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APPLICATION FOR CONSTRUCTION <br /> PERMIT <br /> the En.'En1n <br /> CITY OF <br /> El <br /> everett <br /> BUILDING DEPARTMENT r� '0, II - <br /> 2 -B 810 U� / p ClDt� BED IN Ft XLEASE <br /> " W l/��/�/�//WWWWWW IVia. <br /> IL AU REls GIY tln RgME -� <br /> JDr aEt Con:� p� P^rAf�lE�, PbBRIE ,10176 Belle%) WD <br /> OS 1/ -07 <br /> IENANI DONE ! ._.,G�DrvtA� NP "NONE ---- <br /> �H(� '�4 -63D9 <br /> GOR OfSgNFR MAI�DDR[ IY Lob10 PHON[ <br /> COE COMA TO ^ • MNlAOp qB�°5 64/- 97t�3 <br /> \YU LICENSE P <br /> 1 M_[WMIILN.LONIR�LTOR LNN AOORE!! GIY PIP RpNE LICENSE.— <br /> MAIL ADDRESS OOT IF RgNE lItlNeE� <br /> CL SOFVgld <br /> NEW ❑ ADDITION ❑ ALTEIATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTWEIFRPL INSERT ❑ BUILDING RELOCATION <br /> 1ENANIIN <br /> /,?OR <br /> NLY <br /> A R �� CGIIMS.I P�ERc�IOiN NIDVMgrlNr(lNcp k 64147 <br /> 0B <br /> DIESCRBIEW RAN <br /> OVARE IOOIME <br /> f <br /> _, W <br /> R019afO USF p W ROINO <br /> TY Ld �'eY I HERESYCERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND <br /> I 1 KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS OF LAWSAND <br /> LfD+—L PrI'LN ur PROPERT.ISHOWN RELGYOR ANA;N Two lwPIE; ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WITH <br /> WHETHER SPECIFIEDHEREINORNOT THEGRANTINGOFAPERMITDOESNOT <br /> LOT—'r, <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PER- <br /> FORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE OWNER OF <br /> THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE <br /> AND 1 COMPLY WITH THE STATE CONTRACTORS LAW 18.77 RCW AND <br /> 7B82DOWAC <br /> BONA Ort TRAOIORDRAVIIKNRYEDbFNr DUE <br /> xGil <br /> PIgJfCi ADDRfa9 <br /> 1_ ^I h e ^ I \I APII TECO a MFS (CEN![ paUMN[ MAN <br /> PLUMBING \ MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIFA7ENT FEE <br /> WATER CLOSET(TOILET) _ A/C-AIHNOLO UNITS-HP. <br /> BATHTUB FORCED AIR SYSTEMS-RTU MEA _ <br /> LAVATORY(WASH BASIN) UNIT HEATERS-BT.U. M <br /> SHOWER _ CLOTHES DRYERS <br /> KITCHEN SINK 8 DISP. VENTILATION FAN <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATE ER <br /> _ CLOTHES WASHER DSTOVE <br /> URINAL METAL FIREPLACE B CHIMNEY <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREY ERS OAS PIPING <br /> ROOF ORAINH RAINLEADERS EXHAUSTFAN <br /> SINK(SERVICE- ETETC) -- <br /> SUBTOTAL E EPERMI <br /> E <br /> PERMIT i TOTAL FEE E ! <br /> 20 R ARSEIBAK20 1 / PLANCHE NYW[R p "scion". t p, <br /> I/I ! 5 'A�Hfm Fr9 Jrd1-�J ' �y.11Y0 <br /> usf,ApNf <br /> LOT a f ' ,wcael a� FEES VALUATION FEE <br /> r cONer. occu OIgOP No aowuuxoul,ne BUILDING <br /> ME/ U <br /> N h/ p-.3 �_ PLUMBING <br /> E &00 NO Ora OdFS Balli OCC lOAO <br /> Z U V MECHANICAL <br /> ZFj�e, NEQNI LIMIIAIgN OTHER F %� <br /> TIRE SPRINKLERS REWIRED OVER 00 STATE BUILOING SURCHARGE <br /> STATE ENERGY SURCHARGE 16 <br /> APPLICAIIw ALL BT PLANA APPR Br �L+c <br /> PUBLIC WORKS <br /> TOTAL r L .3L <br />