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APPLICI�r'ION FOR CONSTRt� .:TION <br /> PERMIT <br /> ine Everprenn eve�ell <br /> GIIY OF <br /> everett e <br /> BUILDING DEPARTMENT <br /> 259•BBtO TO BE COMPLETED IN INK- PLEASE PRINT <br /> OWHER /1.4�11 ADPplSti I:I�Y lll' PI101!( <br /> EV�'�IZETr CdMM • l.C7LLL"�i� �/ C�'�1GYLG �/G`T�ET7� �j�m/ __ <br /> rtr+u+r - - r.uu enum:.: cm :u� P��(ar�[ <br /> ��Ct111ECTOROCS'ONER AUII�NISti - �i lll� PIIONE <br /> c�,r��r.• �iz h'� n�. �arrcE 1�.�. 9eio� _ ��'/�=h <br /> .tNb �AssoG.(c.¢,e,ex�,a,� �Lt= , <br /> GENERM COIII^/R�GiOR� -- �Pil. ODIII:55 Llir 211• PIIONf' -- -- IICENSE• <br /> ���_ <br /> MECM�NIC�ICONiR6TON I.UII�DDn1:S5 Ci�Y ZIP PI�ONL I ICEHSE♦ <br /> PIUMBINGCUY1R�f,10P M411�D[111055 CIIY 21P PIION[ IICENSE� <br /> _ _._..._._ _ . ' __ ' _ . ___. . . . ._ ." _ .__"—_ __.'___ <br /> CLNSOf WORK <br /> ❑ NEW ❑ ADDITION � ALiERATION ❑ (iEPAIR L� UEMOlI11U1! �1 W00118iOVhIfNPL.INS[(7T ❑ DUILOINGRELOCATION __ <br /> TENANT IMPINV[MEN�Oli IMERIIM PEI.IODEI.ONI Y f.ONIFf.I POi`v01�Mlp PIIUN[IIU <br /> CONIIUC'PMICEOFWOPK. �{(lRy� !-I�I`"�____ �/'�/O� <br /> ___ __ . " .... . <br /> DEBCRIBEN'OPN�NDSUU�RCf00TAGCINVOIVCD - � � . . . . . .. � / <br /> �E1WVA7E pVna� /�fL of Z SToRy ��4-. <br /> -- --- - - - - -- - - - __----- -_-------- <br /> PROPOlEp tISE OF&lil�ING ���Eq�BV CERTIFY 7 HAT I HAVE READ AND E%AMINED THIS APPUCATION AND <br /> LTX/St7ArT CL/i$SROOM US� KNOWLHESAMElOBEiRUEANDCORRECT.ALLPROVISION50FLAWSAND <br /> te6�uoes:uirnoNovvnoe�nii�is�imvnanrnvuiun�ci7inunc�iwts� � � � � ' �����INANCESGOVERNINGTIUSNPF.OFWORKWILLBE:OMPLETEDWITH <br /> WH[111EIiSPECIFl[DHENEINORNUT.TNEGRANTINGOFAPERMITDOE$NOT <br /> PRESUME 70 GIVE AUTHORIN TO VIOLATE OR CANCEL 7HE PROVISIONS OP <br /> iOT Bu+cn__ ov . — _ --_ __ ___ ANYOTHEHSTAIEORLOCALLAWREGULATINGCONSTRUCTIONORTHEPER� <br /> FORMANCE OF CONSTRIICiION TMAT I AM�UTHONI2ED BV THE OWNEP OF <br /> 11115 PROPER f Y i0 P[RFOfiM TI IE K'ORH FOR W HICH APPLICATION IS MAOE <br /> �--------- - AND I COMPI.Y WITII THE STAiE CONTRACTORS LAV� 1827 RCW AND <br /> 2J6 Y00 WAC. <br /> S�Gi� �u -O CUNIN�CION�IMe111110fiiZkU EM UeIE ��Q� <br /> PNOJEGT�DOPE95 -----�"---�-�---_ e IC�NiSCI u51NE5 1 G NE 9[ AND I51�/�M� �/ <br /> So/ WETMaRE AVE. f4�►7TG�'�t/i9. <br /> PLUYOINO MECNANICAL <br /> NO. TYPE OF FIKTURE OR ITEM FEE NO. TVPE OF EQUIPMENT FEE <br /> WATERCLOSET�TOILEn . NC-=NNNDLGUNITS-H.P. <br /> BATHTUB _ _ _ . FORCED AIR SYSTEMS-BT_U. M EA <br /> LAVATORY(WASHBASINI UNITNEATERS-BT.U. M <br /> SHOWER -- -- — CLOTHES ORVERS ____ _ <br /> KITCHEI�SINK 6 DISP. _ VENTILATION FAN <br /> DISHWASMER RANGE HOOD <br /> LAUNDRVTRAV WA7ER HEATER <br /> CIOTHES WASHER WOOD ST�VE <br /> UFINAL METAL FIREPLACE 8 CHIMNEV <br /> �RINKING FOUNTAIN FIFEPL.4GEINSEP7 <br /> FLOOR DR�IN HEAT PUMP _ <br /> B�CKFLOW PREVENTERS GAS PIPING _ . _ _ <br /> ROOFDRAINS-RAINLEADERS ExIIAUSTFAN _ ___ _ _ __ <br /> SINKISERVICE--BAF.ETCI - ---_�_ - �� � . � . _ . ____--_--- ------ — <br /> _ _ _" _'_"_ __. . . __ __'-__'_-'___ _ _ <br /> _-_ <br /> SUBTOTAL 5 SUBTOTAL S <br /> _—__—_ -__ . . . . _ ____.. __ . __ .' ___ .__.__ —__—_ _ <br /> VERMIT S �- ���� ��� PERMIT S <br /> __'_ .— __" ___. .__ . .. _ .____ . __ " . '______.___—_' _ <br /> TO1AL FEE 5 70TAL F[E S <br /> FRONTSETB�Le R[ARSEIOACN SIOLS[Ip'CK PIANLN CNHIIMPA FEE NECEIPTHO. <br /> � � Z� ' - 5---- `"� �«� �� � �LY-��T� <br /> use20yE �ot�nu �����+�s�l'p FEES VALUATION FEE <br /> I�=� n r[s '�rw <br /> BUILDING '��l)� ___l� <br /> nreor !+sr oc�vcranouv rioovnweiiu+cun•ns —�_ -- - — - - -- -- — <br /> uiav��Fi��T��i �HR -�- PLUMDING <br /> SRE OF BlDO NO Of STORIES BSMT OLG IOnU <br /> //�vOs� /N`L / ❑v /pQ-- MECNANICAL . __ <br /> , � imGirtil�unor� OTHER <br /> 332 SF AaD. i ' LI_�.��- --- —LC��� <br /> FIPESPRINICLER5RW111NE0 �' w-w�+ _�_,__ _____ STq7EB ILDINGSURCMARGE � � <br /> ___ <br /> • FiRsr �ivv,e - -- -- ---- <br /> STATE ENERGY SURCHARGE <br /> �PRICRION�CC 9Y vu�+snrm�ur �pUBLIC WONKS � <br /> �� � TOTAL / <br />