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APPLIC�.�ION FOR CONSTRI..:TION <br /> PERMIT <br /> fne Ewrpreen <br /> CITY OF rvrrett <br /> everett e <br /> BUILDING DEPARTMENI� <br /> 259 8810 TO BE COMPLETED IN INK— PLEASE PRINT <br /> (TVN[R N�II �pOqltiS I:I1Y !11• PIIONf. <br /> —�1�.��_ _fi_rL� .1��" L✓.[,�InR� Cv't�•cTl `/J'�aal _33y" Y!?7._ <br /> rcr�eNr �.uu enontss r.rtv � m� ruorvc <br /> ------ - --__ . ._ . ---. . ._ . _ - - - -----._--- <br /> Ai1GNITECI0RDE510NER 1.U1!�IIDqL55 C�IY II� �� p110N[ <br /> GENER�LCONiR�CTOR ---- M1Ui1 ���R[55 �-- -- -. . . .� . Glv �Zu'. ..-. . .PIION[ - - -"---�--- IiCENSE• <br /> S/L_Y�'Q��P_ _�o�rr f'n E3Un,S,as �derc� ���p_e r�sa!!3/ s�er�Cu�6t M�- <br /> MECIUNIGICONiP�CI00 FIAII ApppLSS CIIY 11P fYION[ IIf.ENS[• <br /> AOMBMGLOHIRECiOR M1UII �I1I1PL5[ fI�Y LIP 1•IIpN[ � IILENSfl• <br /> __— ._—. __'_ _ ._.. . . ._ _ .. _._. <br /> CUSSOiNpPN - � - -'"------- <br /> ❑ NEW ❑ AD�ITION ❑ ALTERA710N L� REYAIN I_� DEAtOLIIION L] WOUDSIUVEIFRPL INSERI ❑ DUILOINGRELOCATION <br /> TEN�NTIMPROVEMENiORIMFRIDRPE1.lO0klON1Y --_�-�----�--- T.O�lPUPCRSONANUI�IIONCNO -��- — <br /> CpITqIiGT PRICE OF WJRK <br /> ' ____—_ _ ___.._ . _ . . _—__._"—_"_ <br /> DESCRIlE WORN�Hp SOU�RE fO01ApE INVOIVCD <br /> �„�s� � f�>,r,�. — -- — — ---- <br /> vaoPa4Eou5E0r g7mlDir�o ���[qEBYCERTIFVTHATIHAVEREAOANDE%AMINEDTHISAPPLICATIONAND <br /> S FI` KNOW?IIESAM11E708ETFUEANOCORfiECT.ALLPROVISIONSOFLAW9AND <br /> iEouoescnivtioHa�raoFEnnls�owr+ee�owonen.curouecor�itsi - - � - ORDINPNCESGOVERNWGTHISTYPEOfWORKWILLBECOMPLETEDWI»� <br /> WIrtTHERSPEGFIEDHEREINORNOT.THEGRANTINGOFAPERMITDOEANOT <br /> PRESUh1E TO GIVE AUTIIORITY 10 VIOLnTE OF CANCEL TME PROVISION90F <br /> ior _ e�ocn._... . or _ � qNYOTIlENSfAlEON1.00ALLAWREGULATINGCONSTRUGTIONORThEPEfF <br /> PON�fANCEOFCONSTRUCTION THATIAMAUTHORIZEDBYTHEOWNEROF <br /> II IIS PROPERIY TO 1'ENFOHh1 THE WOPK FOR WIIICH APPLIC�TION IS M�DE <br /> --- ----------- ' - - �� AND I COMPLY WIll1 IHE STATE CONTRACTORS LAW 1827 RCW AND <br /> 29ti 200 WAC q <br /> — ------------ _--._ . '.----._ - . si,rinwmni r,ur�uuuon�,r�+uu�oiaeeo.,on ne�c 3�GIB f <br /> l <br /> PNO.IECi�ppRE55 <br /> �__-��� �—� . .� .. ...._—.. . -� �P{YILW✓�IIYOU�SIIL��H A ISIN�E89NAME <br /> � <br /> PLUM�INO MECHANICAL <br /> NO. 7YPE OF FIXTJRE ON ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) NC-A/HNDLG UNITS-li P. <br /> �� ___ ____-_ <br /> BATMTUB C FORCEDAIRSYSTEMS-BT.U. MEA <br /> -- —�_ _� --_ -___-.____ <br /> LAVATOHV(WASHBASIN) UNITHEATERS-OT.U. M <br /> SHOWER CLOTHES DRYERS <br /> KITCHEN SINK 8 OISP. VENTILATION FAN <br /> �ISHWASHER RANGE HO00 <br /> LAUNDRVTRAY WATERIIEA7ER <br /> CLOTMES WASHER WOOD S70VE <br /> URIN�I METAL FIREPLACE B CIiIMNEY <br /> ORINKING FOUNTAIN FIaEPLACE INSEfiT <br /> FLOOR DRAIN — --- -- � . .. HEA7 PUMP-"- -��- - — <br /> BACKFLOW PREVENTERS GAS PIPING <br /> __- ___. . _ .---_'__.__- _____ .-- <br /> ROOF ORAINS-RAINLEADERS E%I IAUST FAN <br /> SINKISERVICE-BAR.ETC) _ _�_ _f� ____ _____.�_ ��__�_����� __ �� <br /> . _--- — __.._ __— <br /> SUBTOTAL S 1 C� �(J SUBTOTAL S <br /> __—'_-- _-_- __ . . __.__. _ . . ._ ____ --_ _-. _. _ ____....__- _ <br /> PERMIT S _ _�� �(Z PERMIT i <br /> _-_-__ ___ __ .__. -___ ._.__ .. _____-_____ ___ ___-. --- — <br /> TOTAL FEE S G(I 707ALFE[ S <br /> FRONTSETBI�CN OEMSCiBaCN SIf1C5C10�f.N PIANCBECMNIIMOEN FEF NECEIPfNO. <br /> usezoHe LOTARF.A vecu�isne FEES VALUATION FEE <br /> I I V[S ❑NO T <br /> BUILDING � <br /> ttPEOFCANSi OGCUPANGYGROUP NOOFDWELLMOUNItS _.-_ --- ------- - — <br /> KLOW�BLEI�GTUAL �S� <br /> PLUMAING <br /> SREOFBLDG NOOFSTOPIES OSMf. OCCLOnD <br /> ❑v MECHANICAL <br /> n�� <br /> IIEIGHiUMIIALION OTI�ER <br /> iIRESPRIYNLERSREWIREU OYES ❑ NO _ $TATEBUILDINGSUFCHARGE <br /> STATE ENERGY SURCHAqGE <br /> '___'_- -._._..'__'____ . <br /> __ -_ ---_. .__ _..--.__ <br /> •vaicenor+�cc ar PUN5�1'PB UY <br /> PUdLIC WORKS <br /> TOTAL W <br />