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� <br />Iho Evergroon <br />CIT`/ OF <br />everett <br />BUILDING DEPARTMENT <br />259•8810 <br />� <br />, <br />A�PLIC...TIO1�1 F4R CONSTRI�CTION <br />PERMIT <br />TO 6E COMPLETED IN INK — PLEAS'e PRINT <br />rverell <br />� <br />OWNER MF�LNUUHtJS I.IIT -\ CII' YryVfIC <br />� <br />/'l /�` f� �,:�ri />r�l i.ic�� 1,'.•,�F' S= f�.%si«=rr <</I S�:�c� i';5- �'454; <br />TCN !T AIAILAOORE55 CITY ' 21P PMONE <br />'— �I,�;�c — <br />ARCNITECTOROESIGNER ,� MAILADORESS CIiY ZIP PMONE <br />.l�cc:i7yi)c' S Itc �c4 /f �?c,:P� )7 �=� S�� t=c'!',r'rTT u k� j�zGi -3�3 u':� j( <br />GENENALCONTRAGiOP � MFIlA0�RE55 CIIY ZIP PHONE LICENSE+ <br />i c _ -,. , , ,;L-/i3/ .� �i�G=-//G� <br />.�iLLf;t'L.e/,E'E C.i�y%. .T7.��`. v��>iie�;NJ/4S .e/�e' f-oi�fi.[ �UT l� <br />IdECHANICALCONTPACiO l.IAI�ADORESS CIiY l 21P PIIONE LiCENSEs ��1 <br />F%.i's �,(cr`lnic %3ii /rr�=* <7f. S.f �.��/-�C-•�ii.sf/ u l;t ::'.�1c 4-G�'-�/ZUl=fr.r�y%�u%- <br />PLUMBINGCONTqACTOfi MAllA00RE55 GTY ZIP PHONE �IGENS[• <br />�.CC� ��li'L� Pr</ f7L ua7fJ; �/� %L:'' l UJ � �� �'[' .f�F _ /l,�t 5 G ( � %�. ?)G� G,S%y17S .?tc � r���ir �' /9/ <br />CI�SS OF WORN,�J I ��J�j <br />❑ NEW L�7 ADDITION ❑ ALTERATION ❑ flEPAIq ❑ DEMOLITION �' WOODSTOVE/fRPL INSERT ❑ BIJIL�ING RELOCNTION <br />TENANTIMPPOVEMENTORINT[FIOP dEh100ELONLY 1 j� CON'T/ACTPERSONANOPMONENOl / <br />CONTHRCTPRILEOFIVORH: L� jCi(% �� CT/j %�.Q„J _NEGSCYV _�� f-JL�L�C/� L.y�'I�-3� <br />{- / <br />�or S e�ocrc .or ./�)Lr(/�J�LI'1�_—�,/,c=c7 <br />%�c%�' �.a? �:t. �vr�:'c'rr y�l�. i�'��ct'. <br />%� <br />PLUMBING <br />NO. TYPE OF FI%TURE OR ITEM <br />�WATERCLOSETI'iOILETI ' <br />LAVATORYIWASH BASI <br />SHOWER <br />KITCHEN SINKS DISP. <br />LAUNDRYTRAY <br />CLOTHES WASHEF7 <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOF DRAIN <br />nvvr unnino— nnnv�cnv <br />SIN K ISERVICE — BAR, ETCJ <br />I HEREBV CEqTIFV THA71 hAVE READ A�.ID E%AMINE�THIS APPLICATION AND <br />KNOW THE SAME TO BE i7U E AND CORP.ECT. ALL PROVISIONS OF LAWS AND <br />ORDINANCES GOVERNING TNIS T`!PE JF WORK WII.L �E COMPLETED WI�H <br />WHETHEHSPECIFIEOHEREINOR NOT.7HEGR.4NTIN�OFAPERMITDOES NOT <br />PRESUME TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANYOTIiERSTATE OR I.00AL LAW REGULATING CONSTRI�CTIONOR THE PEH• <br />FORh1ANCE OF CONSTRl1CTION. ThIAT 1 AM AUTHORIZED 3Y THE OWNER OF <br />THIS PROPFRTV TO PE(iFORM THE WORK FOR WHICH .1PPLIC.^.?�ON IS MADE <br />AND I COMPLY WITH THE STATE CONTRACTORS LAW 1827 RCW AND <br />296200 WAC. <br />SIGNAi11RE0 CONtNAGfOqONA%U1110RIZF.OAGENi GAI[ <br />� / <br />�-'� i <br />f , , �1, <br />X' ���,�%7,��,.,,�� _ ,z�s/ <br />FEE NO. TYPE OF EOUIPMENT <br />A/C — A/HNOLG UNITS — H.P. <br />FORCED AIR SYSTEMS— B.T.U. M EA <br />11N1T HEA7ERS— BS.LL M <br />PERMIT 5 <br />TOTAL'EE 5 <br />REARSCTOAGR 510[SRBACK PlA <br />/ 20/ �� •l, <br />LOTAREA VACANi51TE <br />� 11 VES XNO <br />�_� � <br />TVPE OF CONST <br />ALLOWAOLE/ACiU<� _1 <br />�V <br />SREOFpIOG. <br />33� s � ��v <br />R-3 <br />FSTOFIES USIA <br />( ,r N <br />FIRE SPPINHlEflS REOUIfiED ❑ YES x NO <br />�Y PLRNSAPP/fl �Y <br />/� <br />VENTILATION FAN <br />FANGEHOOD <br />WATER HEATER <br />HEA7 PUMP <br />GAS PIPING <br />E%IIAUST FAN <br />SUBTOTAL <br />PERMI f <br />TOTAL FEE <br />JMpEfl FEE .�/� <br />� � ' iJ— <br />FEES VALUATION <br />BUILDING <br />WEILINGUNITS _ -- <br />I PLUMBING <br />1D — -- <br />, /A MECHANICAL_ _ ._ __ <br />N <br />.uairanou OTHER <br />2o SiATE BUILDING SURCHARGE <br />STATE ENERGY SURCtiARGE <br />PUBLIC WORKS <br />TOTAL <br />S <br />5 <br />FEE <br />�9I <br />