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APPLICAt'ION FOR CONSTRI�a: i'ION <br />PERMIT <br />t�e Everprenn <br />CIl Y OF �'vCfeU <br />everett e <br />BUILDING DEPARTMENT <br />259-8810 TO BE COMPLETED IN INK — PLEASE PRINT <br />�OWNEP Aup eUU1qti5 1]IY 2iP 1'l1�lNl <br />�41�1?IL�yct') �laasF-1)1�. 1;;1.. �, (1�5% 1i�1 n�e�� ��-�.,,r,„� ��$ P�t�-f Z (05 2o�.Z�: — - <br />rennHt re�u.,ums; cin� m� rnout <br />•namecr on n[si ,rn �� <br />Ale�i �PPIIlSS <br />ul\ IIP 1`IIONf � � � � .. <br />GkNER�ICONiNM.IOB M1IqI�00111SS / LI�1' !IVy� I'1101l1 UCCNSI• <br />�MT;N�.V�CiI.✓'l���y—�A�nVs i^. DP.IE.hI�"��'_ .__��i'„10 �� .1�125� 1`IICNL __—r"�_ IILENSE 7J`i(T <br />-__ — _ __.____-______"—___—_—_'"—_ <br />PLUM&N6f.ONTR�CIOR Rl�p �OORC55 CiIY IiV PIION[ IICENSE • <br />___"___—_"'__..._.__ ._____."_.___'__ <br />CUSS OF WJaN <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR � OEMOLITION ❑ WOOOSTOVE/FRPLINSERT ❑ BUILDINGRELOCAiION <br />CONIMCTPPIGEOi WORM. <br />OE9CHiBE WORK AN� SOU�PE fOO1�GE INVOLYEO <br />� oJ,'_���5�le_��- - -- --- <br />S � h 4I -�.4-�-+n <br />IEML OESCR IION OF PROPERIY�SII �{1 BEIONOR AT4CN fOUR C01'IC51 <br />t <br />.oT� B�a��_ o. ��n.y�h_ �I <br />�.� -- ` l --__ ___— _ <br />M�,.� 3 a #� <br />VLUMSINO <br />N0. TYPEOPFI%Tll <br />WATER CLOSETITOILEp <br />OATHTUB <br />IAVATORV�WASH BASIN� <br />SNOWER <br />KIiCHEN SINKQ DISP. <br />OISHWASHER <br />LAUNDRY T('AV <br />CLOTHES WASHER <br />URINAL <br />DRINKtNG FOUNTAIN <br />FI.00R ORAIN <br />BIICKFLOW PREVENTER; <br />ppOF DR�INS— RAINLFI <br />SINK �SERVICE -- BAR, E7 <br />FEE <br />SUB TOTAL <br />PEG..:.� <br />TOTAL FEE <br />FIRESPNINNLEPSNLOUIRLD ❑Y[5 iIHO <br />S <br />S <br />V�LANISIII � � <br />f I TC5 I� t!L <br />I I I[NEdY CEH I IF Y 1 HAT I HAVE READ AND EXAMINED THIS APPLICATION AND <br />KNOw TI IE SAME TO BE TRUE AND CORRECT. AlL PROVISIQNS OF LAWS AND <br />ORDINANCCS GOVBRNIMG TIIIS NPE OF WORH WILL 8E COMPLETED WITH <br />WMETIIER�PECIFIEDHERhINORNOT THEGRANTINGOFAPERN.ITUOESNOT <br />PRESUME TC GIVE AUT NORIN 10 VIOLATE OR CANCEL THE PROVISION$ OF <br />ANY O7 HEP STA1 E oR LOCnL LAW f�EGULATING CONSTRUCTiON OR THE PER• <br />FORMANCE OF CONSiRUC110N. TIIA7 I AM AUTHORIZED BV THE OWNEHOF <br />1HIS PROPERiY 70 PERfORM TI IE WORH FOR WHICH APPLICATION IS MADE <br />AND I COMPIY WI111 THE STATE CONTRACTOfl$ LAW 1827 RCW AND <br />29fi200 WAC. <br />SIGN�IUBEUfCON�pAG10NOBAl1I1101U1F0�GEN1 ��fE <br />����� <br />MECHANICAL <br />A/C A�HNDLG UNIiS H P. <br />__ FORCEO AIR SYSTEMS — 8 T U. M EA _ <br />_ UNIT HEATERS— B.1.U. M _ <br />CLOTt1ES ORVERS <br />.. ' -- VENTILAIION FAN ----'—'-- <br />. . __ .___..__.. .. _ . . _ _..—'— —_--_'— _— <br />NANGEIIOOD <br />WATERHEPTER. . . -.. . .___ ______—_ — <br />. ... ...._--___._-. . . __ . _ . . __.____ —_.____ _ <br />WOO� STOVE <br />M[1N. FIREPI dCE 8 (:�IIMNIEV " � "� _ � � -� " -- <br />_ . __ ' _ _ .."_. ' '__ .__ __' <br />FIREPLAC[INSENT. ...__ ____ _ <br />HEAT r'UMP � � -- — <br />_.— __.___.____ .___— — <br />GAS P:PING <br />- - �_ E%HAU'iTFAN �-- —_ — <br />—___ _ __. . _..._ _ -- — <br />SUBTOTAL S <br />FEES <br />IOTAL FEE <br />___— <br />—. BUILDING <br />NOOFOWEIIINGUNi15 �---'—"--- --------- <br />PLUMBING <br />osMt occioeo MECNANICAL -�� ������ ��� <br />nx <br />❑ N <br />irtmirtiuerti.noii� � UIHEH <br />_ .. _. _.. ... <br />'__'_ .__._ ___..._— _'-.--- STAI[BUILOINGSURGIANGE <br />S1A1 E ENERGY SUfiCHARGE <br />1 PUBI IC WORKS — -- <br />TOTAI <br />