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APPLIC�Ir ION FOR CONSTRU�:�IQN <br /> PERMIT' <br /> Ine Evlrqreen p�p��q� <br /> CITV OF � <br /> everett <br /> dUiLDING OEPARIMENI <br /> 259•BBiO TO BE COMPLETED IN INK— PLEASE PRINT <br /> ONNER ni•u.ennne:s an� nr rnorvc <br /> �R�- �j� y /z o •�.2 •- S_ / `;-r A-�i_ S,E �u�s.a�rr. 9� ���s_ �s-�Y yn s/ <br /> *Er+�Nr n�.n.nnnis:: —cnr - _. i�r� vuoHe <br /> MENRlN�OROESIONER IAqIAUDBL55 Gl� � ZIP PIIONL <br /> ��T2- T•_��t�r__—_iior �g4'�Sr�r«J. Apl��ti�,rvn. 9� sv`6 a5"`] 4ui-1 <br /> OEHCR�L CONiR�CiON 1AAll�pI1PC55 L�IY ZIP PIION[ UGENSE• <br /> _7"co 3� �L��r�1�------------ ..----- <br /> MEGN4NIGl GONiHeCtOR MML�DDRC55 diY 21P P�IONE ULENSE• <br /> RUMBiNGCONTPACTOP M�II �DONC55 LIIV ZIP PIIONE I�CENSE• <br /> ClIlS50iwOPR _-. _-- . _--- .—__— " ' . <br /> ❑ NEW ❑ ADDITION � ALTERATION I� REPAIR I.� UEMOLI110N ❑ \YOODSIOV[IFHPL INSERI ❑ �UILDING HELOCATION <br /> IEN�NT14PqOVEMENIONIMERiORPE�ELONI^ G.� C0111�CIPERS@I�NOP110NGN0 <br /> 1�,�<� -- -- �., J. 5�.,����_,� G�%�. b � � 7 <br /> CONTR�CTPRiCEOCWpqK -- .-. ' --- <br /> pElGqllEWOPN�Hp50U�AEfOOTA6EIN IVEU <br /> RELrN4rRuc i I=iAr' i7An�AF.s - -9s._o5I- -- _ _-- -- ----- <br /> ppoMlEo usE or emloina I HEREBY CERIIFV THAT I I IAVE READ AND EXAMINED TNIS APPLICATION AND <br /> eR�JTA L RP rS _ HNOWTHESAMETOBETNUEANDCORRECTALIPROV1510NSOFLAWSAND <br /> i[a��ocsenianowwanoveervisrTowneciowbneri6u�roiiHcoiMisi �� - �i���NANCESGOVERNwG7111S7YPEOFWORKWILIBECOMPLETEDWIiH <br /> WH[111ER SP[CIFIE�HEREIN OR NOT.THE GRANTING OF A PERMIT DOEB NOT <br /> S}�� p 9,v ��� � '. FRESUME TO GIVE AUTIIOFITY TO VIOL�TE OR CA�CEL THE FROVISIONS OF <br /> �oi etOcn__ O� —I=��"'L—_ --- -- ANYO711EHSTATEORLOCALLAWREGUUTINGCONSTRUCTIONORTHEPER• <br /> FORMANCE OF CONSTRUCTION.iNAi I AM AUTHORIZED BY iHE OWNER OF <br /> tI11S PROPERTY TO PERFOFM THE WORK FOR W HICM APPLICATION IS MADE <br /> ------ — AND I COMPIY W11H THE S7ATE CONTRACTORS LAW 18.27 RCW AND <br /> 296200 WAC <br /> � SIGN�iIIR[O�LONIH�LIJ�IOH�11111Dfi�ZCDAGBHT D�1E � � /��g'� <br /> X�IQ L_��€_--t_"7�'S� <br /> qpJEGT�pDPE55 MPUUNISCIiYBUSM[SSIIL NSENO ND9 INE N��� <br /> � 3 •r-7- �,�l,Y r�>,oa�, <br /> KUM�INO MECNANICAL <br /> Np, TY►E OF FIXTURE ON ITEM FEE NO. 7YPE OF EOUIPMENT F[E <br /> WATERCLOSETITOILEA _ ___ _ ___ aC--A/NNDLGUNITS—HP. <br /> BATHTUB _ _ _ _ FORCED AIR SVSTEMS—BT.U. M EA <br /> UVAiORVIWASHBASINI _ _ __ __ ___ UNITH[ATERS-_B7U. M <br /> SHOWER __ _ _ _CLOTHESORYERS _ _ _ <br /> KITCHEN SINK 6�ISP. ___ V[NiILATION FAN_ _ <br /> DISHW�SHER ___ AANGEHOOD <br /> IAUN�RYTRAY _ _WATERIIEATER _ _ ____ <br /> CLOTHESW�HER __ _ __,_ �'OODSTOVE_ _ <br /> URINAL ___ MEUL FIREPLACE d CHIMNEV _ <br /> URINKINaFOUNTAIN __ FIREPLACEINS[RT _ _ <br /> FLOOR ORAIN ___ HEnT PUMP .__ _ <br /> BACKFLOW PREVENTERS __ GAS PIPING _ <br /> qOOF DR�INS—RAINLEADEPS __ E%HnUST FAN_ __ <br /> SINK(SERVICE—BAR,ETC.) __ — — ------ <br /> SUB TOTAL E SUB iOTAL E <br /> PERMIT 1 _..,_.___ PERMI7 $ <br /> TOTAL FEE S TOTAI.FEE S <br /> LRONTSETB�GN RE�RS[TOACK SIO[5[lO�CN PUNCNECNNUMBEP FEE NICEIPTNO. <br /> usezoee �oten[e vec�nTsne FEES VALUATION FEE <br /> u res u ra — <br /> — BUILDING <br /> ttPEOFGONST. OGWP�NGYGROIIP NOOFDN'ELIINGUN115 ----- —'-- <br /> µ�pWABIi./�GTUAI pLUMBING <br /> SiiEOFelo� NOOFSTOWES OSMT. OCCIQ�� MECHANICAL <br /> nv — <br /> �� __— <br /> H6IGNILIMIT�TION OTIIER <br /> FIRESFRIN6LER5 REOWREO n ves ❑r+o STATE BUILDING SURCHARGE _ <br /> STATE ENERGY SURCHARGE <br /> 11PPLIUTIONACC BY PUN9APPR OY PUBLIC WORKS <br /> TnTAI <br />