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1 APPLIC�ITION FOR CONSTRl�T10N <br /> ; PERMIT <br /> t��Erry��� everelt <br /> CITY OF � <br /> ' everett <br /> BUILDING DEPARTMENT <br /> 25B•BBtO TO BE COMPLETED IN INK— PLEASE PRINT <br /> �HEp M�IL�OORESS G�IV ZIP PHONE <br /> �iX,�,'PE�� 49a�,�'a�•u�� .��r _F,�6'�t�il��� �—�„4� �,P? <br /> IEH�Nf MML�ODRE55 <br /> MLNITEGTOADES�ONEA MML��D11E55 CI1V ZIP VNONE <br /> OENERSLCONTN�LiOR MAI��D�RESS C�IV ZIP PNONE �/�y� <br /> �� , 'l �our: /!�i?i �V�'.�ds....�f�J r�Vubu�,lE�9d ���/d9�� i•�. <br /> MECM H�C�LCOHT�10 M�II� �ES� CItY 2iP ��ONE UCENSE• <br /> RUMNNOGONTH�GIOR MUL�0�RE5S GfY 21P PNONE LIGEHSE• ( <br /> Ct�6lOIVN� ( <br /> ❑ NEW ❑ AODIt10N ❑ ALTERATION ❑ REP�IP ❑ DEMOLITION ❑ WOOOS70VE/FRPLINSERT ❑ 9UILDINORELOC�TION <br /> 1EM�NT IMPPO.'EMEM OR tNTERIOnJ REMOOEL ONt/r� /� CANI�GT�E�SON�Np VIIOHE NO <br /> WNTp�GTVNICEOiY/011K 7�/�e • ( <br /> p[�CM�EWOPR�hDBOUMEi001 iNVOLVEO <br /> \ � �� <br /> Y <br /> waaCs[ �seo�eua iNa IHEREBVCEnTIFY7HATIHAVEREADANDEXAMINEDTHiSAPPLICATI0NAN0 <br /> KNOW THE SAME 70 BE TRUE AND CURRECT.ALL PROVISIONS OF LAWS AND <br /> 1 LEMlDEBCRIPfIONO�P110PERiVISNOWNBELONOR�f1�CNfOUFCORE51 ORDINANCESGOVERNINGiHISTVPEOFWORKWIILBECOMPLETEDWI7M <br /> WHETMER SPECIFIED HEREIN OR NOT.THE aR�NTIN00FAPERMR DOES NOT <br /> ?a—'',� �7�— PRESUME TO�IVE AUTHORI7V TO VIOIATE OR CANCEL THE PROVISIONB OF <br /> I �pr� xocK or ���fL� ANYOTHE7STATEORLOCAlUWREOULATINaCONSiRUCTIONOR7NEPEIF <br /> � FORMANCE OF CONSTRUCTION.THA71�M AU7NOR12E0 BYME OWNER OF <br /> TNIS PNOPERTV TO PERFORM THE WORK FOR WHICH APPIICATION 19 MADE <br /> AND I COMPLV WITM TF1E STRTE CONTRIICTOR9 lMN 1827 RCW AND <br /> 1 298.200 WAC. /. M <br /> q S�ON�tIlREO�CONIP�GiDROR�UTNORiZEO�OEN7 DQE ( ����y <br /> � � J !/ / <br /> � �„ <br /> 7 /� �).V1��� <br /> � FlIDJECT�DORE0.� AiPLC�NT8C1iVBU9ME53UCEN5 N .�NUBUSIHEl9 �ME <br /> a <br /> 1 �L11M�IN0 MECHANICIIL <br /> i <br /> ,� qp, T'�E pi fUITU1IE OII ITEM FEE NO. T'PE OF EOUIPMENT FEE I <br /> WATER Cl08ET 1TOILEn NC-A/MNOLO UNITS-H.P. <br /> y �TMNB FORCED AIR SYSTEMS-B.T.U. M EA � <br /> j UVATORY(WA9H BASIN) UNIT HEAT@RS-B.T.U. M <br /> 3 BM��A GLOTHESORYERS <br /> KITCMEN SINK{DISP. VENTILATION FAN <br /> k DISMWASMER RI1NaE MO00 <br /> �) LAUNDRYTRAY WATER HEATER <br /> � CLOTHESWASHEH WOODSiOVE <br /> � URINAL METAL FIREPLACE 6 CHIMNEY <br /> � DRINKINO FOUNTAIN _ FIREPIACEINSERT <br /> i{ FLOOR DRAIN HEAT PUMP <br /> y BACKFLOW PREVENTERS G!S PIPING <br /> � ROOFDMINS—RAINLEAGERS E%HAUSTFAN <br /> 81�K(SERVICE—BAH,ETC) <br /> i <br /> 1 <br /> 1 <br /> i <br /> 1 <br /> i <br /> SUBTOiAL S SUBTOTAL E <br /> � PERMIT S PERMIT E <br /> i TO7ALFEE S TOTPLFEE S <br /> I FFONTBETB�GR HE�RSEIBAGR SIDEiFIBnGM VLANCM RMIIMlBE,R�) FEE�I��� �ECEIR � � <br /> � r �1��1.1'�J , ^ <br /> 1 USEiONE IOTAPE� wc�rvtSrtE FEES VALUATION FEE <br /> _f o YE9 a�o <br /> � . BUILOING ��a �7 Z <br /> TypEpF00N9T. OCCUPANCVOROUP HO.OfDWELlIN0UNIIS <br /> i w����� O. 3 ( PLUMB!NG __ <br /> � F <br /> erzeove�oo eo.u�aronies osMc occ�oeo MECNANICAL <br /> 1 .? - D Z. 1"" <br /> r�eioNruw'/nor+ OTHEF <br /> / <br /> iIRE6PRINRIEHSRCOUIRED ❑YES ¢,Ho STATE BU�LDING SURCNARGE <br /> STATEENERGYSURCHARGE <br /> � AVPLIG�TICN�CGBY PL�NS�PPF.BV PUBLICWORNS <br /> �� TOTAL <br /> ' I r l O.yy LI../lY-✓-*�I �DLY ` ��/J� <br /> . Vllc.i�,r"'J " ~! `� `�/_' - ,-.'.s •_-;� � ;:,�• ±, <br /> _ -��T.. ' ' . _ <br />