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Ine Everpreen <br />CIiY OF <br />everett <br />BUILDING DEPARTMENT <br />zss-eaio <br />APPLICAiION FOR CONSTRI�a:T10N <br />PERMIT <br />TO BE COMPLETED IN INK - PLEASE PRINT <br />�wrrcll <br />e <br />1'IUMWNOCOHTR�CTOR MAIUOORC55 LRY IIV PMONE UCENSE• <br />❑ NEVJ ❑ ADDITION ❑ ALTERATION <br />TCN�HTiMFROVCMENIOPINI[RIpiREMODELONLY <br />CANTR�CT PRiCE OF NbqK <br />�oT etocK or <br />VLUMBINC <br />NO. <br />OF FI%TURE <br />:N SINK 8 DISP. <br />ASNEP <br />�RV TRAY <br />ES WASHER <br />L <br />ING FOUNTAIN <br />i DRAIN <br />LOW PREVENTE <br />!1RAINS — AA�NI <br />iERVICE — BAP. <br />ALIOWABIE//�CTU�L <br />nAE <br />FEE <br />� vE5 ❑ NO <br />ar <br />❑ N <br />REPAIR ❑ OE��OIITION <br />❑ VES ❑ NO <br />WOODSTOVE/FRPL INSERT ❑ BUILDING RELOCAT�ON <br />I HEREBY CER7IFV'HAT I HAVE READ AND E%AfaINED THIS APPLICA710N AND <br />KNOW THE SAME TO BE 7AUE AND COFRECT. AlL PROVISIONS OF �AWS ANO <br />ORDWANCES GOVEFNING THIS TVPE OF WORK WILL BE COMPLETED WIYH <br />WHETHER SPECI FI E D MEREIN Of7 NOT. THE GRANTING OF A PERMIT DOES NOT <br />PR[SUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE FROVISIpNS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONST RUCTION OR THE PER� <br />FORMANGL Of CONSTRUCTION. THAT i AM AUTHOR�ZED BY TNE OWNER OF <br />THIS PROPERTV TO PERFOFM THE WORK FOR WHICM APPLICATION IS MADE <br />AND I COMPLV WIT4 THE STATE CONTRACTOR$ LAW 1827 RCW AND <br />296200 WAC. <br />scn.run or n.c�oAOHnunwaaeo.ccn* o.re <br />X �� 7J U�/ \_� � � "' � ��'J <br />MECHANICAL <br />NO. T'PE OF EOUIPMENT <br />A/C — A/HNDLG UNITS — H.P <br />FORCEDAIRSYS7EMS—BTU. M <br />UNITNEATERS—BT.U. M <br />CLOiNES �RYERS <br />VEN71LA710N FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIFEPLFCE d CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUBTO' <br />PERMIT <br />TOTAL F <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />O7HER <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />PUBLIC WORKS <br />TOTdL <br />3 <br />� <br />0 <br />ree <br />FEE <br />