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I APPLIG(..�T14N FOR CONSTR�TION <br /> ' PERMIT <br /> � <br /> 1he Eroryiro^ everetl <br /> � CITV OF � <br /> � everett <br /> BUILDING DEPARTMENT <br /> 259•887o TO BE COMPLETED IN INK— PLEASE PRINT <br /> I OWHER M/.ILR�pRE55 ^ GIY ZIP PNONE <br /> ' ' � r' � ���.���3c?��v�"-L���+����A�-�.�l�v� �ue� 5�`�ZOlzsS—zv�� <br /> ' � �T M�IL�ODRE55 — GTV ZIP PHONE <br /> / <br /> h���e�� i i �k, > >�;��c_.��JCuc.�Z�Qo�e,-�;:�`�J�l .t�eie �9zc� � <br /> � �RCNITECTORDE510NER M�IIR�DRESS GtY ZI� PNONE <br /> .�`�'nFa .d o ,.��r� 3C'�L�J ��c,��. ��1�..�r �o��ef/ ��zo/ Z5�=z5�� <br /> ' OENER�LGOMTR�CTOR MnIL���AE55 GIY Zln FMONE �/.�K�} LLC��OECCi <br /> C.1 <br /> I ECN�NIC�LCONIR�CTOR MML�OURE55 CIIY ZIP PIIONE LIGENSE• <br /> 1 <br /> PLUMBINOGONLR�GiOR M�II�DDRE55 CIiY ZiP PHONE I�CE�lSE• <br /> � <br /> � � CUS90FKVRK <br /> j ❑ NEW ❑ PDDITION �ALIERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/('RPLINSERT ❑ BUIl01NGRELOCATION <br /> j IEN�NTIMPROVEMENI0RINIERIORREMODELONLY GONi�L�PER50NpRNOf9/10NEN0 <br /> � conr��cTPn�ceovwonk�`�i��O �'r -�z-�� _�� .D�.6R1U..754� ��[Q'Z <br /> DEN 111lE WOAK�MO SOU�RE fO01�0E INVOLVED <br /> , Te►�u w�F �1��1oY�1�4�� K000 i� - <br /> � reovoseoy�¢,Qreu��owa IHEREBVCERTIFViMATItiAVEREADANDEXAMINEDTHISAPPUCATIONANO <br /> '. O�\j�.�� KNOW 7HE SAME TO BE Tf7UE AND CORREC7.ALL PROVISIONS OF LAWS ANO <br /> r[-�c ORDINANCES GOVERNING THIS 7VPE OF WORK WILL BE COMPLFTED WI7H <br /> � LEMLDESGNIPiIONOfPROPENiY�SNOWNBELOWOHAL1NGNfOU11GOPIE51 WHEIHERSPECIFIEONEREINORNOT.TNEGRANTINGOFAPERMIT�'-OESNOT <br /> � PRESUME N GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROI'SIONS OF <br /> �oT BLOCK or ANVOTHEFSTAIEORLOCALLAWREGULATINGCONSTRUCTIONORTHEPER� <br /> ' FORMANGE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE OWNER OF <br /> - iH15 PROPER7V TO PERFORM THE WORK FOR WMICH APPI ICATION IS MADE <br /> ' AND I COMPLY W�TH THE STATE CONTRACTORS LAW 1027 RCW AND <br /> 296.200 WAC. �.��S' <br /> SION�iMEOFCOMifiRCtOnpflAUiNOHIZEO�GENi DAIE <br /> PROJE OOPESS /.��LIC Ci,Y0U5iNE Sl ����E`�5N^ME <br /> �O�O <br /> PLUMSINO MECHANICAL <br /> pp, TYPE OF FII(NRE OR�TEM FEE HO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSETITOILEn _ _ A/C—A/HNDLGUNITS—H.P. <br /> BATHTUB FORCED A�R SYSTEMS—B.7.U. M EA <br /> LAVATORY�WASHBASIN) UNITNEATERS—�T.I1. M <br /> SHOWEP CLOTHES DRVEPS <br /> KITCHEN SINP 6 OISP. VENTILATION FAN ___ <br /> DISHWASHER FANGE HOOD <br /> LAUNDRYTRAY WA1ER HEAT[R _ <br /> CLOTHES WASHEF WOO�STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEY <br /> ORINKIN6 FOUNiAIN FIREPLACE INSEfiT _ <br /> FLOOR DRAIN NEAT PUMP <br /> BACKFLOW PHEVENTERS GAS PIPING <br /> ROOFDRAINS—RAINLEADERS EXHAUSTFAN _ — <br /> SINK(SERVICE—BAR,EiQ) — <br /> SUBTOTAL S SUBTOTAL S _ <br /> ' PERMIT S PE.'Mli S _ <br /> 70TALFEE S tO1ALFEE S <br /> FRONTSEi8�C1( I NE�RSETB�GN SIUESEtB�CN VUNCNECNN aa3s FEE��� PECE�NO. <br /> 3 <br /> usem LOTARE� ❑res�s� o FEES VALUATiON FEE <br /> ��I BUILDING � <br /> IYPEOFCAl15T. OGCUPRNCYOROUP NOOFOWELIINQUN119 <br /> �«��B«��T ^ , Z -- PLUMBING __ <br /> s2eore�o . ��o.orsion�es esu� occ�o.o MECHANIGAL <br /> nr — _ — <br /> U�� Il H _ � ___—___�___ <br /> �. <br /> r�eir,Ht�iMit �ioH OTHER <br /> FIRE Si'PINKI[RSPEOU�PE� ❑rEs o STATE BUILDING SURCHARGE � <br /> STAT[ENERGY SUFCHARGE <br /> APPLIG�IION�CC.BY PLANS�PPN.BY PUBLICWORKS <br /> rlA�n` �� TOTAL <br />