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APPLICa�ION FOR CONSTRI,�:T10N <br /> PERMIT <br /> ��a�.a�„a� ,.�,.,���� <br /> GT V OF <br /> everett e <br /> BUILDING DEPARTMENT <br /> 259�870 TO.�E�OMPLET,E��I�fJ INK--pLEASE P�iINT� S�f� '�y G <br /> � .rr r t�c.r /I>>`i��r •>.r„ '�i',�` ��' /%1 � �'�`r///a' i 4'/ 3 � � <br /> pWNER M�II a00965 I.IIY lIP �IIONC <br /> ,. G 1 � / ��t <br /> �,rl � f'4G'< < c �'7 ��� ,-c� [ ��S'�-----l.�i��°-`-�l_--. --- - - ---- ---�- — <br /> TeH�Ni euiuonut.ss cnr - iir rnaie <br /> 41CNITELIORDCSIGu[P nuiuooNcss CIIY � I�P . .- --�IIONE <br /> OCNCR�LCONTRACIO� MMI��DII[55 -� CIIY--�'- -'�� � -ll��-- � ---" '-�PIIONC ---�------ IILFNSE• <br /> / �'��� �� �• r � (- • / <br /> ,. p +� <br /> !�/�p �l/� N�(rd�i�/ ��7�Gi�r'�_ /�t���r'.___'__ .��1 �f.1_ .1���"_�y10.___' L <br /> AjI �;IQHIL�ICONiP�.tOH M�I1��011[ti9 GIY Itl' Iq1ONE IILENSE• <br /> GLUMdN6c0N,1+^�1 R� � D MMl ApDPC55 - - CIIY -�---"— lll----�PnONE LIC[NSE• <br /> CLI330LWJRN —_--__.__' _-- ._ _ ___-___ _- - '_- ' _ <br /> ❑ NEW ❑ ADDITION ALTERA7ION ❑ R[PAIR ❑ OEMOLI110N ❑ 1YOODS10Vfl/FFPlINS[Ri ❑ BWLDINGRELOCATIDN <br /> RN�NT IMVPOVEMENi OR INIEPIOR REMODLL ONI V CDN1Aff PC�SON eN�1'�IONE ND <br /> CONTPACT PRIGE OF VfOPK _ --_-_'_._.._ .__._ _________-----._ <br /> �SCRIBEWDPM�NOSOWREfOOi�pEINVDIVC� ) "�- � / -- <br /> 'I/7 !/ �[!(% �-{" l` � �CG ! S �%J'/1 G ( t/_�G�— <br /> EO SEOFBUiJJ..��NO � IHEREBYCER7IFVTHA7111AVEREAUANDEXFMINEDTHISAPPLICATIONAND <br /> �' � �,�'+��i 1,/ KNOWiNESnMETOBETRUEANDCORRECT.ALLGqOVIS10N90FLAW9AN0 <br /> 1 \C �H OR�INANCES GOVERNING THIS ttPE OF WORK WILL BE COMPLEiED WIiH <br /> lk4�LUE9CRIPTIONUFP110PENTYISNOWNBEIOWOR�TTAC11(0118LOCiCS� ydliEtHERSPECIFIEDHEREINORNOLTHEGRANTINGOFAPERM1iDOESNOT <br /> PRESUME TO GIVE AUTHORIN TO VIOI.ATf.OR CANCEL TME PROVISIONS OF <br /> lpi Btocrc ov ANYOTHERSTATEORLOCALIAWREGL'LhTINGCONSTRUGTIOMORTHEPEIF <br /> FORMANC[OF CONSTRUCTION.TMAT I AM AUTNOR¢EO BV TME OWNER OF <br /> THIS PHOPEFTY i0 PERFORM THE WOHK FOF W I:ICH APPLICATION IS MADE <br /> — AND I COMPLY WI1M TNE STATE GONTRACTORS LAW 1827 RCW AND <br /> 296200 WAC <br /> 516N�i11PP.UIGOH�IPGONl11.PII1110RR(UAGENI U�iE <br /> -- - X \ � 9 1_i � � �� <br /> (�L).� �-�;,,1.� _ <br /> PIIOJECT AD�RE55 �PP�lf�N S LI1Y BUSIH[$51If.kNS[NO ANO B115ME55 NAME <br /> / „/�'S�nv r��,' r,u�i� C' <br /> PLUMlINO MECHANICAI <br /> Np, 7rpE pF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATEFCLOSET(TOILEn _ __ __ __ _ NC-.ARiN�LGUNIIS-N.P. __ _ _ <br /> �TMNB _ _ __ FORCED AIR SVSTEMS-BT.U. M EA _ __ <br /> LAVATORYIWASHBASINI UNITHEA7ER5-BT.U. M ____ _ <br /> _ .-�_- ___—__.'.____—_-_ <br /> SHOWER ____ CLOTMESDRYGRS __ _ — <br /> KITCHEN SINKd OISF. __ __ _V[NTILA710N FAN <br /> DISHWASHEH __ _ _ RANGEHOOD ____ _ _ ____ -- <br /> LAUNDiiVTRAV '--- - . WATERHEATER __________ _ <br /> CLOTHES WASHER __ _ ___ �'OOD STOVE ___ _ — <br /> URINAL _ METAL FIPEPLACE 8 CHIMNEV _ <br /> — _— _ —_ '— . <br /> ____'__' -__'.--- - <br /> DRINKING FOUNTAIN FIREPLACL INSERi _._ <br /> FLOOR ORAIN —�-�--- -���-"�— _ . ..-- ��HEAT PUMP -���______ <br /> G r GAS PIPING_ <br /> BACKFLOW PREVENTERS _. .2�� _ — — <br /> ppOF DRAINS-RAINLEADERS _ _ _ ExHAUST FAN — <br /> SINKISERVtCE-BAR,ETC) _ — --- ---- — - <br /> _—'- -_"_ -_ '__ ___ <br /> _— <br /> SUBTOTAL S SUBTOTAL 1 _ _ <br /> - __ _- <br /> ._ __ — .___.. _.___—__.__—_--_--____ _ <br /> PERMIT S PERMIT <br /> . ._ . . __-' _._ ._ <br /> " _.__"_.__.__.___- ___- -' <br /> TOTALFEE � 8 TOTAL FEE E <br /> if10NT5EiB/.CK �EA115ETB�f,N Si0[5[lOACh PIMICNECKHIIMBEH FEE PECEIPTNO. <br /> use2or+E iorAne�----- "Jec�iirsrt�---�---- FEES VALUATItlN FEE <br /> n ris u rio <br /> BUILOING __ _ <br /> ttPE 0f CAHST. OLCUP�NCYGROUP NO OF UWRUNG 11NI15 _------- -- <br /> •��pW�BLEIAGTUAL PLUM�ING <br /> 512EOFBlbG NPAFSTOaR4 ssyr. occioeo MECHANIChL _ <br /> �N — <br /> � H[�GIITlIM11A110N OiHEF — <br /> riaesvnrt+n�Ensaeocweo ��rES ❑ND _ STATEBWLDINGSURCHARGE <br /> STAT[ENEAGY SURCIIARGE <br /> �PPLIC�TION�CG BY �UNSAPPH BY PUBLIC WORKS <br /> rora� <br /> i <br /> � ( <br />