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APPLI�.ATION FOR CONSTRI�GTION <br /> PEFiMIT � � � � <br /> .���,�,�,,.,.� l �� � <br /> CITV OF <br /> everett � <br /> BUILDING DEPARTMENT <br /> 259�88�0 TO BE COMPLETED IN INK- PLEASE PRINT <br /> � <br /> �,i .�n ,�. . <br /> � � � V 2V - - - �';�A Co V�_ <.,ZV `��2a3 ,�`�'� — <br /> � ,�.,�„ ,r„�, << 5, �$IAh <br /> b � � �,v�.y��k��p1_����. � 1ow_ell .� � - - <br /> � y y �r,��.nu .ror+oo ,uie ni [nni�., . : r�i.i .. <br /> � z W�, 4,��1ec1-� ,D,1�A-1.Oc8 –— - �ev2 �`� �.s8��4-t l - <br /> y � �"� �(GLCr�'I �iOf1 IAPILPL�CF[..+ U�� If` ['IOr�C / LICC1i5C• <br /> ✓� � � � I /� J��C 7 L��`� <br /> o m o - - ✓En,c--��- --. 3fca /af .t/4J s�-Cr�C'�L�o . _ _.__ <br /> m t� q1 -�..�a��.r���n�corvtn�a*o�+ '- rnmieoor,�ss �irr .'r ni.,rir uccrvsE. <br /> Vl H <br /> cz a�n�aL J � Poy <br /> � Q � �'�.!•��:4GCONiP>CIOa I!mIA�DR[55 pTY IIP PMONE ULCNSE� <br /> n O �J <br /> O M _ <br /> �x-1 Vna 0 ''c__�_�'_'��' �ri — _ _ <br /> CLASSOF WURK _^J <br /> H CTp � qEy� AnDITION �AUERATION ❑ REPPIF ❑ OEMOLITION ❑ WOODSTOVE/FRPLINSLRT ❑ BUILDINGRELOCATION _ _ _ _ <br /> [' H �/ ln -• dd )� <br /> 'i [U 1CN i1Mj�AOVEM[NtORIM[ OAAfM00ELONLY fANi>CiFER50NPNDf'��OY NO <br /> frH � ,Y. '71.5/+ C�.'< �I�J�i •S'O -� "' .� —f^ �— <br /> p y coHra.crrr�ceorwoarc. �__ �___ .. <br /> RM p :CRIUC OR6PN SOUAREI I4GEINVOLI' � � • I_ <br /> O N �e I �j� /`{� � 1� G� / �n r- <br /> c tcC [' �� _���t . {-.�`V���-t�^ �/W���- '0 �-�D�- 1�1�' ��r�4�4_ -S�''G_�1�- <br /> �� y y �noi� stous[o�eml,rt � IHEFE�vC6RiIFYTHATIHAVEREADANDEXAMWE�THISAPP�IG�TiONA�J� <br /> � �1�/�„� � KNOI'lT11ESAh1EiOBETRUEANDCOFRECT.ALLPROV151O450FlPVJSAtJO <br /> H O N } Y 1/1 _PJ_ <br /> �C6n�oESGai �i iFrn�vuari_�o:n+¢�.i.o� nannd��ouacom[s ORDIIJANCE3 GOVERNING THIS TYPE OF NO�K WILL BE LOMPLETEO WI1H <br /> WHETHERSPECIFlEDHEfiE�NORNOT.iHEGRANTINGOPAPERMIiDOE5N0T <br /> PRESU1dE TO GNE AUTMO��N TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> �oi e�oce_ or ANVOTH[RSTAT[OPLOC4LLAWREGU�ATINGCON$Ti7UCilONORTI1EPEl�� <br /> FORh1ANCE OP CONSTRUCTION.THAT I AId AUTHORIZED OV THE O'NNER Of <br /> ��(�— �(� I— THISFROPERNTOPERFOFIdT11�,WOf7KFORR'HICHAPPL�CATIONIStdAD[ <br /> K V�;,� AND I COMPLV WITH TME ST�iE WNTRFCTORS LAW 1827 RCW AND <br /> 296200 WAC. � - <br /> s;:�nivaeoFeo'+rAecr.�r- m�(-a:Aoeci.,rt �omt- �•�� �� <br /> -' � <br /> �ol�u��w-�v-►V�Q- — X '� –'--, ___ <br /> 'r��o�tcr<ooa�s <r c:�hscnrymsvr_cs. 'sino +voeu�o�essrurne <br /> � <br /> PLUMUING MECHANICAL <br /> /_� NO. TYPE OF FI%NRE OR ITEM FEE NO. NPE OF EOUIPMENT FEE <br /> � � _ WATERCLOSET�TOILEn __ A/C-NHNDLGUNITS-HP. _ _ ___ _ <br /> � BATMTUO FORCEDAIRSVSTLMS-BTL. MCA __ <br /> � � LAlSORYIWA5N�F51N) _ _ UNITHEATERS-BT.U. M _ <br /> SHOWER CIOTHLSDRYERS _ _ <br /> ' w�� KITCHEN SW K 8 DISP - VENTILATION FAN <br /> !��' � DISHWASNER RANGEHOOD _ <br /> - �� LAUNDRI TRAV WATER HEATER / __. <br /> CLOTHESWASHER WOODSiOVE % — <br /> URINAL / METALFIREPL4CE8 14MNEV _. <br /> 11•�� ORINKING FOUNTAIN FIREPLACE INSE _. <br /> FLOOR ORAIN HEAT PUMP � <br /> BACKFLOW PREVEIfPERS GAS PIPI�_ <br /> � ROOFDRAIN51FAINLEAOERS EXH TFAN _ <br /> `,s SINK�SERVICE-DAR.ETJJ -� <br /> � _.. <br /> — — , v — <br /> i !'�j � <br /> � , <br /> � SUBTOTAL 5 SUB?OTAL _ 9 . <br /> PERMIT 5 PERMIT __ 5 __ <br /> I _� TOTAL FEE S TOTAL FEE 5 <br /> lNONISEiOAGN AE�RSCIDACK Glp[SCIPAi.Y� PIaNCHECFNUMBEP FE �1'�,; �9��Y� PECEIPTNO. <br /> �� 2oi � � � �� ,:2G � z� 7 . �s'sa yts � 7 <br /> iisEzone �oteaen �AcaNis(�{- FEES � VALUATION FEE <br /> ,,,� n rEs/r��o /�, ,�. � <br /> 1 _ � ��.�� Af�iS BUILDING �~) O l� -�� � -_J�-J'-+�+�— 3 L <br /> i•�'FOFLONSt OCGUPANCYGPOVP NO.OFpWEILINOUNIiS <br /> ��.�owm�ereciunt �� C .. � ��� PLUMBING ___ _ <br /> V <br /> -�a�i'ore�oc No.oisruaies esrn�. occ iono MECHANICAL <br /> 47 ,. ���� - -- - <br /> o� L lN�L � ' <br /> /a993 .QBp��P�✓ neic��ruuir�ioH otHER _ <br /> russvaiNKieesFeouweo res or+o � - ST�TEBUILDINGSURCHARGE y <br /> S = <br /> STATE ENEfiGV SURCHARGE <br /> tl�Pf.AiIOYACC BY PLPNSAPPR BV Y�� <br /> / PUBLIC WORKS � g <br /> /� TOTAL C�� } 7� <br /> ���v <br />