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APPLICATIt�N FOR CONSTRUCI.ON PERMIT <br />Me ENrrprsen <br />���� <br />everett <br />BUILDING DEPARI'MENT <br />259•BH10 <br />I ' DEMOLITION <br />ONMER M�I', <br />/� t ���I Pe.�t� : <br />TEN�NT M�A <br />TO BE COMPLETED IN INK—PLEASE pRINT <br />COMBINATION �BUILDINCi MECHANICAL <br />.r- ��s <br />ro? <br />PIKNIE <br />1RLH�TECTOq0E8qNER M�II�WP.E83 �ITY ZIP PHONE <br />everett <br />e <br />PLUMBIN(3 SION <br />3zr,� <br />OEN�(ULL CONTRACT[M MI11L �DDRE88 CI1Y ZIP P+IONE llG NSE � <br />l-c-t Ad e �r _ r+���/�oc �3tTJ <br />MECMANIGILGON1R�Ci0R MAIlADd1E88 CITY 21P PIqqE IIGENSEI <br />PLUMBNlOCONTRACTOfI MMLADDREBB <br />CU880� WORN <br />f�YNEW (: ADDITION i 1 ALTERATION .'�. REPAIR f l DEMOLITION <br />IILrVn1�11MrnVVCM[�YI Vn1�Y1[�1M1M[MlN[LU�IL1 <br />COHiMCT PPICE Oi Wdllt: <br />OESCRIBE YI011N �ND 50U�RE FOOT�OE IHVOL��� � I b <br />r <br />vnovoaeo use a euaoira <br />fF� �c/ <br />lOi {O MOC1t / �+� OF <br />0 <br />CLOTHES WASHER <br />URINAL <br />DRINI(IN� FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS--RAINLEADEHS <br />SINK IS[RVICE-BAR. ETC.1 <br />FRONTBE� RE�RBET&1C� <br />iiif � �� <br />U8E SONE� 1 LOT �R7EA <br />� T� � <br />IYPE IX CONSI �I L�qI <br />� N <br />e� �S O <br />occuwwcr �wo <br />NEABON FOR BPRRMLERB <br />7YPF Of�fQy$I.ACi Wl <br />..1�. - N <br />wo a sraa�s <br />2 <br />fIRElPRNIIIERS HEOV <br />[ l VES : kdJO <br />/ <br />�PP1.IC�TqN �GG !Y I PLAIAS �PV110VED BY <br />I ��' <br />S.�• I � �e9 <br />. //a c�' <br />21P Pr10NE <br />I WWDS70VE/FRPLINSERT I_I BUILOIN(iR:��OCATION <br />ENSON �ND P1qNE <br />Q v Cf'. u r <br />I HEREBV CERTIFV THAT I HAVE READ AND E%AN.INED THIS <br />APPLICATION AND KNOW THE 9AME TO BE TRUE AND CORRECT. ALL <br />PROVI510NS OF UWS AND ORDINANCES OOVERNINO THIS TVPE OF <br />WORK WILL BE COMFiETED WITH WNETHER SPECIFIED HEREIN OR <br />NOT THE CiRANTINO Of A PERMIT DOES NOT PRESUME TO OIVE <br />AUTHOR;TV TO VIOLATE OR CANCEI THE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW pEGUUTINO CONSTRUCTION OR THE <br />PERFORMANCE Of CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNEfI OF THIS PROPERTV TO PERFOqM THE WORN FOR WHICH <br />APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 298.200 WAC. <br />BION�TUREOLCONTR�CtORORAUTNpRI�0�0ENT O�TE <br />X �.�u j�•t�cl� <br />�PPIIC�NT9Cl US�NESS ENBENO�NOOU91NE8tiNM1E <br />YCM1�YIf!�1 <br />UNITHEATERS-B.TU. M <br />CLUTHE9DRVERS <br />VENTILATION FAN <br />� RANQE HOOD <br />WATER HEATER <br />�"' WOOD STOVE <br />METAL FIREPUCE 6 CHIMNEV <br />FIREPLACE INSERT <br />HEAT PUMP <br />OAS PIPIN6 <br />EXHAUST FAN <br />8i 6ETB��K <br />r <br />V�CMl� BITE <br />� ES ! NO <br />occuw�r xoaowniwow�ra <br />G�dM <br />R_3 <br />8�4FMENT <br />vE5 I �QJO <br />NEKiNI 111UT�T�ON <br />2 O. <br />CITY OF EVERETT <br />LOCAL 8ALE8 <br />TAI( CODE 18 8105 <br />PLAN CHECN <br />BUILDINO <br />PLUMBINO <br />MECHANICAI <br />OTHER <br />STA7E BUILDINfi SURCHAROE <br />81A^:ENERQYSURCHARf3E <br />PUBIIC WORKS <br />IJTAI <br />FEE ^^^ <br />c�•,r <br />oci �� <br />� <br />d <br />� <br />� <br />� <br />