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APPLICATION FOR CONSTRUCTION PERMIT <br /> ���«�� <br /> ,���..��� e <br /> at�or <br /> everett <br /> �UILDWG DEPARTMENT <br /> 259�88t� TO 5E COMPLETED IN INK—PLFASE PRINT , <br /> �, � OEI�OLIT�ON � . COMBINATION " BUILDING . ECHANICAL �. .PLUMBING - SIGN <br /> �mv4 I/ 1 u�nr.onnrs c�rv ��^"'� ��r� <br /> 1Ac.� �=k��Le �'k�`I �t% 1 '}7• �Vmc�rr ' R�d�"3��- d <br /> ilwVl 4/.0.�ODRE55 ���� l�p n��� <br /> N <br /> 1nV�IFCIIXIM51GNfR INIL�CONF55 CIr � ���E <br /> Ll41n�LC!W1PI.LLC9 MI.R�C01�C65 CMY ZI� F�1CNE IICEN$E� <br /> 4i:.NH{4CONiR.�CiO� Y�M1��DPE55 CRV IIV P1U11E lKlHSE• <br /> �'[rrjal�/ <br /> vIUMBR10CIX11P/�LiM1 4I.L�Oq1E65 CItY Si0 i'��OMC IKEM$E• <br /> CI�CiP`WJPK <br /> �-� NEW ; AODITION i . RLTERATION � � REPAIq ._ DEMOUTIOIJ . WOODSTOVbfflPLINSERT L7 BUILDINGPEI(�:AT�ON <br /> 1(N�N1M1'POVC�:�Ni0PX1iFflNAP(MWCIp�Y L 11C1>( SONI.NOPMCNkNO <br /> crnrn.c�vn�-�awa+.: �AC.� uQ..TzE(�1(.��EESE� —_ <br /> oeuareEww++•uosouwEr'oouGEmvo�v[��: 3sS )"0 � <br /> �vuoros[�[mnuxo�'.c ��f-•yC� � I HERE�V CEATIFY TMAi : MAVE R[.10 ANO E%AMINED TNIS <br /> S.��— _ qPPLICATION PNO NNOW THE SAM[TD GE THUL ANO WRRECT ALL <br /> uaanc;cn��uanorrnoaEnrvr:.r¢mwac�owoun*�c�nuncov�[s� PROVISIONSOfLAWSAtIDORDINANGESGOVERN'4GiHI5NGEOF <br /> WOPK YJILL BE COMPLETLD WITH WM[TVIER SFEC�PED HEREIN Oi: <br /> i.�� pipc. or NOT.1HE GRFNTPlG OF A PERId1T DOLS NOT PPESUTAE iU GIVE <br /> AUTHORITV TO�IOLAiE OH GANG[L THE PPOVISIONS OF qNV <br /> OTH[R STFTE OR LOCAL LFYJ REGULAiING WNSTPUCTION OR THE <br /> - PERFORldANGE Oi CONSIRUCTiON.THAT I AM AUTMOHIZE�BY TNE <br /> OWNEF OF TNI$PROPERTV TO PLRFOqM TME WOHN FOR WHICM <br /> qP?LIG�TION IS MADE AND I COMPLV WITY IME STAT[ <br /> - CONTR�GiORS L�W 18.21 RCW AND 29fi200 WAG. <br /> *v -crur �.c*�nonw�Nwr�o�ccr�* o�* <br /> >�07 Gt�c-`�-r _ �U� X C�r L /c�-��-c�- _� <br /> , - � <br /> � - {�. . ry}SG'„ P'JSN[$SIICFNSENU 44I1IJ51H[ . �VL <br /> PLUMOING MECHANICAI <br /> NO. TYPE OF FI%TURE OR ITEM FEE N0. TVPE OF EOUIPMEIIT FEE <br /> WPTEHGLOS[T(TOILET) � h_G-bHNDLGUNITS-MP. _ _ <br /> �niHtUO FORCEDFIRSYSTE�.�S-01.U. M E.A _ <br /> "-IAVAIOFVIWASHBASM) �— IINRHEAT[PS-BSA. M <br /> SHOYlSR GLOTMES�R"ERS <br /> NIIGMEt151NK 6�ISP VENTILAIION FAN <br /> �- -- -[J:SMWAS�+CR RANGE HOO� <br /> LAUNL`HVTPFV WAT[R HEATF.R � <br /> GiOTMES WASHER WOOD SiCV[ <br /> �RltlAL METAL FlREPL4CE 6 CNIMNLY <br /> DRINKING FOIINTAIN � FlqEP�ACE INSERT _ _ J I�' <br /> - -fLOOR ORAIN HEAT PUMP _ _ , <br /> AACNFLOWPREVENTEFS GASPIPING __ <br /> ROOF�RAIN$-RAINIEA�EBS E%N�USTFAN _ _ <br /> SINK(SERVICE-BAR.ETC� ___ .--- — <br /> SUBtOTAL 5 SUBTOTAL 5 �l ; <br /> PERMIT b PEFMIT $ <br /> - TOTALFEE E TOTALFEE E 3J ✓ <br /> i. ."11pF�N PfI.P5EIB�CF 510(5[IBI�CR �LI.IICN[CMNVMPCII �FE R[Lkl�llq <br /> �. . .i miu+u vecavtsrt[ FEES �ALUATION FEE <br /> -� VES !� NO �U!�oMG <br /> .. �'�eV4IbM4lF iYVfpCdSIIL'l14 rcr.wv.r mvMluw�n�n --.--- — __ — <br /> �� PWMOWG <br /> . J .. nifv. M�q SiCa45 B6fYENl MEOIANICAI � <br /> ❑ YES i- NO — <br /> ,. .�n.e�0�0 irtiE51'P!.4ERSFfO9 M[ON1lMi11iCN UiM[R <br /> !�� VE$ � NO __ _ STALG 9UILDING SURPIAPCF <br /> i.�. .i.nSopiN[lFPS .. . — � <br /> S1Ai(�NEPGYSURCHARGI. <br /> n�,. ere•�ACCPv PLANS��oPOvfDFr � CITYOFEVCNETT PI�dJCWORNS -- _— --- <br /> lOC�L SFLES <br /> �, TRX f.ODC IS 3105 iaT�� ' <br />