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Ina Erororean <br />CITV OF <br />everett <br />BUILDING DEPARTMENT <br />259�B8t0 <br />APPLICr,. �ION FOR CONSTRI..:T1AN <br />PERMIT <br />TO BE COMPLETED IN INK — PLEASE Fii1NT <br />rvcrclt <br />e <br />r � <br />.�( � L i � ,/�tCe i ' '^' � G_� l� _ L4'c_ ( [�1!'r� C _ �_ � l � �c' i %/ `f �.2 c' `� '' %`s_`_'_� �J� 3 �-- <br />r rv�Hr f-��- nu�i nnnniss cirv tir 1�i+orit <br />___-_ -_...___. __ __-_ . _ __- __-____-_-_'-..— _. <br />�OGIIIiEGTOR0E5�GNER IAAILAp�RL55 p1Y ZiP PII�NE <br />GENEP�LCONiN�CTOH MAII AOORE55 f L�IiY(. ZiPn PIIONF 1 LILENSE.n�y�'�/ <br />/�'t�r�✓ �(%iil�l �1(�__Y�•�4 7�1 €����1'_.-__ .. .__L�7`L'�.___ _��j. �.L�'�____!.(�J-��[�1 <br />MECN�NIG�LCONTR�GIOR M41LADf1P[55 GIiY ZIP PIIONC IIC[NSE• <br />FWMBIN�CONiPACTOR M>il.�pbRE55 CIIY <br />i1C[NSE � <br />GL�SS OF WORN —_ _ "---_—__ —__ _ _ __--_ _"— _— <br />�NEW ❑ ADDITION ❑ AITEPATION ❑ R[PAIR ❑ DEMOLITION ❑ \YOODS70VE/FRPLINSERI O_dUILDINGRELOCATION <br />fYEN�NT IMPRWEMENT OR INTEPIOH REMO�EL ONLY CO�IiPLf PEBSON ANO CIION[ NO <br />. ('f • (I `� <br />;) CANTPACTPR�LEOfWORN�. ���)f�G�" <br />� DESCRIBEWORNAN�SOUApEFOOte EINVO�V[D � � <br />�I�E ��� C� �'ri (� ��KaX{ —;���--�t � -- --- --- <br />PROPOSEOWEOfBUIlOiNG j' � ) IHEREBVCEFTIFYTHATIHAVEREADANOEXAMINEDTHISAPPUC�TIONAND <br />�A�����, �A�����. (�t /1i��'(��)(��1/-P NNUWTHESAMETOBETRUEANDCORRECT.ALLPROVISIONSOFLAWBAND <br />IEG�I DESCRIPTIONOFPROP[RiY15��0 onowon enacn rouncodi� s - ORDItlnNCES GOVERNwG 71115 TVPE OF WORK WILL BE COMPLE7ED WITH <br />V✓HETHERSPEGFIEDHEREINORNOT.THEGRANTINGOFAPERMITDOESNOT <br />/) �� PRESUME TO GIVE AUTIIORItt TO VIDLATE OR CANCEL THE PROVISIONS OF <br />tor��— BIOLK oF _-_ � (' ANVOTIIEHSTATEORLOGALLAWHEGULATINGCONSTRUGTIONORTMEPER� <br />T� x A� �������� �/ �� ���, ��'� (.'L� L�i �^ C�'���J FORMANCE OF CONSTRUCTION. THAT I AM AUTHJRIZED BV THE OWNER OF <br />�' 1 HIS PRCIPEFTY TO PERFORM THE WORK FOR \4HICH FPFI.lCATION IS MADE <br />q (/ {) -- AND I COMPIY WITII 7HE STA7E CONTRACTORS �AK' 18.27 RCW AND <br />✓HII_L�C/"•)J /�id}'li� .(i���/�%ll�/ j'/f�F� 29G200WAC <br />� SIGNAl11HlUlLONIIUL�UROLAUIIIUNILLOAGLNI CIIL �} /J� I�Y/J <br />ec--� c>z� -j�= c�; _= 7,�; i .z [. -_ _ X / �";� ��'_ �/,:-, �. . , i.. « � � <br />' �(Na'i r,c, � :» �,� «c�l o� - !S'Y.�.S-- <br />----- --- -- _ _ <br />� PROIECT�ObPESS � ai•PiIf.N�SCi�111�iSR:ItiSIiLIJ15Ll04NDf111tiINC55N�A1F <br />♦ .) r. l l.)I'T� � �i�l t <br />PLUMBINO MECHANICAL <br />TYPE OF FIXTURE OX ITEM <br />WATERCLOSET�701LETI _ _ <br />BATHTUB <br />LAVATORV �WASM BASINI _ __ _ <br />TRAY <br />FEE <br />___-__I '-.. <br />__ __-__' - __-_.._ _- <br />URINAL <br />____ '__' ___ -...__'__._ <br />DRINKING FOUNTAIN <br />-- __"'_ _ _ "___' <br />FLOOR DRAIN <br />BACxPLOW PREVENTERS � <br />ROOF DRAINS - FAINLEADER$ <br />SINK�SEHVICE-BAR,ETCI � <br />SUBTOTAL __S <br />PERMIT 5 <br />TOTAL FEE 5 <br />NTSETBACK R[nflSETBAGN ' SID[SE <br />Zo � _� 6 _� <br />ZONE LOi�RE� VAGeNI <br />�_ I ❑ YES <br />FlqESPPINNLER5RE0UipE� ❑ YES <br />�IY <br />NO. TVPE OF E(�UIPMENT FEE <br />A/C - A/HNDI.G UNITS -- II P. <br />. ._ ___.__.._.___ _.._.-__.._ ... __- ____—_ <br />FOHCLDAIRSVSTEMS-BTU. MEA <br />..__. ..___ __..___ .. _. _-__.-___- <br />. UNIT II@AIERS dTU..... M _._ .__' _ _ ____ <br />CLOTIIES DRVEHS <br />VENTILATION PAN <br />RANGEVi00D <br />� WATER HEATER <br />WOOD STOVE <br />� METALFlIiLPlACEBCHIMNEY <br />FIREPLACE MSERT <br />. � ..IIEATPUMP--_-"---- - <br />_. - __.__.-. .. _ ______- _'_ <br />GAS PIPIN(i <br />.... E%IIAUST FAN �-��- "� �'- ' _'--- <br />SUB TOTAL 5 <br />PcRtdll' S <br />TOTnI FEE S <br />FE� � � � PEi <br />I FEES VnLUnllun <br />eui�oiNc._ iy,4 .1� f. J�- ` -. —'SZ.Z �-- --- <br />PLUMOING <br />MECIIANICAL <br />_-.__.."-_.... "_"'_'_— _-_—_"— —_ ._— <br />45 %S <br />onien —�.�- _`��— -- -- -- <br />STATE BUII.DING SURCHARGE <br />�STATE ENERGY SURCHARGE <br />PUOLIC WORKS <br />IOTAI "l�� � <br />'J <br />