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I�e Eerpmen <br />pTY OF <br />everett <br />BUILDING DEP�RTMEN f <br />259•8Bt0 <br />f � <br />APPLICw�ION FOR CONSTRI..:TION <br />Pl�RMIT <br />TO BE COMPLETED IN INK — PLEASE PRINT <br />� <br />owntH r.uueunntsv cm nr rr�on[ <br />v . � <br />MICF14t� .fr LC " S' '-( �o�� i%[ �" 1� <br />-�'- ------�' 7v _ _ �_ f�z �cZ �.1 �rr c� 28a� �A Y�� - <br />ieN�Ht rnui�nonrrs an � nr rnoue <br />�flC�nt[CTOHOESMNEB M��L�OOR(cS Cilv IiP PI�ON[ <br />�iE�IEOALCOMR�Ci00 M�IL�DOPESS CIIY IIP PIIONE LICENSE• <br />__ `_ .__________. _.—_._____'___ _ _. __ ___.___._ <br />MECIIANIC�I CON1fUL10O M�IL �OI1�C59 CIIY )IP MIONE LIC[NSE • <br />_ .. .._.._-.._... .. . . . __. <br />I'lUMOiNOGOtI11UL�Uf1 M�II.�FP�[54 <br />� Du' N L'1� <br />------ — _ - — ----- - -- — _ <br />ctn5sar WJnn <br />❑ NE\Y ❑ ADLI710N ❑ ALTERA710N I� REPA�fi U DEMOLIIIfIIJ <br />tEM�Nf II IPROVEMENI O� IN1Ei�IOB �ICNODR ONI� I <br />C041q�Ci PRIfC Of WORh I <br />DE9GPIBEwORn�ND50UAnEiIX)lA0[INVDI�CO � � <br />(�I�L�_�l]u�cT 1z__a�[�'f1rl.'_�f�GQ,2�� _ _. <br />CN01'OSEOUSF.Of PVROW� <br />. SfR__------- <br />�eo�t oesCninuou w rnwemr �semm at� ow on �nnc n roun r.on[ s <br />LOT PIOGn__ O� ____'__ "_'_ _.__- <br />M16JECT�D�RE55 <br />` �i�0�( li�� (/�[�w �i . 1� � <br />PLUMBINO <br />TYPE OF FIKTURE OR <br />WA7ER CLOSET ITOILETI <br />SINK <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />FLOOR ORAIN <br />BACKFLOW FRE`�EIJTERS <br />ROOFORAINS-� 'INLEADERS <br />SINKISEFVICE-Ba ETCI <br />FEE <br />I:IIY lll` MIDN[ �ICENSC <br />❑ 1YOODSIOV[/�l1PL INSEf1i ❑ OWLDINGRELOCA710N <br />cFiiincu•� n�.�ri i,iin idliiiJ[ iio - -- - ---- - — - <br />I II[RF(3Y CER11fY TIIAI 1IIAVf RGAD AND CXAMWED THISAPVUCAIION AND <br />KNOW 111L SNdE 10 (7@ I IIUL AND CORRFCT. ALL PROVISIONS OF LAWS AND <br />ORURJANCG.^. GOVERNING THIS iVPE OF WORK WILL BE COMPLETEO WITH <br />WIIETHGRSPf:CIfIE011ERE1NOR NO1.IHEGRANTINGOFAPERMITDOESNOT <br />PRF.SUML IOGWF-�U1110RIIYlOVIOLATEOfiCANCELiNEPROVIqONSOF <br />�NYOIHEfi SiMF (�P IOC�L LAW REGULATINGCONSiRUCTIONURTHE PEP� <br />fURM1tA1JCL Cf CONaIf1UGIlON 11IA1 I AM AU1110RV.ED 81' THF OWNEp OF <br />1HIS Pf10PFR1Y 10 PFRfORM IIIE WORK FO(i WHICF� APPIICAiION IS MAOE <br />AND I COMFLV WIIVI TIIE STAiE CONTRACTORS LAW 1827 RCW AND <br />29F 2�0 WAC <br />ciorv�tunro�Covnanc�ononnumoni�mnneH� on�r <br />X �,��,�/ ,r ✓�M (�f'.� _ y`l <br />nf`PUCANIS GI Y BU�f SS l iCDbE NO ANO BUSINE55 NAM[ <br />MECHANICAL <br />NO. TYPE OF EOUIPME <br />A/C -- A/HNULG UNIT3 - H.P. <br />FOHCED AIR SYSiE1.1S- O.T.U. <br />UNRHEATERS--D.1.U. M <br />CLOIHES ORYF.!15 <br />VENTILATiON FnN <br />- _....-__ -._ _.._.__ <br />RANGEHOOD <br />wnien iir:ni�ra <br />WOOD C10V[ <br />M[7�L F IR[PLACE E (1HIMNEY <br />FII7EPL�C[ INSER7 <br />HEAi PUMP <br />GAS PIPINC <br />M EA <br />_ — _ —_ <br />SUB TOTAL E SUB TOTAL S <br />_-._ - -. _ ._...___ _- -_ _ ._ __ <br />PERMI� S PCRMIT S <br />_ '__._ _'_ _.-__-_ _._. ._ _ .... _ .-_ <br />70TAI. FEE S IOIAL fEE S <br />S�1PtiK 510[SEI��LN PlANC11ECNNUMOF.P ff.E PEC <br />mrn vncn�nsuF FEES VALUATI012 <br />�t V[5 1� NO � <br />_ - BUIL�ING <br />mnucronour No o� nwei uuo uNns __ _ _ ___ _ .. - - -- ---- -- <br />PLUMBING <br />fIY <br />1� N <br />flll[Sf'eiNKLERSIIEOVIREO I1_�CS nN0_ <br />epo��CtliON <br />cx,c iono — <br />RR�IItUM1Uf�110N --. . _.. <br />MECIIANIC�L <br />O1HER <br />S7A1G �UILUW(; $Ui�C�lAll(;f <br />SiNE ENERCV SURq1ARGE <br />rueuc wo�ks <br />TOTAI <br />FEE <br />