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APPLIG.+.TION FOR CONSTR.�CTInN l�l � <br /> PERMIT <br /> IN Everpreen �,��,fe�� <br /> CITY OF <br /> everett e <br /> BUILDING DEPARTMENT <br /> 259-88t0 TO BE COMPLETEO IN INK- PLEASE PRINT <br /> ea �/� �.�m nneixs cnr hY�ON'L/7 /' � �j <br /> UI�C��'�`l-- L���jY1S_at1 ��� 7�'� V�IL'��'�'�)l�(�' I�VL', i"Y(��'f'�;� ��`C��� �I�JL-�_—(C��`_?�.J — <br /> t[N�ai � � •e.u :uinns�; - � cn� . ..iir r��o�+[ -' - <br /> -_-____._ '.__. . . __ _ . _____ . . _ _- __- <br /> •RGMiTECTOADC5IGH[ii �-- MMl�f1011LS5. . . .fli1 IIP PIION[ <br /> OEN[RILCONiR�tl01i -- -- �MI ��OBLtiti . . . - f.IIY 11f' ----- -�� Iq10NL-�-----IICENSE• <br /> M�MULCONTR T R M�II �RD�65 . � . . . . ..CAIY �-"�-'- � IIP 1910NC UGENSE• <br /> ��� ���'_ �� �1�" ' �/lc�����,,.��al l ��i �_t.l `��r',I �;�`_� `��:�% �►�r��I�� <br /> UMlINGC QOR M�II M1pN1ti9 CIIY 21P PIIONL llf,[NSE• <br /> __—__.- ___ ____ . ' _ _' _ . . . _ . . -___ __._-- <br /> GlA9S W NORK <br /> ❑ NEW U �ODITION �IIERATION ❑ NBPAIR L� f�E1AO1JIlON I1 WOODS70VEiFRPL INSkRI ❑ BUILDINGRELOCATION <br /> '____._- '__""_ . . _ _ . . . . .. " " "_"___ <br /> IEH�HTIMPPWEMEN10AiNiCR1 RCMOO[IONIY�-� CON1�f,�PCf150NANpP110NEN0 <br /> + C <br /> �«,�.�.�KEo.,,,�K ? '1�'z�' --- - — _ _— - ------ <br /> p(p����yypRM�ND SOUME 'OO1�G[IN WI VLO <br /> � . ��;1 a( L � ,1l�,,..yir �itic_I.,�c� � ►.q� 1��;,,L % _ -- — — <br /> AIOq�lEO USE Of�MlUiNO � <br /> �r 1 H EHEBY CEPIIFY THAT I HAVE READ�ND EXAMINED THIS APPLICATION AND <br /> `-�/ �� -- _ _ KNOWTMESAMETOBETRUEANDCORRECT.�LLPROVISIONSOPLMN9AND <br /> � URDINANGES GOVERNING THIS TVPE OF WORK WILL BE CAMPLETED WITH <br /> l[o�uo[ecn�n*roMarvnon[atti6�+ow1+Bciw+on.n�[riwuncovrtsi� WI�ETI�ERSPECIFIEbNENEINORNOT.THEGRANTIN00FAPEFMITDOElNOT <br /> PNESUM[TO GIVE AUTIIORITV TO VIOL�TE OH C�NCEL THE PROVISION60F <br /> iat eiocK____ __ or __.___ _ . - _ --- -. ---- � � ANYOIHEHS�AIEORIOCnLLAWREGULATINGCONSTFUCTIONORTMEPEIF <br /> FORMAIJC6 OF CONSiRUCTION.TNAT I AM AUTMOPI2ED BY TME OWNEN OF <br /> 11IIS PROPERiY TO PERFOFM THE WORK FOR WHILH APPLIC�TION IS MI1DE <br /> --------� - AND I COMPIY Wlill 7nE STATE CONTRACTORS LMN 18.27 RCW AND <br /> 29G 200 WAC � <br /> SuiNM11Mu�LONU�M,I�����i1 tllllt 1LU�GtN1 UMk <br /> n a����-�-� I <br /> RqlEq�PDRE55 IL�Ni5G1YFl115�i 5.. If.ENS[ �HOBUSME59N1b1[ <br /> /Y'�� �/�-�� illDir' !1 'E�1; � (' � <br /> RYM��NQ MEGNIINIC�1. <br /> Np. TY�E OF FIXTUIIE OR ITEU FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSETITORE7) A/C-NHN01 G UNI7S-H P. <br /> . _ _ ._-. - .- ___--__.___--_ <br /> B�THTUB _ . J _ FORCEOAIRSYS7EM5-BTU. � MEA <br /> .___-_..- . . _ __ .__ ... _.. __ _. - ._-_-__._._._..-- <br /> LAWTORVIW�HB�S�NI______ ____ _ ___ _ ._ UNITHEATERS--BTU. M <br /> SHOWER _ __ _ _ CLOTHESORYEFS ___ <br /> KITCHENSINK6015P. __ ______ VENTILATIONFAN __ __ <br /> DIBHW�SNEF ___, _ _ �__ RANGEHOOD __ <br /> ---��-- - WATERNEATER <br /> LAUNDHV TRAV _ __ _L- --------- <br /> CLUTHES WASHER WO00 STOVE <br /> URIN�I _ _ __ _ METAL FIPEPLACE 6 CMIMNEV_ _ <br /> _ _' __. - " __'__'_-_-_'___-- <br /> ORINNINO FOUNTAIN _ FlREPLACE RJSEeT <br /> ____ _ _'_ _._ <br /> ._.__-'_-_ ___' _" . ____ ___ '_.___. ___'- <br /> FLOORDRAIN HEA1 VUMP ,._.____ _ <br /> . ._._ _ ._-_.___ '.__. � . . _ . <br /> BACNPLOW PHcVENTERS iAS PIPING - <br /> _-__---_'__ <br /> _' _' _'- '__. . _ _.. _ ._'__'__'_'__'_ _ <br /> ROOF DR�INS-R�MLEADERS . EXHAUST FAN <br /> � __ -______" _.-__. _ _ <br /> _ "___ - "_ '___. '_' '__ <br /> SINKISERVICE�-BAR.ETC�_ ______ ___ . . . _. ._ --- .. _ . . .-__. -- <br /> SUBTOTAL S _ _ SUBTOTAL _ S __L� _C� <br /> ____—. _ -__.-_- — .__ _.__ _.._____ — . <br /> PEHMIT E _ _ PERMIT_ _ b _ � <br /> T0�4LfEE �� � -S� '�-'�- -- �. � ...������ -� TOIALFEE 5 <br /> fRONiSEIB�LK nE��SETB�CK SIDESRB�f.n PI�NCMECNNUMBEP FEE �ECEIPTNO. <br /> usezoHe IOI�RE� v�c�Nrsrtc � FEES VALU11710N FEE <br /> n vts u au <br /> _ __ _'_'" "_-_' -._._ . _ - BUILDING <br /> tti'EOFCONST. OCCUP�NCYGROUP NOOIIIWt11:11G1IN115 _. _ __ ...__-- -- _ - -- -- --- '-----'- � -' � <br /> �LIOWABLE/�CTUAL pLUM01NG <br /> gREofelO(3 Nooi5lon�ES &i11t OCGIo�D MECIIANICAL � � <br /> ❑Y __-_ -- <br /> _ 1 n n_.._,_e�crrtuuiution.—_. O7HER _- <br /> FiRE SPRINKLERS REOUIREO ❑rea ❑Ho � STATE BUILDING SUPCHARGE <br /> STA7E ENERGY SURCHARGE <br /> �PRIUPON�CC BV P1�N81FPP BY rUBLIC WORKS <br /> TOTAL <br />