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, <br /> APPLIC�.�ION FOR CONSTRI..:T10N <br /> PERMIT <br /> I�e E�arpreen ��vr�rll <br /> CITY OF � <br /> everett <br /> BUILDING DEPARTMENT <br /> 259-BB10 TO BE COMPLETED IN INK- PLEASE PRINT <br /> iV � , _' n� ` lli _ n �„� i ,:_.•�i ,�s� <br /> � 1 1 I �' � �� r �' �,�� <br /> owr+ca eua.nnni..,s � <br /> _- <br /> ..- _ _.----_-_. _ � r.uv nr runur. <br /> IEN�HI F1111 �PPHIS`v <br /> �NLIIrtECT OR DE516NC� <br /> M�11 App11L55 fl1V :11` 1`IIDNC . . . . . <br /> _ ' _"_ - .___ ___ __._ " '_ <br /> - __ . .. .. ..__ _ __ _' _ <br /> GENERALCONTR�GfOR 1A�II �OPHlSS - . . (:��Y lll' 1'110NL IIL[NSE• <br /> ��1 ) . . . . _ . . <br /> MCU4NIGlCONiR�CiOfl FUi1 �POBlS•f (:IIY 111• � PIIUNC - . �. .---IICCNSC• <br /> ..__.. __. ._____..____-____— <br /> MUMBINGLONIR�LiON M�II.ADf1RCti5 - . . . . LiIY IIP . .....PIIOHI. LICENSE• <br /> .__ ___ . . . _ - . <br /> CL1550F KVRN <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIN ❑ D6MOI.I710N ❑ ��nODSIOVE/FNPI INSlNT �_U11:L01NGflELOCATION <br /> TENANTIMVROVE1dENTORiNtEPiORPEMOOkIONLY � CONI�LfPEP50Nui�Pu0eff110 / <br /> • 1 ) <br /> CONTMGTPRICEOIWJRK 1 "i. � . . _.. -'-'-��___�..1 . ._..l_�-�-'---�'� ) � l• ) - <br /> _-_-__._-'_._ <br /> pE9Gq1lEWORK�NUSOU�REiW1�GEiNYO1V U ., <br /> �:7 .�. ..t:.��liE�-��'y�e�•p' �'�'Llf____ ___ _ -- - ------- - <br /> PNOPOSEOlI5EOf9Urt0iHG ,_I'f IIIEHEBYCERIIFV111A71HAV@AEADAN�E%AMINF'•iHISAPPLICATIONAND <br /> f�� _ KNOWTIIESAMEIOBEIRUEANDCORRECT.ALLF'�10VISIONSOFLAWSAND I <br /> LE04�ESCNiPt�ONUfPPOPFHTY15110WNBElOWOR��lAG11fO11liCOWL9 ���»INANCFSGOVERNINGiHISTYPEOFWORY.WILLdECOMPLETEDWITM i <br /> WIIEfnERSPECIHEDHEREINORNO7.THEGRnNTINGOFhPERMITDOE9NOT �, <br /> FNESUME TO GIVE AUTHORITV t0 VIOI ATE OR CANCEI.THE PROVISIONS OF � <br /> ip7__ B�a:n._..._. oF ___.__. _ � ANYOIHEHSIAI[ORIUCALIAWREGULATINGCONSTRUCTIONORTHEPER� <br /> fURMANf.f:OF L'0115TRUC1ION i11ATIAMAUTHORIZEDBVTHEOV/NEROF <br /> 11115PROPERIVIOP(:11FOHMTIIEWONKFORWIIICMAPPLICATIONISM/10E ( <br /> ___ __-_--- - � � -� AND � COMPLY WITtI 111E STATE CONTRACTORS lAW 1827 RCW AND f <br /> .9ti 200 WAC ± <br /> sir.uuuntrocurulur.�uuu��ianu�nUzeperua M�1. � <br /> .-_ "___-__-__.. . . . . . . � � <br /> � J � 1 .. t H�. IC �:��" —���I-_��q._��_"'_' � i 1(�Y'�_ �CL_�- - .._ ____— ' <br /> �(—� 1 <br /> PPOJECT MbflE55 �PPI iCANfS Cp Y UUSINL551 iLENSE N�AND BUSwESS N���E <br /> I <br /> rLUMlINO MECHIINICAL <br /> NO. TYPE OF FI%TUNE OR ITEM <br /> FEE NO. TVPEOFEOUIPMENT FE! � <br /> W�TERCLOSETITOILEi1 A/C-A/HNOLGUNIiS-NR _ _ ___ ____ _ <br /> - ___ ' _"'___ " <br /> _ -- <br /> _____-' . - <br /> BATMTUB FORCED AIF SYSTEIAS-BT.U. M EA _ _ ___ __ <br /> _-' _-___'__" ' <br /> ___-_' _ _'___ _ _'.'__ <br /> LAVATOHYIWpSMBASIN) 11NITI16A7EN5 � BTU M _ .,_.__ ._.._ - <br /> '-' -'-"'-"-"`- -' ' -' - � CLOTHES DRYL"RS <br /> SHOWER _ ... . . '__-._ _ _._.- - ___ __._----- -- <br /> __._ . . .. .._ '. _ . _ . <br /> KIT!:HEN SINK6 DISP. VENTILAiION FAN _ <br /> _ .__. ___. .. _ _ __ _____.___.-__ _._ <br /> _"_.__ -. ._ - <br /> DISHWASMER RANGEHO00 ________ __ <br /> LAUNDRVTR�Y - -�_�-' �- _ _ WATEFHEATER _______ <br /> - -. _ <br /> CLOTHES WASHER WOOD STOVB __ ___ _ - <br /> URINIIL "- '- -""�'_- _ __ _M[TALFIREPLACEBCHIMNEY_ <br /> DRINKINGPOUNTAIN _ __ ___ PIREPLACEINSERT __ _ <br /> FLOOR DRAIN _ __ ___ ���EAT PUMP __ - <br /> BACKFLOW PREVENTEPS _ ____ GAS PIPING _ _ <br /> ROOF ORAINS-RAINLEPDERS _ _ ___ EXHAUST FAN_ ___ _-.- - <br /> SINKISERVICE-BAR,ETC.1 __ _ _-- - ------ -- — - <br /> _ - . . .. ...___ --_- - I <br /> .__"_'_'_ _'' _. . ._ <br /> . .__. _. __ "_ _ <br /> ___' __._. -_-'-'_ __'-- <br /> SU�TOTAL �- -'E� SIIBTOTAL . . --" <br /> __ —- _ ___ <br /> ._____ _ . PERMIT s <br /> PERMIT 5 . __'.'-___-______"-__._-_- ___-_._ - <br /> TOTAL FEE -�-E ���-�-���-� --- �. .._ TOTAI.FEE S <br /> �F110NTSETBeLK PEARSETeeGN Si0E5Ei0ACK PIANLNELRNI1MOEfl <br /> FEE PECEIPTHO. <br /> - -"-- vecu�rsn[ FEES VALU�TION FEE <br /> bSEZONE LOT�RG <br /> 11 v[5 11 NU <br /> _ BUILUING _ -- - <br /> --_-'- _-- � <br /> ' ___ - _.'___ -. <br /> IYPE�FGONST. OCCUPANLYGRO�P NDOfOW[IIINGU1�If5 . - - - <br /> •upW�BtEiecTu�l PLUM8ING _ __ __ _ ___-- - <br /> 52EOFBLOG NOOFSTORIES BSMi OCGLO�� - MECHANICAL __ _ _ __ _ __ - <br /> ❑Y <br /> ❑N <br /> - 11[iGHTLIMIlAT10N OTIIER � ____ _ -� <br /> FIRE SPPINNlEPSNEOWpED ❑YES ❑NO _ . SIATE BUILDING$URCHARGG ____ _ ____ __ <br /> STATE ENERGY Sl1RCHARGE _ _ <br /> erruC�Tion�ct ev t�.eHsev�n nr -_ p118LIC WOHKS - �- '- <br /> TOTAI <br />