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Me E�n�p�eon <br />CITV OF <br />everett <br />BUILDING DEPARTMENT <br />259•BR10 <br />APPLIC�. �'If1N FOR CONSTRI..:TION <br />PERMIT <br />TO OE COMPLETED IN INK — PLEASE PRiNT <br />rvrn•tl <br />e <br />OWNER AI�II Al1f�RltiS CIIY Z�I' P�IOflL <br />�Gt/c.ic ! Y l�N: %e yi': :. c>,!� 'i �iJr xC fE1[(,� f V I. ___y_ ) b'y �� <br />-------- ----- - -------- ---- _ �---- — <br />LCN�NI M1l�ll �[�DR[55 C.17Y .. .-AP 1'110N1 <br />eRC�11TECfOR0E51GN8R AUII�DOBFSS <br />_ _ . _ _ ' _ 111� _ _ _ <br />GENER�ICONTR�CiOR ----N�IIApDRC55--- �_-----'- CItY—'"—�—_-II1'�--�-'-- PIIONC IICENSE• <br />/J/.�RYSG:�: � - <br />/,��.�JLCIY iiLr���� [-Li. � -:?i � o s- x ' YJ. )C S�1-%22 � /h�'��y,r>,LiG1 <br />id; /� 3 - _/_ _- �_i -'—�✓�,.. _ �.L - ---- -- �---- — 'r <br />NECIUNIL�ICONTR�GTOR �UILAI)�0055 CIl'� 21V PIIONE I�GCN5E1 <br />_'–_____'__ _.—._. __—__.__—. _ . __ _ —___–__" <br />41AMBiNaGONifUC10R EUII.�O�l1L55 CI1V Z�� PIIONE LIC[t15E• <br />i714/LSCiiJ CC/it1C/ni[�__ . _..i?'/ii'Y.fbi�cl� <br />__ ....... ... ... . _..------ — -- <br />CL�SS OF NORN <br />❑ NEW ❑ ALUITION � ALTERATION ❑ R[f'AIN ❑ �FMOLIIION I.1 K'OOOSIOVG/1'RPL.INSGRi _❑_ BUI�OINGRELOCATION _ <br />... _ "_ ' '_ ._ ._' __ <br />LEN�NTIMPNOVEA1CNiOBN.tEHIORP[MO[f[IONLY I CON�ACIPLP50N.1NpPIlONCNO <br />. t•_ <br />CONIR�GTPRiLEOFNY'.�K b SZ. V� � _"_ ___-"–_"–__ —" <br />DESCRIBE WORN �NG SOWNE fOO1�G[ iNVOIVED <br />RF k6dF " !3/1TH� /'GitoJ« ------ -- <br />;�HOPOSFO USE OF BWLDiNG <br />LOT BLOC� OF <br />PLUMBINO <br />tISE ZOHE <br />iIRE <br />TYGE OF FIXTURE OR <br />SHOWER <br />KITCHEN SINK d DISP. <br />UFINAL <br />DRINKING FOUNTA�N <br />FLOOR DRAIN <br />B�CKFLOW PREVENTERS <br />FOOF URAINS— RAINLEP <br />tl1JN�CFRVICF–FAR FTI <br />;iUB TOTAL _ 5 __��; _ <br />PERMIT S <br />TOiALFEE g � � — <br />RGNSETB�CN SIpE5El0�L✓. <br />LO(AFEA Wf,RNi511E <br />f1YE$ �INO <br />OCCIIPANCYGFOUP NOOfDWELIINGUNI'S <br />NO OF STOPIES OSMT OCC IORD <br />ll Y <br />ll N <br />' tlCIGIIT I IMIIQION <br />❑ YEB LI NO _ _ <br />/{�/KE"_i1f1�c�Y-- --�5�2-�2 <br />I H@REDY CfRIIFV 711AT I HAVE HEAD AND EXAMINEO THIS AP( �ICATION P.ND <br />kNOW T11E SAME TO BE TRUEANU CORREGT. ALL PROVISIONSOF LAWSAND <br />ORDINANCES GOVERNING THIS 7VPE OF WORK WILL BE COMPLETED N'ITH <br />WfiETHERSPECIFIEDFIEREINOR NOT. THEGRANTING OFAPERMITDOES NOT <br />PRESUME TO GIVE AUIHORIN 70 VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STNE OR LOCAL LAW REGUTATING CONSTRUCTION OR THE PER• <br />FORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF <br />TF{IS PROPERTV TO PERFORM THE WORK FOR WMICH APPLICATION IS MADE <br />AND I COMPLY WI7l1 TI{E STATE CUNTRACTORS LAW 1827 PCW AND <br />296200 WAC <br />SiGN�IUPEOFGOHiR�GfORONAl11MOAILEOAGEM OATE �'M�r2 � �G�j <br />�"C / ! 0 O <br />x �l �� ll�l�j , <br />�PPLICAMS CITY OOS W[SS lIL[NSE 110 �hD 0051NES5 NAME <br />IJECHANICRL <br />Nn, TYPE OF EOUIPMENT <br />NC— A/��NDl.li UNITS— HP <br />FORCED AIR SVSTEMS— B.T.U. M EA <br />UNITHEATERS—BT.U. M <br />ClO7HES �RVEf7S <br />VENTILATION FAN <br />WATER HEATEfi __ _ <br />WOOD STOVE <br />METAL FItiEPLAGEd CHIh1NEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAl1ST FAN <br />SUB TOTAL <br />PGRMIT <br />TOTAL FEE <br />FEES <br />�uILo1NG --_-- —,-_.----- i� lrlc <br />PLUMBING <br />MECHANICAL <br />OTl1ER <br />S7ATE BUILDING SURCHARGE <br />STATE ENERGY SUFCHARGE <br />�'PUdLIC WORK$ <br />TOTAL <br />ree <br />FEE <br />