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- �- i- . ':i':'_`i f �l:i{: • . >. ut� �. <br /> �.y :r._ t .s.. .. � .. ' . ....� ? .. _.. . ..i�.. . i .�_. ^� . ... . . _. .. . . . . _. ._ . . .. .. .. 1 <br /> �� �'K v / i <br /> APPLICA►f10N FOR CONSTRli�T10N � � <br /> PERMIT ���, <br /> IAe Everyreen everett ., <br /> CITY OF � <br /> everett ' <br /> BUILDING DEPARTMENT <br /> 259•BBiO TO BE COMPLETED IN INK— PLEASE PRINT <br /> OWNER MAIL�UORE55 , , �� 'YY`YliV`�l u Z�(I V`�i f PNONE - �/f/\ V�L / �I <br /> /) <br /> �R r��.l.►�1 I�I i'�--' a03 G ur� �� X �„� <br /> TEN Ni M�IL�O�PCSS GiY 21P PIIONE I <br /> ARCMITEGTONDESIONEN MAILAODRE55 CITY ZIP PHONE <br /> GENER�LCONTRACTOR MMLAOORE55 LITY ZIP PNONE IiLENSE• <br /> M CHA G CONTRA TOR MNL�/O'p�RE55 CiTY ��p�.� � PIIONE L�IyCENSE� <br /> 4� J KtkO CrtY � ZIL��P �f—kf PH N� V/I�SE� <br /> PLUMBINOGONTR OR M�ILA��RE55 <br /> CUS90FN9RN <br /> ❑ NEW ❑ ADDITION ❑ LTEflATION LI R�PAIR ❑ DEMOLITION ❑ WOO�STOVE/FRPLINSERT ❑ BUILDINGflELOCATION <br /> TENANTIMPHOVEMENTORINTERIOFfl ODELONLY CONi�CTPEP50NRNOPIfONENO <br /> CqNTP�GT PRIGE OF WORK <br /> D IBEWOP ANOSOUA EF TAGEI LVED I I ^� — <br /> ��� U <br /> P1iOP09E� EOFBUiIDiN� IHEREBYCERTIFVTHA7IHAVEREADANDE%AMINEDTHISAPPLICATIONANO <br /> KNOWTHESnMETOBE7RUEANDCORREGT.ALLPROVI510N90FLAWSAND <br /> ORDINANCES GOVERNING 7H15 TYPE OF WORK WILI BE COMPLETE�WITH <br /> L[GA�DE9CH�FT�ONUFPPOPEBiVISHOWNBELOWOflATTACIIFOUNGOPI[5� yVNETHLRSPECIFIEDHEREINORNO7.THEGRANTINGOFAPERMITDOESNOT <br /> PRESUME TO GIVE AUTHORI7V TO VIOLA7E OR CANCEL THE PROVISIONS OF <br /> �pT BLOGK___ OF ANVO7HERSTATEORLOCALLAWREGULhTINOCONSTRUCTIONORTHEPER• <br /> FOFiMANCE OF CONSTRUCTION.THAT I AM AUTHOR2ED BV THE OWNER OF <br /> 7HI5 PROPERN TO F'ERFORM THE WORK FOR WMICH APPLICATION IS MRDE <br /> AND I COMPLV WITH THE STATE CONTRACTORS LAW 1827 RCW AN� <br /> 296200 WAC. <br /> :�GNATUREOFWNTRAGIORORAl1THOPIZEO�GENT O�TE <br /> X -� . , cSL�-d—I� I�I <br /> PpQJECTA0�RE59 �I _ /� APPL�GANTSGi BUSW[SSIILENSEN ANDBIl5iNE55N�AE <br /> �� � \`�� <br /> � ' <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM <br /> FEE NO. TVPEOFEOUIPMENT FEE <br /> WATERCLOSET�TOILEp _ A/C—NHNGL�UNITS—H.P. _ <br /> BpTHTUB FORCED AIR SYSTEMS—flT.0 E0. <br /> LAVATORY(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> SHOWER __ CLOTHES DRYERS <br /> KITCHEN SINKB DISP. _ VENTILATION FAN <br /> DISHWASHER � RANGEHOOD — <br /> LAUNORYTRAV WATER HEATER <br /> CLOTHES WASHER __ �'✓OOD S70VE <br /> URINAL METAL FIREPLACE 8 CHIMNEY _ <br /> DPINKING POUNTAIN _ FIFEPLACEINSER7 _ — <br /> i <br /> FLOOR LRAIN _ HEAT PUMP — I <br /> BACKFLOW PREVENTERS _� GAS PiPING — � <br /> ROOF DFA�NS—RAINLEADERS __ E%HAUST FAN _ <br /> SINKISERVICE—BAR,ETC) — --- . <br /> i <br /> _ i <br /> SUBiOTAL $ SUBTOTAL $ i <br /> PERMIT E PEP.MIT a _ i <br /> TO7ALFEE S TOTALPEE s i <br /> FPONTSETBAGN REAqSETBACK SIOESETBAGH PLANCHECKNUAIBEB <br /> FEE flECEIPfNO. , <br /> USEZONE IOTAREA WG�NTSItE FEES VALUATION FEE I <br /> ❑YES ❑NO <br /> ew�oiNc ; <br /> TYPEOFCONSi. OCGIIPANGYO40UP NOOFOWELlIN6UNIi5 <br /> �ILOWABLE/ACI WL p W M BING <br /> SIZEOFOL06_ NOOFSTONIES OSMT. OCCIO�D MECHANICAL I <br /> ❑Y — <br /> ❑N <br /> ��eicNruuiunoN OTHER _ <br /> FIflE SPPINNLERSPE�UIREO O VES O NO STATE BUILDING SURCHARGE ' <br /> — l <br /> STATE ENERGY SURCHARGE i <br /> APPLIWiIONACGBY PLANS�PPR.BY � PUBLICWORKS I <br /> rora� � <br />