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� 1 S�-I v 13f+s�c, : � <br /> ���f 1 N FOR CQNSTRt�:TION <br /> , APPL.ICHr iD <br /> ; PERMIT I <br />� .� the Everpreen II <br />' . CITYOF everelt <br /> ; everett e ' <br /> BUILDING UEPARTMENT j <br /> 259-8810 TO BE COMPLETED IN INK— PLEASE PRINT i <br />� � NER 1 /, MRIL >I`URESS GIY 21P PNONE <br /> f' �1G L � l�q- 7�cS —��LU kCIJ ���w� ,(jCV�� �L27'_ <br /> r� —�_— I <br /> '�I TENANT MAIL RUOBE55 GI1Y ZIP PHONE <br /> ,�� /ss��a � ��o z� 3S z `��o r <br /> ANCHITECTOfIpE51GNER MBILADpRE55 CIIY ZiP PHONE I <br /> �� <br /> ' '�,•� GENER�LCONTR�CTOA MAILA�ORE55 CitY 21P PHONE UCENSEr <br /> �`1 �c,.��.Ji � ���/�H-��Q <br /> MECMANICRICONiPNCfOF IdAILAOpltES; QtY ZiP ViIONE LICEN58e <br /> PWMBINOCONIRACTOR MAILA�ORE55 G�Y ZIP PHONE LIGEHSE• ��� <br /> . CIASOFWORIc I <br /> � � NEW ❑ ADDITION ❑ ALTEf7ATION ❑ REPAIR ❑ DEMOLIiION ❑ WOODS?OVE/FRPL INSEF? ❑ DUILDING RELOCATION _ I <br /> 'TEN�NTIMPROVFMENtORINtIENIOR REMOOELONLV WNTACLPERSONANDPHONENO � <br /> �! CANTRACTPRICEOFWONK 1� J� 3����� ��y��QI:C � J `� /�O� I <br /> DESGRIBE WORKANO SOUARE FOJ�AGE INVOLVED <br /> � <br /> �(/Ew Co,vSne�C�Ty+� 13'io SQ i—r II <br /> ' PPOPOSEDU9EOFBUILOINa ./ IHEREBYCERTIFVTHATIHAVEREADANDE%AMINEDTHISAPPLICATIONAND � <br /> � S/�LL. t' T�F✓'�. �ES � KNOW7HESAMETOBETRUEANDCORRECT.AIIPROVISIONSOFLAWSAND I, <br /> � LEO�L OEBCRIPiION UF PROPCRtY�5110WN 9ELOW ORATTRCM FOURCOPI[51 ORDINANCES GOVERNING THIS TYPE OF WORK WILI BE COMPLETED WITH <br /> WHETHERSPECIFIEDHEREINOR NOT.7HEGRAN7INGOFAPEHMITOOESN07 <br /> �_ �]�EErLa(�n BLU�_�. PRESUMETOGIVEAUTH0�7�NTOVIOLATEORCANCELTHEPROVISIONSOF <br /> , �or � e�oCK or ANYOIHEtiSiATEORLOCALLAWIiEGULATINGCONSTRUCTIONORTHEPER� <br /> FORMANCE OF CONSTl7UCTION.THAi I AM AUTHORI2ED BY THE ON'NER OF <br /> � THIS PROPERTY TO PERFORM TIiE WORK FOR WHICH APPLICATION IS MADE <br /> ' AND I COMP�Y WITIi THE STATE CONTRACTORS lAW 1827 RCW AND <br /> � 29G.200 WAC. /�/� <br /> SIGN\IU�iEOFCONI�•1Clppn�1A11111pPRFLAGENi DAiE 7; <br /> A����, <br /> \% <br /> � PROJEC��S � � ��� / � � APP�ICANiSCILYBU5WF551JCR15[NOAN�BUSINFSSNAME <br /> /1 <br /> C� <br /> � PIUMBINO MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMEP:T FEE <br /> .� WATERCLOSET(TOILE7) _ i� _ A/C—A/NNDLGUNIIS—H.P. _ <br /> . I BATHTUB ` — FORCED AIR SYS7EMS—B.T.U. M EA ' <br /> ' LAVATOfiY(WASHBASIN) � UNIiHEATERS—B.T.U. M , <br /> � � SHOWER =� CLOTHESDRYE(iS i� <br /> KITCHEN SINK 8 DISP. � � VENTILATION FAN _ � <br /> � DISHWASHER _ __1 RANGE HOOD �Q I <br /> ' LAUNDRYTRAY _,_�_ WATERHBATER � <br /> CLOTHESWASHER G � WOODSTOVE �� <br /> � URINAL __�_ METAL FIREPLACE 8 CHIMNEY � <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> � FLOOR DRAIN HEAT PUMP �I <br /> � BACKFLOW PREVENTERS GAS PIPING � <br /> � ROOF DflAINS—RAINLEADERS EXHAUST FAN <br /> ' SINK�SERVICE—BAR,ETC.) _ ��, <br /> _. — — — <br /> � SUB TOTAL $ ���- = ___ SUB TOTAL S —�= <br /> PERMIT S —� PERMIT 5 �, <br /> TOTAL FEE 3 —�� �' TOTAL FEE 5 <br /> ' FRONiSETBRCN REARSEIBAGK SIOESElO�CK PLANLIIEC NUMOEfi FE � AECEIPiNO. <br /> � � ' o ' G � `�> � � � C��� �� .C� � � <br /> use E LOiAREn ACANiStE FEES VALUATION FEE - <br /> R �9 �P5 0�,o <br /> r v � BUILDING (n�)_� � ��?7 � <br /> TYPEOFCONSC OCCU ANCYGROUP NOAFDYlELIINGUN115 _ — sv_�J <br /> ALLOWRBIE/�Rl - / � � � <br /> N ,e_3 � PLUMBING ��_ <br /> 4-� <br /> � SIZE OF BLOG. NO.Of SiOfilES 65�di. OCC LOAD <br /> � / f / ❑v ` MECHANICAL _ <br /> r� <br /> — �+EiG�rtuMrtnnoN OTHER <br /> FIFE SPRINKLE(IS REOUIRED ❑vEs • 0 _ STATE BUILOING SURCHARGE '� ' y f <br /> ,.��s��.! <br /> � STATE ENERGY SURCHA(iGE Vl — <br /> � PVPLICA71@1 ACC BY PLANS APPO.DY <br /> PUBLIC WORKS � — <br /> t— <br /> ��'�� Tora� — <br />