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APPLIC�.tI(*N FOR CONSTRI..:T1UN <br />PERMIT <br />Ihe Everpreen , ,� ,�� <br />GTY OF <br />everett e <br />BUILDING DEPARTMENT <br />259-ee10 TO BE COMPLETED IN INK — PLEASE PRINT <br />owr�En eun cnniutis pa�tr nr rnoG� <br />�' � ���Lt1 �1Z�N_ ]� ��' � � L�-rrC �N� ,''_ I ; Y�6.�G� 3 S S - S �Y __. <br />j reeunnumss� nir nr w�oHc' :...�... <br />� ���rwA�=��� �� _ 3S3 -���Y -�•Z � � y -o��-g - <br />GNITEQ P ESIG E M�II AppPE55 Ci1V 21P i`IION[--�--' '--�_"'-_ -�--- <br />___ .._ _ . . __ . _. . __-_ ._.__ <br />GENER�LGONTPACTOR MALLn00R[55 GIY ZiP P�fOrvE UCFNSL� <br />� L�S f,1�CG4�_.��iUe���vc° _�:Z,�L�.c�,�U/�PL4L��_Y��nC_39�-r:�,�-- <br />MECNANIC0.GONTR�CTOR IAqI 10fIf E55 C11Y IP PIIDN[ IICCNSE � <br />-___ _ ._ _ '____ _..__. . _. . . . . . ..._ .. __ _.__._ __ _—__'- ____ <br />PUIMBIN� WNTR�GTOR M�II �D�P[SS CIIY ZII' PIIONC LIC[NSE • <br />GL ASS OF WJRN <br />❑ NEW ❑ ADDITION ❑ AL7ENAlIOfJ I� NLPNH I.� UEIAUII71011 I_7 VJOOUSIUVL/FRPI. INSLHI I.I Ullll.f)INGRELOGAIION <br />_'___ "_ __."_ _ . _ ' <br />tEN�NT IMGROVEMENi OR INTERI08 REMDOCI ONI V � c.UNlnf.l PU1tiON nND Pu(�Nk t10 . .. .. _. .. <br />CANIN�CI PPICE 04 WORN <br />DESGRIBE WORK �NO f.�11�R[ f IXl1AOC INVOI Vlll <br />P�1�iOlPO5EU USE UF BIlIL01NU.1 <br />X1 EO�L D�ION (If PflOf'L�ItY SII�WN Gll f1Wv li �1T�G1(OI IIl COI`II S <br />� ,o,� d�o�n __ _ �,� �-. �r ��=�� y l'��,�� <br />� � G(,�� <br />PLUMBIN6 <br />t ( �t�/ �Le�. Se�! � <br />OH ITEM <br />I HEREdYCEfi11FV THAT I IIAVE REPD ANU E%HMINED 7NISAPPLICATION AND <br />hNOW !IIE SAME TO BE T RUE AND LOHHECT. ALL PROVISIONS OF LAJJS ANO <br />ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLETED ViITH <br />WIILIIII.NSPLp61EDHCHEINONNOi TIIE(iRAMINGOFAPERMITDOE5N0T <br />PIiLSU�1L TU GIVE n111110RI IY lO VIOLATE OR CANCEL iHE PROVISIONS OF <br />AtJV Ol l l EN S IM [ OR 1 OCAI. L AW RFGUI. ATI NG CONSTfil1CTION OR THE PER� <br />P017h1ANCE OF CONST(i11CT10N. THAT I AM AUTHOPIT.ED BV TNE OWNER OF <br />7195 PPOPERI Y TO PGRFOHM THE WORK FOP WHIC11,1^PI ICATION IS MAOE <br />AIJD I COMPLY Wllll 111[ STATE CONiHACTORS lAW 1827 RCW AND <br />296200 IVAC. <br />SIGN�IIIII( OI f.O11IN�G�Ub 6H ai1111URIZBO AGLNI 9n16 <br />� � k "`-�'�`��'�—,Gi�—�1- <br />�PYIICA tiCIlY0O51NL SIICCN NO�ND9U51 5 NAME <br />TYPE OF FI%TURE FEE NO. TVPE OF EOUiPMENT FEE <br />WATERCLOSETITO�IEn A�C--A/HNDLGUP:IIS--HP. _ __ <br />BATHTUB ---� �__"-"�- � ' � "�' � �-� FORC[D AIR SYS?E1dS- BT.II'-"fA EA <br />_ -.._.__ _____ ___ ' ______'._' _.___-_—.____'_.'-_ <br />BASINI UNITHEATERS-GT.U. �d_____.__ _ <br />____ _. __. . __ __.. ._._. -_ ___ . . _ -"---' _' _ '._'___ - <br />CLOTHES DRVER;7 <br />____--_'_'__-_ _"___-_ __" ___ .________ _ <br />)ISP. VENTIIATION FAN <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DfiAIN <br />BACKFLOW PREVENTERS <br />ROOF DflAINS - RAINIEADERS <br />SINK �SE RVICE - BAR. GTC I <br />SUB TOTAL <br />PEfiM1T <br />TOTAL FEE <br />ALLOWRBLE/�QWL <br />FIRESPRINKLERSNEOL1iRE0 11 V!5 <br />Il Y <br />II N <br />FANGE H(lOD <br />_'. __ .. . _ ._ —'__'_' ' ___ .___...___--_ <br />WA7ER HEATEIi <br />1Y00D STOVE <br />METAL F�REPI.ACE 8 CI�IIMNEY <br />FIPEPLACE INSEFi7 <br />I1EAT PUMP <br />-- --- GASPIPING-�-"--- <br />�__'-- �- . . .E%IIAUSTFAI� "� � - — <br />__.. _ _- I_ I I <br />S <br />$. - .. . __-_ _. _. _-_ <br />OES[IBFLK PL/.NCIIECNNUMBFP <br />ncnrvtsrtc FEES <br />. . _. . "_ . . _ _ _ -_ _'_' — � <br />. SUB TOTAL_ _S <br />_ P6FMIT $ _ <br />TOIAI FEG $ <br />ilYES fiNO <br />OUILDING <br />r+o.o�nweiur�cur�irs —__ ___.--_ _----- <br />PWM�ING <br />OCCIOAD --_ __---____ -_— <br />MECHANICAL <br />HEIf.11i11MILRTION QjHE�i <br />- _ —_ <br />--.--- ..-------- STATE BUILDING SURCHARGE <br />STATE ENERGY SUf7CHAHGE <br />PIIBLIC WORKS <br />TOTAL <br />FEE <br />