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APPLIC...f10N FOR CONSTRl,�T10N <br /> PERMIT <br /> fne Ererprenn �wPrell <br /> ��T�o� e <br /> everett <br /> BUILOING DE?ARTM[NT <br /> 259-BBtO TO BE COMPLETED IN INK— PLEASE PRINT <br /> avr�En r.�en �ornass r,ur rir ruorv[ <br /> • _ -` Y J f+ y�- 3r�- s a�y <br /> ����I�2h��i4—�O�i_!� 5J•..�.�•��Yi'hCl�--r.iir—___. _ _-iir.-__ rr�or�c <br /> IEN�N <br /> �RCIIITEQO�DES�GNER --"����IIOM1f55 _ - - �� -- -� �-f.11v liV " — ��IONf <br /> OEINER�LCONTR�Gt011 ---� - �'d�Il�PP1iL'V:i � ����'� —� � f.11V III• �---- PIION[ IILENSC• <br /> !��Q ��yn7ncc7�+ _S3,?s" �S/i 92� L�l' STr reKs�Y���s�j 31Y73/6�ALP�I_AC���?�EAN <br /> ME NIUI CONIR�CIOR � MMI�I�DI�I.�S -- <br /> ._. __—'_ _. _.. _..._._ _ . -_ .___.__.--.-- <br /> RUMB�NGCONiRAGiOR AIAIL�[1011L55 GIY lIP PIION[ lICE115E• <br /> C1I950FVNPK � _""—_ __--___--_'_ <br /> ❑ NEW ❑ AD�ITION ❑ ALTCRATION !ll R[I'Alfl ❑ OGMOIITION ❑ WnODSiOVUFRPLINSERT ❑ BUII.DINGRELOCATION <br /> 1FNuiTIMOROVEMENIORINTCRIpRPEM011/EL7ONLY � COMIACiC[(itiON1N�PIlON[NO <br /> CONTR�GTVNICEOFWJNK �JN / Ll—_' __ __'._".- "---. 7L/-'t't__�OM�/LI�Y._—_.�!!LL6 — <br /> DE9CRIlE N'ORK�Np SOU�RE fOOi��VOLVED � <br /> f�r���„=,y���7_l_�si+� I_ CL_n7'�rs_ �_C'_C`�..�_�'__���y2�` <br /> pppro [ousE �LD�NG l IIIEREBYCERTIFYTHATIHAVEREADANDE%AMINEDTHISAPPLICATIONAND <br /> �J �//`� KNOWTNESAMEiOBETRUEANDCORRECT.AILPROVISIONSOFUN9AND <br /> % .rG — OROINANCES GOVERNING TIIIS TVPE OF WORK WILL BE COMPLEiEO\VITH <br /> LEO�LOESLRIPiIONOfPROPERTY15�lOWHBELOWOR�TT1CMfOURLOPoC51 WHETNFRSPECIFIEDHEREINORNOT.THEGRANTINOOFAPERMITDOE8N07 <br /> r^r� �Y PJ'C�_ PRESUME TO GIVE AUTMORITV 70 VIOLATE OR C�NCEL TH[PROV1910NS OF <br /> �or1�If i BiocK11Z or ANYOTHERSTA�EORLOCALLAWPEGUUTINGCONST(iUCTIONORiHEPEfF <br /> FORMANCE OF CONSTRUGTIDN.THAT I AM�UTHORIZED BV THE OWNER OF � <br /> THIS PROPERT'TO PBRFORM THE WORK FOR WHICH APPLICATION IB MA�E i <br /> — AND t COMPLV WI7H TME STATE CONTR�CTGRS LAW 1837 RCW AND <br /> 296200 WAC. n' ,��!t i <br /> SiGN4UREOFCONIN�CIUIIWIM1111110RIZEDAGENi D�iF. / D <br /> --- X �.����.� — <br /> %pJEGT�UORES$ APPIICANIS CIIY BUSMl551 If,[NS[NO ANU BU511 1 ME <br /> � �/�� FiuG�r <br /> PLUMlIN� MECHANICAL _ <br /> Np, T'PEOFFIK7URE6RITE�/ FEE NO. 7YPEOfEOUIPMEN� FEE <br /> WATERCLOSET�TOILET) ___ _ __ ___ _�C-A/HNOLGUNITS-H.P. _ <br /> BATHTUB ___ __ __ ___ FORCED PI(7 51'STEMS--B.T.U. M EA <br /> 'j LAVATORVIWASHBASIN) __ __ __ UNITMEATERS�-_BTU. M __ <br /> Q SHOWER _ _ CLOTHES ORYERS_ _ _ __ <br /> � KITCHEN SINKB DISP. _____ VEN7ILATION FAN _. <br /> -y -------- <br /> DISMWASHER _ _ _ _ RA�GE HOOI) _ .___ — <br /> ____ _ _ .___.- - <br /> L�UNDRY TR�V WA1ER NEATER _ <br /> __."___-_- _--__ _ _' .. <br /> " _-'__"__ _'_ .__.'- <br /> CLOTHES WASHEP __ ___ __ ____ _WOODSTOVE _ __ . <br /> UAINAL __ _ ___ _ _ METAL FIREPIACE 8 CHIMNEY _ <br /> ORINKING FOUNTAM _ ___ _ __ FIREPLACE INSERT_ _ <br /> FLOOR DR�IN —'-��� _ __ _NEAT PUMP ...___________ <br /> BACKFLOW PHEVENTERS __ ___ __ _ ___ GAS PIPING _ _ _ ._. - <br /> ROOFDRMINS-RAINLEAOERS __ _ ___ E%HAUSTFAN_ <br /> SINK�SEHVICE-BAR,E7C) _ _—_ — -- - -- � <br /> SUBTOTAI b ___ SUBTOTAL S __ <br /> —___—__. ._ — — <br /> PERMIT 5 PERMIT S _ <br /> TOTAL FEE � -5 -�--- � — ��- - -_---�-���_��- TO7AL FEE E <br /> FRONTuETB�CN REARSCIO�LN SIpESCID�CN PLRNCNECKNUMBER FEE RFCEIPfNO. <br /> uxezoue i.oinne� ���^�isirE FEES VALWTION FEE <br /> f 1 YCS I I NO <br /> dUILDING _ <br /> TYPEOFCONST. OCCUPANCYGROUP NOO{'OWELIINGUNITS --- -- --- <br /> /.LLOW�B�E/�C1UAL PLUMBING <br /> sizeoce�oa eooFsroniEs osee� occio�o MECHANICAL _ <br /> nr _ <br /> fl N <br /> HFIGMT l IMlll.il011 OTHER <br /> FIPESPRINNLERSREOUIRED ❑r[s ❑�+o STATE BUILDING SURCHARGE _ <br /> STATE ENERGY SUFiCHARGE <br /> �vvuc�nor+ecc er PL�NSAPPR OY PUBLIC WORKS <br /> TOTAL t <br /> 1 <br />