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��>� <br />Dxlx <br />q H <br />9Htn <br />1 <br />K n <br />H 7tl <br />'� H '� <br />NM <br />� O � <br />OH <br />H�g <br />�V �❑ <br />9HL�1 <br />y <br />t HH <br />� <br />C]CN <br />� � [s1 <br />HOvi <br />� <br />�►t <br />� �� <br />I �� <br />the Evergreen <br />CITV OF <br />everett <br />BUILDING DEPARTMENT <br />259�BB10 <br />APPLIG.aT10N FOR CONSTRrJCT10N <br />PERMIT <br />TO BE COMPLETED IN INK — PLEASE PFINT <br />� <br />_....-�111 ���l�lll;f�l ���Jli li! I '---.'�..�. ( ii_!ii i� ��,.�i ,_ �-%��' ��-1 ��r,�-- <br />TCNANT � AI<iLRO[:Gb�. llm )1 4HONE <br />ANC�niEQOP0E5iGNEN MMLIpDRE55 CIIY 2�v PNOR <br />BENCFeLGONTRALIOP MqlAp0fiC55 CIfY ZIV p110NE LICENSC• - <br />►�lBASE���iPr.':;�t c�,��� n,�%71��t(�t '�(��ti �,_ <br />❑ NEW ❑ ADDITION �` ALTERATION ❑ REPAIq ❑ DEMOLITION ❑ 1YOOOSTOVE/FRPLINSERT ❑ BUILDINGRELOCATION <br />iCNANi iMPFOVEMENi OR INIENIOR REMOOEL ONLY CONiAGI �R�:'aN0 PNONE �` (�/ r' l <br />WNTPACTFPiCEOfWORR� _ � � � � <br />_�1�1_�l1(t��( `i �����I <br />PROPoSED lISE OF BWLOiNG / <br />�r � l( _ (i ����• <br />1EG0.0E5LPIPLiON IFROPENIYISNOWNOELOY/Oh <br />�. <br />ior aiocK o� — <br />� I'� �li ��- <br />_. I . ).. ' <` <br />�IJ)�l <br />PIUMBING <br />NO. TYPE OF FI%NrIE OR ITEM ��EE <br />WATER CLOSET �TOILEn <br />BATHTUB <br />_ LAVATORY�WASHBASIN� <br />SHOWER <br />KITCHEN SINKS DISP. <br />DISHl4A5HER <br />LAUNDPYTRAV <br />CLOTMESWASHER <br />_ URINAL <br />DR�NHING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLO\4PREVENTERS <br />ROOF �PaINS- RAINLEAOERS <br />SINK (SERVICE - BAR. ETC.) <br />SUBTOTAL 5 <br />PERMIT 5 <br />TOTAL FEE S <br />RlLO\V�BIE/AGiUA� <br />1iRE5PPiNNIEPSRCOUIREO ::YCS [lH0 <br />I HEPEBY CERIIFY!NAT I MAV[ RC"L ,1ND E%AMW EO TNIS APPLICATION AND <br />KNO'N iHE SAIdE TO BE ?RUE AND COF REGT. ALl PROVISIONS G LAWS AND <br />ORDINFNCES GOVEFNING TMIS TVPE UF �l'ORK WILL BE COMPLETED WITM <br />WHGiMERSPECIFl[DMEREI40RN07.7MEGRANTINGOFAPERMIiDOHSNOT <br />PRESU�dE TO GIVE HU � HOFIN iO VIOLFT[ OR CnNCEL TME PROVISIONS OF <br />ANY OTHER STATE OR LOCFL LFW REGULATING CONSTRUCTION OR THE PER� <br />FOA�•1ANC[ Of CONSTRUCTION. THAT 1 AM AUiHORIZED BYTHE OWNE4i OF <br />iN15 PROP[PTYTO P[RFORM THE WORK FOR WMICIi AFPLIC�ITION IS 1.9ADE <br />AND I COMPLY Y�IT4 THE STATE CONTfiACTORS LA\Y 1027 FC\V AND <br />296200 WAC. <br />u�NA1�PCOVCONIP>llivrt��i.;l�t.nl]IO>f.fVi DnIL <br />X /'�- �l �2': (1 - —%�-�'—` �' -- <br />i__---_ <br />m'PIiU�R5Q1Y0U5WE55liCCNlLtiO4Y00J5WC55NAMC / ' ' <br />MELHANICAL <br />NO. TVPEOFEOUIPMI <br />A'C- WHNDIG UNITS- HP. <br />I �ORCEDAIRSYSTEMS-BT.0 <br />UNIT HEATERS- B.T.U. M <br />CLOTHESDPYERS <br />VENTILATION FAN <br />FANGEHOOD <br />� WATER H[ATER <br />1YOOD STOVE <br />METAL FIREPLAC.E 8 CMIMNEV <br />FIPEPLACEINSERT <br />HEAT PUtdP <br />, ` 1 GAS PIPING <br />E%HAUSTFAN <br />SUB TOTAL <br />:YES ❑ NO <br />no.avoweuwcuurts euILOING <br />r�uMeiNc <br />&SML OCG LOAD <br />n r MECHANICAL <br />ON - — <br />HEiGMLLIMUPON OTHER <br />STATE BUILDING SUPCHAFGE <br />STATEENERGYSURCHnRGL <br />� PU6LIC WOf7K5 <br />TOTAL <br />VALUATION <br />5 <br />S <br />FEE <br />1� <br />