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APPLICATION FOR CONSTRUCTION <br /> PERMIT <br /> M�Ev�ryn�n cye�p�( <br /> CITY OF � <br /> everett <br /> BUILDING DEPARTMENT <br /> 25B-eB10 TO BE COMPLETED IN INK— PLEASE PRiNT <br /> pypEq MUL�00nk55 G1v IiP P�IONE <br /> K F�� ��1 P M A-r��__L-�5��o�,a #� sz�s�_c' qer 33_ <br /> �H�—�'�— M�n�oanEss cnr zm r�wNe <br /> �T RDE9�ONER MML�DDlIESS C�IY 2iP ��OHE McBRin�G4� <br /> McBRtO�� �Ai`r���l Zz1- IJ�[:.KE�7[�IJ_-5�/f _2�3-7lZr <br /> OENER0.C(N1TR�CTON MMI�ODR�55 CiIY 21P PI�ONE LIGEN8E• <br /> y(q�qIfALCOHiP�CTOH �IAIL�DDNE55 G�1Y IIP VNONE IIGEN9E• <br /> RUMMNOCONTRi1GTOR MNI�ODRESB CItY ZIP 1'MONE 4CENSE� <br /> cweorwomc � s • 75 F�pE <br /> ❑ NEW ❑ �DOITION C� ALTER�iION �REPAIq ❑ OEMOLITION ❑ WOODSIOVE/FRPL INSERT ❑ BUILDIN�RELOC�TION <br /> 1[NiW T MIMWEMENT OM INTENIOR REMODEL ONIY LONI�CI PEfiSON�NO���ON!NO <br /> OONTMCiPR�CEOFMORK'�� �I U .��r G���v�— �•"�' ` —�r <br /> DE�CM�ENORNIINDlWIU1E 00 MEN�LVOLYED Fl\ �— <br /> �Qr-'f� D/}LLE �(- DL�X ' <br /> �ED U!E OFlU�lOMO I HEREBV CERTIFY THAT 1 HAVE PEAD�NO EXAM�NED THIS APPLICATION AND <br /> KNOW'HE SAME TO 8E iRUE AND COAAECT.IILL PROVI910N3 OF LAWS AND <br /> � LEMLDEBCRNT �sHrn�meeu�W R�TI�CN ouncomcs ORDINANCESGOVERNIN�THISTYPEOFWORKWILLBECOMPLETED`MiH <br /> R1 OqN�i��i�' �53.�_�p _ .�y��=El$ WHETHERSPECIFIEDMEREINORNOT.THEORANTIN�OFAPERMITDOEBNOT <br /> � P���M� QUi PRESUMETOOIVEA��THORITVTCVIOL�TEORCANCELTHEPROVI&ONSOF <br /> lot�GL1. ���-`�� - ANYOTHERStATEOF�OCALLAWREaUTATIN�CON9TRUCTIONOfiiHEPEN� <br /> FOFMRNCE OF CONSTRUCTION.THAT 1 AM AUTHORI2ED BY TME OWNEN OF <br /> �AP(�T7 j f�'.I�tIAT T+.1 C 'f �'7�.5� THISPROPERIYTOPERFOFMTHEWORKFOFWHICHAPPLICIITIONIBMADE <br /> � AND I COMPLV WITH iHE STATE CONTRACTORS LMY 1B.P7 RCW AND <br /> � �] L � I 298200 WAC <br /> � 27E ICJT 41 �� BE•C(N u ••A �UVz W SION�NIIEOF�ONIR�QOR011�UINpRIIkUA0C4T D�1E <br /> GT <br /> 1 4' � .r . a�v . �'� X���b,(i.s..�1 ,ff�R �3�21J- /�3�J' <br /> �Iq,K� ♦ � T9CRYBU4�EN55�10�N�E39N�ME��-- <br /> / <br /> ! RAIM�INO MECM�NICAL <br /> � <br /> 1 Np, T7!OF flRTUl1f OII ITlM FEE NO. ' NPE OF EGUIPMENT REf <br /> � WATERCLOSET(iOILEn NC—NHNOL�UNITS—H.P. <br /> i <br /> �TM�B FORCED AIR SYSTEMS—BT.U. M EA _ <br /> � LAVATORY�WASM BASIN) UNIT HEATERS—B.T.U. M <br /> aHO�yER CLOTHESDRYERS <br /> � KITCMEN SINK6 DISP. VENTILATION FAN <br /> � DISHWASMER PANGE MOOD _ <br /> � UUNDRYTRAY WATER HEATER <br /> � CLOTHESWASHER WOODSTOVE <br /> URINQ METAL FIREPLACE 6 CHIMNEY <br /> DRINKINQ FOUNTAIN FIREPLACEINSERT <br /> FLOOR OMIN HEAT PUMP <br /> BACKFLOW PHEVENTERS OAS PIPING <br /> � ROOFDRAINS—R�INLEADERS E%HAUSTFAN <br /> SINK(SERVICE—BAR ETG) <br /> i <br /> � <br /> SUB TOTAL S SUB TOTAL S <br /> PERMIT S PERMI7 S <br /> TOTAL FEE E TOiAL FEE E <br /> FNONTBETMCR AEAPSETB�GN bIpESEiBI�Cfl PUHCMECItNUM6EN FEE 11[CEIPfNO. <br /> ueEzoNE �OLAREA WCANi511E FEES VALUATION FEE <br /> a res ❑ r+o <br /> BUILDINCa <br /> ' IYPEOFCONST. OGGUP�NCYOROUP HOAFpWFILINOUNIiS <br /> '�,LL�pwABlFi�ctuAl pLUMBING <br /> BREOFBLDO. Nool'S1oniEP BSMI. oCCLOA� MECHANICAL <br /> iY <br /> ❑N <br /> i riEmr�iuun�non OTHER <br /> FIPE4PP�NMLERSNEWiPED ❑VES ❑NO STA?F BU�LDING SURCHARGE <br /> � STATE ENERGY SURCHARGE <br /> �FPIICAiION�GC BY PLANS�PPP.BY PUBLIC W�RKS <br /> � <br /> TOTAL <br /> ��j�aw � -�-� . ;. -- - • ' <br />