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A� Everproen <br />CITY OF <br />everett <br />BUILDING DEPARTMENT <br />259•8810 <br />k�?LICdT10N FOR CONST � CTION <br />PERMIT <br />TO BE COMPLETED IN INK— PLEASE PRINT <br />evrelt <br />e <br />OWNEB M�II�DUR[55 GIIY ZII' PIIUN[ <br />R��y Glark Po �4�?0� _12"lt,ik_i_1�v�8a�s sz�-�i96 � <br />TEN.\NT M�IL�DORESS GI1Y ZIP PIIONE <br />MGNITtGTORDE5IGNER ���UDURESS QiY ZIP PIIONE <br />OENEMIGONiN�C10R M.11L�DOnESS CIIY 21P PIIONE IICENSE• <br />ler.i- ames Inc po Bou �a�_I�J1uL,�i� q�z>r _g��-�,e� s%n��,oK►J <br />MECN�NIC�ICONiR�CIOR M�II��D�E55 C�1Y ZIP PIIONE UGEN9E• <br />PLUM&N�CONTR�CIOR M�R�DDRE55 Citv ZIP PHONE IiCENSE• <br />NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FqPL INSERi ❑ BUILDING RELOCATION <br />CONTRACT PRiCE Of' WORK� I �n . I�• S <br />�or�QeiocK�_ or <br />' /� <br />PLUMBINO <br />7YPE OF FI%TURE OR ITEM <br />SHOWER <br />KITCHEN S�NK6 �ISP. <br />TRAY <br />%IOOR DRAIN <br />Bf.i,KFIOW PREV <br />ROOF DRAINS— <br />SINK IAFRVIf.F — <br />TOTAL FEE <br />�B�GK REARSEIBACN <br />I <br />?o ' 20 <br />LOT AREA <br />'_3 .g,�/o <br />)NST. OCGUP�NGYGROL <br />�,��,����Z � N R - I <br />I HEREBI' CERTIFY THAT 1 HAVE READ AND EaAMINED THIS APPLICATION AND <br />HNOW'NE SAME TO BE TfiUE AND CORRECT. ALL PROVISIONS OF LAWS AND <br />ORDINANCES GOVENNING il115 TVPE OF WORK WILL BE COMPLETED WITH <br />WN ETHER SPECIFIE D HEREIN OR NOT. THE GRANTING OF APERMIT DOES NOT <br />P(7ESUME TO 61 VE AUTHORIN TO VIOLA7E OR CANCEL 7HE PROVISIONS OF <br />ANV OTIIER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PER- <br />FORMANCE OF CONSTRUCTION. THAT I AM AUTHCRIZED BYTHE OWNER OF <br />THIS PROPERTV'f0 PERFORM THE WORK FOR WHICH APPLICATION IS MADE <br />AND 1 COMPLV WITH THE STATE CONTRACTORS LAW 18.27 RCW AND <br />296200 WAQ <br />SIGN,VUPfp�ACtD f IIAUIIIOPIZE�� NT DRIE <br />X� <br />eP LiC�N SCRY USNESS . 5 NOANDOUSME55NR�'�� � <br />MECHANICAL <br />NO. <br />— ac-� <br />.� cnorc <br />S _�(1. - <br />S <br />S <br />SIDE SEiB��K <br />S <br />VAGONT SIIE <br />� ny�.Eg o No <br />sf � 2 �°�_I 12 <br />NEIGHT LIMI1Pi <br />EUl IHED O YES T�1�110 .9J , <br />UNIT HEATE(75— 91 <br />CLOTHESDRYERS <br />VENTILATION FAN <br />METAL FIRENL <br />FIREPLACEIN <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />EOUIPMENT <br />S — H.P. <br />5— flT.U. M EA <br />SUB TOTAI 5 <br />PERMIT S <br />TOTAL FEE S <br />llw�:� FE���� PEI <br />� L C <br />FEES VALUATION <br />BUIIDINC� <br />PLUMBING <br />MECHANICAL <br />OTHER � � D � <br />SiATE BUIL�ING SURCH.1RGE <br />STA1E EIJERGY SURCIIANGE <br />PUBUC WORKS <br />TOTAL <br />