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APPLICI+e��ION FOR t:ONSTRIn:TION <br /> PERMIT <br /> fhe Everp�een ����e�� <br /> CITV OF <br /> everett e <br /> BUILDING DEPARTMENT <br /> 259•ed10 TO BE COMPLETED IN INK— PLEASE PRINT <br /> ��NER ,r� C �. � M41L�UURF55 ^)`� >�P�tr` 1`IIONE � - [)� ��� <br /> oL �E=� �����S`Z------. C��IR`_I`=111«�. �'�1--�`�r�� �5 rJ�' <br /> T N�NT MML�D�11E55 C��� l�P f'110NE <br /> �RCMITEGTORDESIGNER MAll�00RE55 f.l1v 21P PIIONE <br /> GENERALCONIRACIOR MPIl�00RE55 C11Y ZIP PHONE I�LENSE• <br /> r •. � nr �� c- Sc�<<N2,: 3�'I-a�I S` <br /> MECHANIC�L ilR�CiOti MRIL400RE55 QIY ZIP PHONE LILENSE• <br /> PLUMBIN4CONLP�CIOR MRRODDfVESS CIIV IIP PI�ONE I�CENSE• <br /> _ _-_-_ __""_-__'-_.—_ <br /> CU59 OF NONN <br /> ❑ NEW ❑ ADDITION ❑ ALTEMTION ❑ REPAIR _ D[��OLIIION ❑ WOOUS70V[/ftiPLIN5f:17T ❑ OUILDINGRELOCATION <br /> —�" _—'__ _ _ ._ ___' . "_ __"_'___"._.._ .__. ..___. ._. _.__ ."______' _ <br /> 1EN�Ni IMPPOVEMENI Oli IMEPIOR REIAOOEI.ONLV CONIACI Pff1$UN At1111'l1UNl NO <br /> cor+rn�crrniccorwonm �l�t\��; Ij�.l-�'1L'f .�°�y -Q���----- <br /> DESCHIBE WORK�N�S9U��f.f W I�UC iN�OLVEO <br /> _ � --- 1 i:. ' � � } � _` -����L�--�«_�.t��__ �S3 -`7�a3 <br /> moposEnu5e0Feuaoirva . . IIIEREDYCER7I�YTHATIHAVEREADANDEXAMINEDTHISAPPLICATIONA4D <br /> � , . ` <br /> 1 � I t � � - 1 KNOW1nE5AMETOAEfAUEANf)CORRECT.A�LPROVISIONSOFLAWSAND i <br /> , ; <br /> lf�'NLDESCBIPIIONU�1`RO�`II11Y�511(ri4NOfiOW�'11MIACulOUI1CUR1!e �� - � � Of1UW�NCESGOV[tiNWG1111S1YPEOFWORKWILLF3ECOMPLE1EDWiTH <br /> �y,, ��� 1�� 2 WIIGIIIf:RSPfCIfICUlICR19NOfINOi.111EUMNTINGOFAPERIAITDOESNOT <br /> �y1�e. e�ocK�.l� or �V°=� C��_ PRESUMEIOGIVEAUII:OI111V1OVIOL�TEORCANCELTHEPHOVISIONSOF <br /> tor ANV 0711[R STA1[OR LOCAL LAW REGULATiNG CONSTRUCTION OR THE PER- <br /> ^ f (� 1 FORMANCE OF CONSIRUC110N.THAi I AM AUTHOR12ED BV THE OWNER Of � <br /> I)�� � SVih '-- aCCI_LS_Q�`�_t�-7-I2,�� `-^Ci`�L�_ ANDI COMPIVTW T1�11�i[ S7A EWCONTRACTJORS LAWL182T7ORCWMAND �) <br /> np � `I (� rl� � 296200 WAC. i <br /> 1 (�!`iN�/Ln.� `\ l� V��G.tYtiC—� (J� 1 1�\1 � SIBNRIUREOFCONIRACI t110�12EDRGENT OAIE � <br /> ���e b o�- 5�,�1. C�..�t�� �kz,l�, �.F ���v _ Q✓Xv� ; <<s n /j�''1: �� c�Q <br /> PNOJEC A�DRE55 � Appi pN`GII�USMESSLICf.N ENO�NOBU�SN SSN�M <br /> O lo � �1�� �e� � l.�Y� � �Q'Q�(' <br /> PLUMBINO NECHANICAL <br /> NO. TYPE OF FI%NRE OR ITF.M FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILEn NC-A/HNO�G UNITS-H.P. <br /> BATHTUB FORCED NRSYSTEMS=B.T.U. �M EA <br /> LAVATORY�WASHBASIN) UNITHENERS�-B.i.0 _ M <br /> SHOWER OLOTHES DRV[f75____ _ <br /> KITCHEN SINKd DISP. VENTILATION FAN_ I <br /> DISHWASHER _ _ _RANGEHOOD _ � <br /> LAUNORYTRAV WATER HEAIER � <br /> _ — _ __ i <br /> CLOTHES WASHER WOOD SIOVE � <br /> URINAL Mf:TAL FIIiEPIACE 8 CIIIM1iNEV <br /> DRINK�N�FOUNTAIN FIREPLACEINSERi <br /> — -- — <br /> FLOOR DRAIN HEAT PUh1P ' <br /> — __ —. ___. ...___ .___._. . _ _.__'._— <br /> BACKFLOW PREVENTEfiS GAS PIPING _ _ <br /> ROOFDRAINS-RAINLEADERS EXHAU57_f�N _ <br /> SINKISERVICE-BAR,ETCJ _ _ ___ _ ,_ ___ _ — <br /> _— _— __.__-__.__..__.—___ __— <br /> SUBTOTAL 5 SUBIOTAL 3 <br /> _ _ _ __ .._ ________._._ — <br /> PERMIT S PERMIi 5 <br /> _ —_ _— __.___..__ ___ __-____ ._—___ _ <br /> 10TAL FEE S 101Al FEE S <br /> FPONTSEtpqCN f1E�f1SElBAGK SIDES[1�4GK PIANCNECI(NUM6E11 tEE PECEIPTNO. <br /> use2or+e iornnen � vncnH�snr � FEES VALUATION FEE <br /> 11 YF.S I I NO - <br /> iYPEOFCON51 OCGUPANCY6MIUP NOOfDWFLUNGUN�IS ' BUILDMG _ _ _ __ � <br /> ALLOW�OIbACIUAL <br /> PLUMOINC <br /> _ ___.. __ ..__ _ _. ._.____._____- _— _ <br /> SIZEOFBLDO �+oovsiomcs osM� occfann-- - <br /> I i i r MGCIIANICAI _ <br /> �iH <br /> _ "__ ___."'- __.__. . - . � . �iju:iiiiii.iiinii6r+ 011l[R � <br /> .. '_ ' . _ . _ .._'. __--_ —' <br /> nnesrnrt+k�ensncoumeo uYE3 i�No S7AIE�UILUINGSURCIIARGE <br /> sini�erurncr sunc:nnr�cr <br /> _ . . -- ---- - -- _ . _ __ --- --- <br /> erri..r.niiniin�:cu7 rinNsnimnnr <br /> PUOLIC WORKS <br /> TOL1L <br />