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APPLICA7'I���y�l FOR CONSTRUCI":bN PERMIT <br /> everett <br /> �E� e <br /> an oF <br /> everett <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETEU IN INK—PLEASE PRINT <br /> I 1 DEMOLITION i-1 COIABINATION f I BUILDING �MECHANICAL ❑PLUMBING ❑ SI(iN <br /> p�q WLA E55 CITA �_ ZIP PIqNE <br /> �,/„ 4� // <br /> �. � <br /> �r � ess cm z�r r� <br /> oesar�n eu�. ss em nr na_r� . , <br /> z <br /> � �n.�oonE cirv zro ucerrsE� <br /> �� t�j��pp ��� �I Y 71P PIqHE LICEN��//OL�.� <br /> CU13S OF WOIIK <br /> ❑ NEW ❑ ADDITh7N ALTERATION 17 REPAIR ❑ DEMOLITION O WOODSTOVE/FRPL INSERT ❑ BUILDING RELOCATION <br /> }EWW{�p11pVEt1EMORl�(R REIAODELONLY CONTACTPERSONN/DPI/ONENO. <br /> p <br /> CdRMCT PRICE Oi WJIMf� <br /> oEac wu �oe vEo <br /> �o�� I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORHECL ALL <br /> �Qpµp[g�pp}qNpFPIqPER7Y(SIqNTIBELOYVdi�TT�CNFWRCOPIES) PROVISIONSOFIAWSANDORDMANCES00VERNINOTHISTYPEOF <br /> WORK WILL BE CAMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> ior xocK oF NOT. THE GRANTIN6 OF A PERMIT DOES NOT PRESUME TO OIVE <br /> AUTHORITV TO VIOLIITE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REODUTING CONSTRUCTION OR THE <br /> PERFORMANCE OF CO�{STRUCTION.THAT 1 AM AUTHORIZED BV THE <br /> OWNER OF THIS PROP�RTY TO PERFORM THE WORK FOR WMICH <br /> APPLICATION IS MRDE AND I COMPLY WITM THE STATE <br /> CONTRACTORS LAW 7 8.27 RCW AND 296200 WAC. '`_L <br /> 51(iNANHEOFCANTR�CTOROR11UTq11REDMENf DAiE (q/(�lpyQ <br /> r <br /> ono�cr wa�ss <br /> A �NTS CITYlUSIIIES51. NSE NO.MID BU311/ESB NM1E <br /> K�hq MEp1�NICAL <br /> NO. TYPE OF FlICTURE OR ItEM FEE N0. TYPE OF EOINPMENT FEE <br /> WATER CLOSET(TOILET) � A/�AMNOLO UNITS--H.P. � <br /> g�TM�g ' FORCED AIR SYSTEMS—B.T.U. M E.A. � <br /> LAVAtOfiV(WASH BASIN) � UNIT HEATERS—B.T.U. M � <br /> g�pyyEq � CLOTHES DRYERS � <br /> KITCHEN SINK 6 DISP ; VEHTILATION FAN ; <br /> DISFIYVASHER � RAN6E Fi00D � <br /> UIUNORY TRAY ; WATER HEIITER ' <br /> CLOTHE3 WASHER � WOOD STOVE � <br /> �q��� � METAL FIREPLYICE 6 CHIMNEY � <br /> ppINKINO FOUNTAIN � FIREPUCE INSERT � <br /> FLOOR DRAIN � HEAT PUMP � <br /> BACKFLOW PREVENTERS ; GAS PIPIN6 ' <br /> qOOF ORAINS—RAINLEADERS � EXHAUST FAN � <br /> SINK(SERVICE—BAR,ETC.) ' � <br /> i <br /> � i <br /> � � <br /> - � � <br /> � � <br /> SUB TOTAI S ; SUB TOlAL 7� ' <br /> PERMIT t � PEFMIT S � <br /> TOTALFEE f ' TOTALPEE f ' <br /> �Np1T9ET811CN i1EApSETBl�CK SIDESETBIICK PUNGHECKNUAIBER FEE RECEIPTNO. <br /> vse zorrt �or�r�� VAGANT SITE FEES VALUIITION FEE <br /> L7 YES I.1 NO BUILDiNG . � <br /> rvrc a canr.aiow�aic irrc a coxsT�cro�i «a,�... �o«mm�Mc uM,s <br /> � <br /> °�' PLUMBING � <br /> BiZEpFglpp. Np.OFSTORIES BASEMENi MECHANICRL � <br /> � � <br /> n ves n No /l� <br /> OCCUMNCYLOAD FlRFSPXMKLEHSPEO'0 IIEqHTLIM1i�TION U1HER �� i + <br /> a__�- <br /> ❑ YES �7 NO STATE BUILDIN(3 SURCHARGE ' <br /> REASON FOR SPIIMKLERS � <br /> STATE ENEH6Y SU1iCHAROE i <br /> �Ppl,iC�TqN�GC.Br PUNS�PPnovEo Bv CITY OF EYERER PUBLIC WORKS ' <br /> � LOCAl811LE8 � <br /> TIU(CODE If 3105 ror�� � — <br />