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� � <br />!�►PPLICATION FOR CONSTRUCTION <br />PERMIT <br />1hs Ewryreen rvr�rti <br />CITY OF <br />everett e <br />BUILDING DEPARTMENT <br />259-eB10 TO BE CJMPLETED IN INK — PLEASE PRINT <br />ONNFN AUIL eD11NE55 GtV 'IP PNOHE <br />' � I.�_Y E'n n�- I k� �' Sf'�.5� _l-�'C i2�t�' `�'U� 33 l- 1�7 --s' <br />i h�m,a�; < < � <br />n. r M��L �CONE55 CrtY IIP iNONE <br />�qCnI1EC10RCE9WNER M�IL�UURESS C�IY IIP PNONE <br />OEHER�LGOHTP�GTOR Mell �ODPF55 Qlv SIP PXONE �.ICENBE • <br />❑ NEW �❑ ADDITIGN <br />TEN�Mi1MPROVEMFNTOPiN1ER10R F <br />GONTRAGTPRiCEOiWORIt i2�� <br />OESCRIBE VIORK �ND SOUMF fO0IA0E 1 <br />1 �l= i�"�JI� i�=�-C�c � <br />rnovoseo use a e a Na - <br />� ��. <br />LE W L OE9GRIPiIOM Ui PHOPEPTV 19n0V <br />iot woc� or <br />�`tL�'Z�� - ll���'�.. <br />•LUM�INO <br />rp, T'P! Oi FIX <br />WATER CLOSET (TOILE <br />6ATHTUB <br />UVATORV (WA9M &1SI <br />9HUWER <br />KITCHEN SINK 6 DISP. <br />019HWASHER <br />I.AUNDRY TR�Y <br />CLOTHES WASMER <br />UNIN�L <br />DFINNINO FOUNTAIN <br />FLOOH ORAIN <br />BIICNFLOW PHEVENTF <br />qOOF ORAINB — RAIN <br />SINKISERVICI� -B/1R. <br />fIRE <br />iIP VIION! LIGENSE • ' <br />��,ci 2��-�-`yz vac�E�.,�i���� '� <br />II' VNONE LIGEH9E • <br />_ I <br />I—I RtPUR ❑ �EMOLITION ❑ WOOOSTOVE/iRPLINSEHT ❑ BWLDINOREIOCATION <br />5+" SF <br />❑ YE6 ❑ <br />�vcrn,enoH�cc x� - -- r� <br />[•Ll <br />TOTAL <br />FEE <br />ur <br />❑N <br />FEE <br />I HEREBV CER71FY TNAT I MAVE READ AND E%AMINED THI9 APPLICAiION AND <br />KNOW THE SAME TO BE TAUE AND CORRECT. ALL PROVISIONS OF UW9 AND <br />ORDINANCES GOVEfiNING THIS TVPE OF WORN WILL BE COMPIF.TED W�TM <br />WHETIIERSPECIFIEDMEREINORNOT TNEORRNTINGOFAPERMITDOE9NOT <br />PRESUME T06WE AUTHORITV TO VIOLATE OR CANCEL THE PROV1910NSOF <br />ANV O7HER STA7 E OR LOCAI. L�"' REQUUTING CON STRUCTION OR THE PER� <br />FORMANCE OF CONSTRUCTION fHAT I RM �UTHORIZED BV TNE OWNER OF <br />iHIS Pf10PERTY TO PERFORM THE WORK FOR WMICH APPUCATION IS MADE <br />AND I COMPLV WI7H TNE STATE CONTRACTORS LN4 1827 NCV/ ANU <br />29A Y00 WAC <br />SIGNAfuREOfCONiR\CIO�Ou�UINU��jE��OEN* D�TE ' <br />�� i� <br />X � �l °� � � ���'�"C1 �C�' � `'L� ��"���� I <br />♦ 1V1 GIYBUSIN S�iCEN9EMO��iDlll&NFBBN�ME � <br />MECH�NICAL <br />NC — NHNDLG UNITS — MP. <br />FORCED AIR SVSTEMS — fll. <br />UN11HEAlE�S—BTU M <br />CLOTHESDRVERS _ <br />VENTIUTION FAN <br />RAN�EHOOD <br />W�TEH HEATER <br />METAI FIREPLACE <br />FIREPLRCEINSER' <br />HEAT PUMP <br />6A3 PIPING <br />E%HAUSTFAN <br />s __ _ . <br />1 -- — _ —_. <br />S <br />s�nesEie�c. ruwenecR�ur�[� <br />v�ceH�srtc FEE� <br />fIVFS �INO <br />BUILDINO <br />PLUMBIN� <br />MECM�NIC�I <br />OTHER <br />ST�TE BUILDING SUACHARGc <br />STA�EENEROY9URCHRROE <br />PUBLIC WORNS <br />TOTAL <br />TOTAL <br />FEE <br />C <br />