 1 c�'.�����.�;()__ -- X (,4�� � - _ _- �'-27'� <br /> PROJEGiA�ORE55 i . <br /> ' AFPIIC�N19CIfY0U51N[' IICLNS[NO�NppU51NE55N�ME <br /> PLUMBIN6 MECHANICAL <br /> NO. TYPE OF FUfTURE QR ITEM FEE NO. TYPE OF EOUIPMENi FEE . <br /> WA�ERCLOSETITOILE7) — — -- — A/C—A/HNOLGUNITS—HP. _ I <br /> BATMTUB FORCED AIH SY51 EMS—BS.U. M EA + <br /> LAVATORY�WASHBASINI _ _ UNITHEAILFS--OS.U. M _ I <br /> SHOWER — —_ CLOTHES DRYERS _ _ j <br /> KITCHEN SINKB DISP. VENTILATION FAN � <br /> DISHWASNER RANGE I100D � <br /> LAUNDflYTRAY WqTER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL fIREPLACE 8 CHIMNEY i <br /> —' — t <br /> DRINKING FOUNTAIN FIREPLAC[INSLFT <br /> FLOOR DRO,IN I1EAT PUMP � <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—RAINLEADERS E%HAUST FAN <br /> — --__ —_.____ _ ._ __ _.. ______._____._—_ __ <br /> SINK(SERVICE—BAR,ETC� <br /> SU6TOTAL 5 SUBTOTAL S <br /> PERMIT $ PERMIT E <br /> TOTAL FEE TOTAL FEE S <br /> FPONTSEiB4GK qE�R5ET0�CK SIOESEiOAGY. PIANCNECKNUMBER FEE RECEIPTNO. <br /> uSezoNe �ot�qe� VACANTSR[ FEES VALUATION FEE <br /> I I YES 11 NO . <br /> . BUILDING__________ __ � 1�� f]''� <br /> TYFEOFCONST. OCCUPANLYGROUP NOOFOWEIIiNOIINITS _ �_,�_ <br /> •IIOW�BIE/ACTWL <br /> PLUMBING <br /> SREOFBL04 NO.OFSTORI[5 BSMi OLCIOAD <br /> ❑v AtECHANICAI <br /> nH — <br /> NEIGIITIIMRAiION OTHER <br /> FIflESPRINKLER5RE0UIRED ❑YES ❑ NO STATEBUILOINGSIIRCHARGE ��'�� <br /> STATE ENERGY SURCHARC�E <br /> APPIICATION�CC.BY PLANSAPPRBY <br /> PUBLIC WORKS <br /> TOTAL r � <br /> i <br /> � <br />