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AP�LICATION FOR CONSTRUCTION <br /> PERMIT <br /> Me Everyroxn <br /> CITV OF iwrrrt� <br /> �everett e <br /> BUILDING DEPARTMENT <br /> 259•eeto TO BE COMPLETED IN IhK- PLEASE PRINT <br /> OWNEF Mul�OORIS'S U�� J��� i+�rtlNE <br /> 1L-^2CV W1-`,t�/�- '��(�!._=M�-�l._9S,t_1.r----CuNec'� '�1�u1 3�^- ��- 34 <br /> . ___- -___—___—_._-__.__-_-_- ___-. <br /> tEH�N1 M�4IDDNE55 Citv I�� VNONE <br /> .vA <br /> �RCNiTECTONDE910NEN M1iL�00NES4 Gir � —� <br /> Zlc PNON[ <br /> ${k_ :vr�•a.th t.�c �C��, G�..;�1� qUt' (Sui'KarT �f<i�/ 3�i-213 �1 <br /> OENEP�LGONiNACTOP M11L�DOPE53 �ITv IIP PHONE LICENSI• <br /> 5��. �- ru�cK < l.vc ;�� sn.; H, n.�f �1s��1�—__�� S�3-usv �:F�s;/)isK <br /> MECH�NIC�LGONTRAGION M�a�pORE99 �rtV ZIP PNONF � <br /> LiGENSE• <br /> PWMB�NOfONiR�CiOR M.11L�DORE54 �IIY 11P PMONE IICEN3F• <br /> GL�9S Oi NORN — -------'— --- <br /> ❑ NEW �ADDITION ❑ AITERATION ❑ REPAIR ❑ OEMOLITION ❑ WOODSTOVE/FRFI INSERT ❑ BUILOIN4 RELOCATION <br /> 1EN�NT IMPROVEMENf OR INTEPIOR REMODEL ONLY CON1Af.i PEq50N�ND PNONE NO -�� <br /> XCONiN�CiPRICEOfWORK i'��—� r� � <br /> OE9CRIBE WORK�NO SOU�RE�OOT�OE INVOLVEO -----�---- -'--- <br /> 'Y A�l2xCG .c o Dt<k S <br /> FPOPOBED E Oi BUILDINO ----'—'— - <br /> 1 H6RFBY CERTIFV'HAT I HAVE READ AND EXAM W EO THIS APPLICATION AND <br /> X NNOW TME SAME TO BE TRUE AND CORRECT AL L PROVISIONS OF UWS ANb <br /> r�� -'s��"G -- ORDINANCES GOVEqNING THIS TVPE OF WORK WILL BE COMPLETED WITH <br /> LEp�LOCS�G/pIPIIONIXPROPERTVISHOWNBELOW9H�l1ACMFOURCOFICS ryHETMERSPEGFIEDMEREINOFNO7.7HEGRANTINGOFAPERMI7�0ESNOT <br /> lOr_JSl1 BlocR Oi 11A,(.r r�n�� � PRESUME TO GNE AUTNORIiV TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> J ANV OTHE�STATE OP�OGAL LAW REGULATING CONSTRl1CTION OR THE PER� <br /> FORMA�lCE OF CONSTRUCTION TFIAT I AM AUiMOR12ED BV THE OWNER OF <br /> THIS PROPERTY 10 PERFORM THE WORK FOR WNICH Avp�ICATION IS MADE <br /> — ANU . COMPLY WITH THE STATE CONTRAI,�ORS LAW 1827 RCW AND <br /> 295 20G WAC <br /> smr��ivacorco�anR��ur,�n,,,m�oav o�ce�v o•i[ <br /> pp/// i <br /> PROJECT�ODPESS —'— �f����j � IVnC.T pp_ _ _. __ <br /> �PdLif.AN15 b�i v BUtiINlFS l�CE N9E NO�ND BUSME55 N�ME <br /> IIz7 ,00 '`-� Guc�xF �T r o 3 S P `l( <br /> PLUMBINO MECHANICAI <br /> N0. TYPE OF FIXNRE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATE R CLOSET(TOIIET) A/C-A/NNDL G UNITS-H P <br /> BATH7UB FORCEDAIRSVSTEMS-BTL MEA <br /> LAVATORVIWA9HBASIN) UNI7HEATEFS-BT.U. M <br /> 9HOWER CLO7HESORYERS <br /> KITGHEN SINK 8 DISP. VENTILATION FAN <br /> DISHWASHER RANGE HOOD <br /> LAUNDRV TRAV WATER HEFTER <br /> CLOTHES WASHER WOpD STOVE <br /> CHINAL ME7AL FIqEPLACE 8 CHIMNEV <br /> DRINKING FpUNTAtN FIREPLACE INSEFT <br /> FLOOR DRAIN MEAT PUMP <br /> BACKFLOW PREVENTEHS 6A5 PIPING <br /> ROOF DRAINS-RAINLEADERS E%HAUST FAN <br /> SINN�SERVICE-BAH.ETCI <br /> SUB 70TA1 S SUB TOTAL S <br /> PERMIT S PERMIT 5 <br /> - -- ____ . - _ _.-_—._ _ .._ ____._---_ _____—_ _-___ <br /> TO7AL FEE E TOTAL FEE S <br /> FRONi9E*BACN pEeP5E19�Cn SiDESEtB�Cn PUNCMQL NIIMBER fEE RFLEIPfNy. <br /> /D ' S" • Sd' Z� cG �S'f" 1 `t�ZJ <br /> USE ZONE LOt ARE� V<C�NT SRE <br /> �f] � �•res �No FEEB VALUATION FEE _ <br /> �'vl I <br /> IVPFO�CAN91 OCCUPANCVOROVP NOOfDWELLIHapNIiS BUILDING _ �)L Clr�� � �_��-j (_� <br /> Il. � <br /> eLLOW�BLE/�LTU�L -- - <br /> ��•3 PLUMBING <br /> - .-- __ _- _ . ._-__ _ _ _.. - _.__ . _ _ <br /> Si1E OI BLOO NO OF 9TORIES BSMi OCL LOep <br /> :� r MECHANICAL <br /> � ,.- I N _ -_ _ _ .__'"-_ _-_____ _ <br /> MEiOMiUMII�110H OTHE�I� �,�l �� �.�C� r)C'1 <br /> � _ _!.� � <br /> fiRE9PP�NnLERSNEW�PEO ❑YE6 y.'NO ��(.'i1� <br /> - - STATE B ILDING SURCHARQE � <br /> STATE ENERGV SURCHAROE <br /> •PPCC�iIONIf,CBV PI�NS�PPRB�— � <br /> IPUBLIC WORKS <br /> � �"�' \ �C.. � I TOTAL � r ` ) <br />