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APPLICAr'ION FOR CONSTRIi.:T10N <br />PERMIT <br />f�e Everpreen � vPlPll <br />CITY OF � <br />everett <br />BUILDING DEPARTMENT <br />25�d•8810 TO BE COMPLETED IN INK — PLEASE PRINT <br />JWNEfl MMIAppILLS:i Ci�Y IIP VIIONC — — <br />/ t S /, '�Ull d � — <br />IIi, 5 �/�cF Y.1,� i Tc c� 2��1• -L-�r1- rlu�• -[ Lc��ttT _'..5 y-/ 7��-- <br />TEN�NT -- ---��II �OpRl55 � � -�--- � - � � - ll1 Y � ��' - " IIV VIIONE <br />.. __— __._'._. _ ___ . ___ .__'.-_____"_--.— <br />�pCNIiECTONDE5IGNEF AUILMDOE55 f11Y ZIP PIION[ <br />Coaiitiu�IT� Hoo:�n�r. /ii�ii'4%�<<rC.�T f%'Q�i�i�-�i_ _ _4U�Jc[ %7 <br />6ENER�LCONTR4IOR MAiI�DORC55 pIY 1iP PIION[ IICENSE♦ <br />i�� D6i/Gnl T�.•f �oi�S�,crciiJ�-�__/f.�!l__��hr/_ N:_�—� _ 1!t_HriYScrs[d. L����-'�u oefs/TcizGP� <br />� <br />_ ..... .�nm «- - - GIY l�P - '�IONE UCENSE • <br />PIUMBINOCONiR�CIOR I.41LApONESti - �------CIIY �- ---�-ZIP -..--��IIONE IILENS[� <br />CUSSOfNORR � -"______.-___ __-_ _ <br />_. . _. _ . . ___' _____.. <br />❑ NEW ❑ ADDITION ❑ ALTERATION IL7� REPAIR ❑ DEMOLiSiON ❑ WOnOSTOVE/FRPL.INSEHT ❑ BUILDINGPELOCATION <br />__—__ ____ . ' _- <br />_.___.__ __..___. _..... � f.ONiALI l'CI150H �N[I PIIONF. NO <br />i,� <br />CONTMGTPR1GEOiWJI1K -S �C� _ _ <br />DFSCRIlE W�RK �ND SOUMIE i00TAGE iNVOLVED <br />f f`- <br />LE6K DESCPIVfqN Oi PHOFERTY ISnrnvrv ueum' on u�n�n. �un w����i ,/� ` <br />LOT�J"L BIOGN�9_ OF __��_.i�i.ILI}LI�_./��-- <br />.�OQ(, J <br />PIUMlINO <br />I HERE9V CERTIFV iHAT I HAVE REAO AND E%AMINEO TMIs nYYLICA uvn wnu <br />KNOW T I1E SAME TO BE iRUE AND CORRECT. ALL PROVISIONS OF LAWS AND <br />OROINANCES GOVEFNING TMIS 7YPE OF WORK WILL BE COMPLETED WITH <br />W IILT HER SPECIFIED HEREIN OR NOT. TI1E GRRNTING OFA PERMIT DOES NOT <br />PRESUME TO GIVE AIITHORI7Y TO VIOLATE OR CANCEI THE PRONSION9 OF <br />ANY U111CR STAT E OR WCAI. LAW REGULATING W NSTNUCTION OR THE PER• <br />fOR1AANCE OF CONSTRUCiION. THAT I AM AUTHORIZED BYTHE OWNEROF <br />THIS PROPERIY TO PERFOHM THE WORK FOR WI/ICN APPLICATION IS MAJE <br />AND 1 COMPLY WII11 THE STATB CONTRACiORS LAW 1827 RCW AND <br />296 _00 WAC. <br />ti1GN�111RkO1GON1111G101�U�lAlI111CNIZI:DAGENf DAIE <br />X <br />♦PPI ILANtS GiY OUSW [SS lIC[NSE NO �ND 8115�NESS NAME <br />IMECHANICAI <br />OR ITEM FEE Nn• <br />fO1LEi1 ___ NC-A/HNDLGUNITS--HP. <br />FORCED AiR SYSTEMS- B.T.U. M EA <br />IBASINI __ UNI7MEaTERS�-B7.U. M <br />CLOTMESDRYERS_ _______ <br />DISP. V[NiILATION FAN _ _ . __ __ ___ <br />_.._. _.__-.__._. ___ . <br />RANGE IIOOD <br />IER . .. .. ... <br />_____ '_-'_ ._. __'-'. "__.. <br />_ ._ __. _ . . . . _ .. <br />TRAY WATERIIEATER ._ _ . __....__ . _.'- <br />__ _- _"_ _ _ —_' _ ' . . _ _. . _ .. <br />WASHER -- _ _ __ _WOODSTOVE _ . .__,_____.___ ____ <br />METAL FIliEPLACE 8 CHIMNEY _ __ _ ___ <br />__ ._"_ — -"-- "FIREPLAC[INSERT _ __ <br />- BAR. ETC�` <br />FEE <br />IIY <br />u rv <br />REOUIIIED ❑ YFS ❑ NO <br />�/I <br />E <br />----_GASPIPING _ ._,_ ____-_ <br />EXIiAU57 FAN _ <br />__'- - <br />- — -�- --�--- �--�'_ SUBTOTAL ____ t <br />____ ...__ - ____ __- .._ — <br />PERMIT S <br />"'.1 _' _ _ . _. ' _ _'__ _ ' <br />Torni_ Fr:e --- s <br />- �vecer�tsne FEES VALUATION <br />11 Y[5 L IIU <br />- BUILDING S 1 �'� _ <br />Nn OF DV:EI I.IN6 UNI15 . <br />_ ____. .- ____ -- _-� �__ <br />PLUh10WG <br />-- cicr. ionn ---_ . . _._ . . . . . _ . _. . . _ . - . - <br />MLCIIANIGAL <br />uon OTIIER <br />__.__ �STATEBUILDINGSURCIIARGE <br />SIATE ENERGY SURCIIARGE <br />PUdIJC WORI(5 <br />1 TOTAL <br />� . <br />