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I�e Everpreen <br />CRY OF <br />everett <br />' wi lu n7Nf; f1FPARTMENT <br />APPLIC�.�ION FOR CONSTRI,t:T10N <br />PERMIT <br />cvrrclt <br />e <br />; �O� d,irz�.i,�J; <br />� AHCMiECiOF0E5iGNEB �.u11�00nE55 ��� ��� ���0�� <br />o P CU�15T��ef-!�h 90��'�/•�-�F� �L/_i s�ooy y�s I-/S/af _ <br />ENE LCON1RALlOH MnILApOPE55 L�f'. ZIP P��ONE UCENSE• <br />MECMANIULCOMMC�OH M411Ap01�[55 OIY 21P P110NE LILENSE• <br />hUMB�NOCONI9AL�0�1 IAAIL�ll�f1E55 CI�\ )IP PIIONE LICENS[• <br />❑ NEW ❑ ADDITION ❑ ALTERAiION ❑ R[PpIR ❑ OEMOLITION ❑ WOODStOVEIFRP�INSERI ❑ 9UIl�INGRELOC4TION <br />iEN�Ni IMPflW BMENf OH MlEj�ll yfl/�EMOwOEL ONtY COfIII.Gt PERSON ANp 1'I�ONE f10 <br />f.ONiflALiPflIClOFWORK (�'IUV•� .._ <br />�p} BLOCK OF <br />PLUM61N4 <br />NO. 7YPEOF <br />KITCHEN SINh <br />DISHWASHER <br />f�RE <br />SUB TOTAI <br />PERMIi <br />TOTAL FEE <br />I NEPEBY CER7IFY TNAT I H4VE READ 4N0 E%AMINED THIS APPLICATION AND <br />KNOW THE SAME TO 6E TRUE �ND CORRECT. ALl PROVISIONS OF LAW S AND <br />OROINANCES GOVERNING 71115 TYPE OF WORK WILL BE COMPLETED WITH <br />WHETHERSPECIFIEDHEliEINOFNOT THEGRANTINGOFAPERMITDOESNOT <br />PflESUME TO GIVE AUTI IOFITV ip VIOLATE OR CANCEI THE PROVISIONS OF <br />ANV OTHER STA7 E OR LOCAI lAW REGULATING CONSTflUCTION OR TME PER� <br />FORMFNCE OF CONSTRUC7IUN. TNAT I AM AUTMORIZED BY THE OWNER OF <br />THIS PROPERTY TO PEfiFORM THE WOPN FOR W HICH APPLICATION IS MADE <br />AND I COMPLY WITH TIIE STATE CONTRACTOPS LAW 1827 RCW AND <br />296200 WAC. <br />swrvuunsormmn�r.�annuwn�onizeu�c[Hr o��e <br />X /✓ / .L/1 /� i 9_/ -�� <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPA <br />A/C — NHNDLG UNITS — H.P. <br />FORCE� AIR SYS7Eh1S— BT. <br />IINITNEATERS-9T.U. M <br />RANGEHOOD <br />WATER h1El:TER <br />GAS PIPING <br />E%HAUSTFnN <br />8 CHIMNEY <br />SUB Ti <br />PERMI <br />TOTHL <br />❑ YES (] NO <br />BUILDING <br />OLWPANCYGNOUP NO.O�OWELLINOUNIIS <br />PIUMBING <br />no os s*oaies esrnt. ac ioao <br />❑ r MELHANICAL <br />❑ N — -_ _ —__ <br />ufiartuMneuaH OTNEP <br />o rEs u so STATE BUILDING SU(iCN�RGE <br />STATE ENERGY SURCIIARGE <br />rur�senrner PUOLICWORNS� � <br />TOT.II <br />F:fE <br />rtc <br />� <br />