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Q►P7�l.ICA�OW FOR CONSTRU�ION <br /> PERMIT <br /> t�o Evoryrean <br /> CiTV OF <br /> rw•rrn <br /> everett � <br /> BUILDING DEPAFTMEN'( <br /> 259�BBt0 TO BE COMPLETED IN INK—PLEASE PRINT <br /> vxr�cn ue�ieoon�ss c�rv z�� vno�E <br /> �T,�_�r�sT�tE�v l' � r'r� "�r��,X I I I ����l�`�� � , /�r <br /> wurr u�n�ooucss C�rv� ?,r.� � �(• <br /> `��` ' JI` <br /> .n;.,urcnonoeswnw r.w�eooncss eirv zin rnoxe <br /> GEHfPLLCONiP�ClOM IL�DOAfS9 C�IY Z�G GnONE IILENSC• <br /> ���/���LI�P�ay'�R/�CTld/UOOPE55 ����� Sic %10HF tiGExsf• <br /> hVNO�IIOCONIP1Ci0l1 M�IL��ONE55 CIIY IiV VNOHE L�LEMSE• <br /> ss 1l�LH(1'_I/'JG /8dS j�_fiL/P /y1GlY .LiAePyJ'iri��,p� dS�ya� Sf�t.l�TGDdd! <br /> �p <br /> EI�NEW ❑ AOOIiION ❑ AREPRiION ❑ REPRIP ❑ OEMOLITION ❑ WOpOSTOVE/FqPLINSEpi ❑ BU�LOINGRELOLAiION <br /> lLMANIIMGPpVE4ENlONINiERIpqPEMO�EIONtY CONI.�CipENSONANpVNONEHp <br /> fqNtfl/.CiPflICFOf WLPN� <br /> 0[SC�IOE WOFN�NOyJU�REf�iY'iEINV0.VE0 <br /> � <br /> rporps[ou [ reui�omo INEREBVCERTIFVTHATIHAVEfiEADANOE%AMINEpTNISAPP�ILATIONAND <br /> I <br /> I,.� I� I �` ���� NNOWTHESAMETOBETRUERNDCOPPE^.TALLPFOVISIONSOGLAWSFNO <br /> L[Wl0[Sb � O FVPOVP 11�'SNOWNBE�OwOnertKNiOUnCOn[A ORDINANCESGOVEPN:NGTNISTVPEOFWORKWILLBECOMPLETEDWIiN <br /> WMEiHEN SPEGIFlEDNEREIN OR NOT iHE GRANTING OFA PEFfdIT DOES NOT <br /> ioi_e�oCK_or PAESUM[TO GNE AUTIIOPITV i0 VIOLATE OF LANCEL TNE PfiO\'ISIONS OF <br /> ANVOTHEF SiATE OR LOC:1 LAW PEGULAi1NG GONSiRUGT10N OR THE PER- <br /> FORMANCE OF CONSTRUCiION THAT I q1A AUTMORRED BY THE OW NER OF <br /> TMIS PROPER7Y TO PEBFORM TNE WORK FON IYHICM APPLtCATION IS IdAOE <br /> �— ANO I COMPLY WITH TME STATE CONTqRCTOPS LRW 102) RCW ANO <br /> 29fi 200 WAC. <br /> S�GN�lI1RfO�CON1a�Ci0�»flXu1r10NIlC0I.GENi DAtL <br /> rno�cc.woncss X �d.� ' '��-v✓ 6 �8�8 q . <br /> ���C� 3�] f� (�' 77- �rauuu�surrausmcss�ic�xscr�ou�oeusiN[ssH��nc — <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTUflE ON ITEM FEE N0. TYPE OF EOl11PMENT FEE <br /> � WATERCLOSEf�T01LE7) A/L—NHNOLGUNrtS—HP. <br /> BAiHTUB FJpCEDAIp5Y5TEM5—dTU. MEA <br /> a- LAVATORYIWASHBASINI �� � UNITHEATEFS-6TU. M <br /> _ SMO"'ER CLOTHESDRYERS <br /> I NITCHENSINK8015P. �-� — VENTILATIONFAN <br /> pISMWASHEF PANGEMOOD <br /> _ LAUN�RYTRAV � WATERHEATER <br /> CLOtHES WASHER WOOD SiOVE X� <br /> URINFL 7 METALFIqEPLACE6CHIMNEY <br /> DPINKING FOUNTRIN FIREPLRCE INSERT <br /> FLOOFDRAIN � MEAiPUMP <br /> BACKiLOW PREVENTEqS GAS PIPING <br /> ROOF�RAINS—RAINLEADERS E%MAUST FRN <br /> I SINK�SERVICE—BAR,ETCI j- <br /> SUBTOTAL 5 — SUBTOTAL S Y <br /> PERMiT S PEliMIT S '�' <br /> TOTALFEE 5 �- -- TOtALFEE 5 ,1� =( . <br /> iN11111SEl1YClt PGNSEiN.'.R $IpESEIB.�CN pL�NCXFCRMYYB[P i[E REC[IVfMO. <br /> usezou[ �menu vai.r�rs:re FEE9 VALUATION FEE <br /> p ve9 o x0 <br /> rvi'CC�fqNSi. OLCURWCYOROV> NOO�W:Et4Np11Nrt5 BUILPING <br /> nll0'h�BLFl1Lf111L -- <br /> PWMBING //1 i �� <br /> s�:coroioo noors*ouics nsur occiwo — <br /> `N MECH4NICAL ,�7� '_Z� <br /> HewN*ur.nurwH OTHEF <br /> �iaESCRiNxLER9NfWIPW OYE9 ONO <br /> STATE BUILDING SURCMARGE <br /> STATEENEFGYSURCHARCE <br /> �nvumioMeccev v�er�senvnm <br /> �-_� PU�LIC WOPKS <br /> ��_� <br /> TOTAL �=�? <br /> aa3s � , <br />