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APPLICAi ION FOR CONSTRUa:T10N <br /> PERMIT <br /> tlre Everpreen �,��,��,�� <br /> CITV OF <br /> everett e <br /> BUILDING DEPARTMENT <br /> 259�881 • TO BE COMPLETED IN INK— PIEASE PRINT ��, , <br /> -'4//�/c�,l�f L i�U1��1 f�ECl�S �.7i�i � �'1�i�I[>f E cG'r '�'l�,�d / �'!i�/ - j/,�� <br /> �Eq , eun enrn+[ss ruv ,n rnor�r <br /> _ __ .. . . .. _ . _ . _. . . ._... _-____ ... ____ ._____— <br /> iFN�HT M�II AOpNISti fl�v SII' 1910NC <br /> _. _ .. _ ._. _. . __ .._...._ . _ "_ __ _-.— <br /> �NCIIIIEQ011[1CSIGNCR 1A�II�OPfICSS fqY . . . �1)�1�•. . PIIOI![ <br /> ' SiCi �LL1�L�LLL�--���1 I�GI_ `-_/_`�J- _ lti'� . ( -'��'.%'Or' :=1:�.1- �i3/ _ <br /> `_�GENEHAI CONTRACLOR M�il� �0055 f.i1Y LiP PIION[ I ICENSE� <br /> Si-LU• c-� /• �,�:/iU5 :.�-!6� �,E.�r <br /> ------- ---- -_ _--- -_ _ - ---- ------ <br /> MELN�NICALCONTP�CiOR AUIUD�RC55 GIY 2iP 1'�IONE I.ICENSE• <br /> _ __'__'_____'"___. . _..... . .. . _.___. .__.. . . _ - _'_ _"___ -___ <br /> RUMBIN6CONTR�CTOF M�IIApp11C5S CIIY 211' P110NC LIf.ENSE• <br /> _____—_ ._. . _ . _. .__ ._ . .____ _"__...__ <br /> C1�550i WORN <br /> ❑ NEW ADDITION ❑ ALTERR110N ❑ RhPAII� �I f1G1�111I1ON �� 1Y00U51UV61FNl'I. INS[NI ❑ 17UILOINGRGI.00AiION_ <br /> L TEhMITIMPROVEMENtOHMfEPIOPPCMODCIO�/LY ` f,ONiM:IPL11tiON�bI1PINNCNO <br /> '__-__ ' .__ _ _ . . <br /> / Y� �i/ «„�r ��. �vtTd� . . . . <br /> fANTP�LT PRICE OF N9NK� rT�L C� _ �.___ <br /> pESCRIBENOPN�ND50U�PEfO01�G[IYVMVOT` I� I� �I� - � ��-� � �'� �� --- �-� � _"'��-'-- <br /> �,asL` ��u�_ Ze. �--��t�C-'� )- - _ - - ----- -- — <br /> rnovo�cou EOFBULLDiNO IHEHEBYCER11FViNATIHAVEREADANDEXAMINEDTN15APPLIC�TIONAND <br /> hF,/� KNOW TI IE SAME TO BE TAUE AND CORRECT.ALL PROVISIONS OF LAWS AND <br /> �� ORDINANCES GOVERNING 7HI5 TVPE OF WORK WILL BE COMPLETED WITH <br /> IEMLOESCRIP�b9UfPPOPERTV15110WNBElOWORAIUC11I0UNCOMC51 �y��E1HER5PECIFIEDHEREINORNOT.THEGRANTINGOFAPERMITDOESNOT <br /> �Ot�_ BiOcn ' � Or � �/' �� � D PRESUh1ETOGIVEAU�HORITYTOVIOLATEORCANCEITHEPROVI510NSOF <br /> ��------ ANVOTIIEfiSTATEORIOCALI.AWREGULATINGCONS7RUC710NORTHEPER• <br /> FORh1ANCE OF CONSTRUCT�ON.THAT 1 AM FUTHORIZED BY THE OWNEH OF <br /> ,Q�,�n/� �� �7_ �,. r��� _ /y,��' T_�' _ _ iHISPROPERTYTOP[RFORMTHEWORKFORWHICHAPPLICATIONISM�DE <br /> (Qf��� AND I GOMPLV WI1M THE S7ATE CONTRACTORS LAW 1827 RCW AND <br /> 2�J6 200 WAC <br /> 5iGNAW RE Of CONIN�GION ON A11111UR4E 0 AGk NI OAIE <br /> _.___-.._ ._" — '/ <br /> �'Y�'/5 Cd�.��:��?-r _f��'��"_. . - X �// i //L�/�,�_<<', /��3�.�j <br /> \pfqJEGT�DOPESS ���1115��1"OIISINLSti 1 IC[NS[NO�N�BUSW E55 NAME <br /> ! <br /> �� y3�"� -j , , , , ,�;�� <br /> PIUMlINO MECHRNICAL <br /> Np, TYPE OF FIIITUNE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILE7) NC--W HNDLG UNITS-H P <br /> '— BATMTUB �--� ---_-__- � _, � .-. . FORCEDAIRSYSTEMS-_B7,U MEA__ _ <br /> LAVATORVIW�HBASINI __ _ _.. ___ _ UNITIIEATERS�-BTIl M _ ___ ___ _ <br /> 8HOWER —_ ____ . . ._ CLOTHESDRYERS - ��___ __.________ _'__ _ <br /> KITCHEN SINK 6 DISP. VENTIlA710N FAN_ _ _ _ __ <br /> DISMWASHER --- --� _RANGEHOOD . _._ ___,___'____ __ _ <br /> -. __ _-_ _ <br /> LAUNORY TRAV WATER IIEATER <br /> CLOTHES WASHER _ _ WOOD STOVE _ <br /> URINAL _____. __ _ MEIAI FIREPLACE 8 CHIMNEY _ ______ _ <br /> ORINKINGFOUNTAIN _ FIREPI.ACEINSERT. _ <br /> FLOORORAIN — -- � � �NEAiPUMP ______ _ _ <br /> BACKFLOW PREVENTERS _ GAS PIPING _ _ <br /> ROOFOR�INS-FAINLEADERS _ _ E%HAUSTFAN _ _ <br /> SMKISEFVICE=BAR.E7C1 __ __ _ _ _ _ _ . _ --.------ ---- <br /> —__--____-__ . . _ .. .. ____' _ . . <br /> .. _ _ .... . . . _. __...____ -.- -___ <br /> SUB WTAL 5 SUB TOTAi. 5 _ <br /> -_-- __" <br /> .. . .. ._______.-_. _ _--_ _.___ _.-_-_ _ <br /> -- PERMIT 5 . .._ ____.__.___ _PERMIT ___ $ _ <br /> TOTALFEE S TO7ALFEE 5 <br /> FRONTSETB�GK AE�RSELB�CK Si0E5[iO�LN PL�NCN NNIIMBEfl _ FEE PECEIPTNO. �"j <br /> -l' � � )�• �.�1� � ' �� �' I�� L.��✓ / <br /> usezoHe io*enu � ���^�+�s��E FEES VALUATION FEE <br /> i�YlS kN0 C � l <br /> L3UILOING � �� � ___',��L <br /> TYPEOFGONST - -- �C�IP�NCVGBOI�P � � rvOOf0�vE111NGUNrtS . � .. . _ . - . lu�t�`''=� '"�� - "-� <br /> ALOWABLF/AGIUAI Tf_N rl�� � — PLUMBING_________' ____ _ <br /> .1L 7\ <br /> SIZEOFBI r+oo�stoaiEs asMr occineo ry�ECHANICAL <br /> �J�( /� °' nlA <br /> �/�� M��l � k N N[iGllf UI.IIfRTION O�11ER-- ��- - ��� ��--- -- ----- —_ <br /> fIRESPRiNNLERSREOWNEO 11VE5 NO ` .� <br /> ____�_____ __-_�L6 .____.- STAIEBUILDINGSURCHARGE ____ ___ <br /> STATE ENERGY SURCHARGE <br /> �PRIG�TION�GCBY PI�NSAPPR6Y PUBLICWORKS <br /> � 1 <br /> � - � <br /> �� � Tora� > > <br /> � qr l ��( � f !�� ) 1.��� Tt'��. ( 4'-�- /)2 ( <br /> � , -- <br /> , � , . . , , . . , 4�� 'r) h �� � � ..,-� � ' ,�,� � -����� 1."c... <br />