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,,.� , . <br /> APPLICATIO�i FOR CONSTRUCT�JN PERMIT �VefP'� <br /> �M E�re�� TO BE COMPLETED IN INK—PLEASE PRINT � <br /> ��� CITV OF Q � <br /> everett / yl ✓ HEATING SYSTEM: � GAS ❑ELECTRIC CI � <br /> p � � BUILDING DEPARTMENT ' � � <br /> 259-8810 � <br /> ��� DEMOLITION COMBINATION BUILDING HO(ECHANICAL PLUMBING SIGN <br /> pyyqEp M,1R�DDRE55 Cirv ZiP PHONE <br /> ��� W����A�, �.1�`'eko�e,E. S3► /���e�Sso0�18[�,,� EuF�£Tt' 9�.v zs�.-3,6�{ <br /> TENANT M�it�D�PESS GItY ZiP PNONE <br /> ��oF]� <br /> � �RCNITECTONOESIGNER M�ILADORE55 CITY ZiP PNONE <br /> �� GENERALLONTR�CIOR MAiL11U�RE55 CIiY ZIP PNONE LICENSEI <br /> C�r I.IELN�NICQCONiP�CTDN M�ILAD�HE55 CItY ZiP PNONE IICENSE� <br /> ,�M TNon�,a�df�� /4SZL�lEl9o�� l+�oDDi,�u�liE 9�'�1Z �f�6�d�3 rHaMeH,sbE�HNE <br /> yHy VWMBMUCd1TR�CTON MML��ORE55 CrtV 11P FIbNE LICENSE� <br /> W <br /> �y CVwS50FWORN -. <br /> ��A ; i NEW �. . ADDITION � C.AtTE�AfION � REPAIR � DEMOLITION . WOOOSTOVE/FRPL INSERT '�.� BUILOING RELOCATION <br /> �� � — CONT�CtPEP�50/N�ANDVHONENO <br /> CpITRACTPRICEOFW011N �DO �� il�/A�L�. +-F96-b8'S"3 <br /> OESLRIBE WORI(�NO SOU�RE FOOI�6E INVOLVED <br /> ei�. ?�obas �'��A�E� �i�cz�ic To I�s ,� /�e <br /> PIqFO5EDU5E0FBUIl01N0 I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> • ��s�J�en�C.� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORHECT.ALL <br /> �EON,pQ$�q�pTqNOFPRq`ERTY�SI�OWNBEIOWOR�tT�GHFOJRCOPlES� PROVISIONSOFLAWSANDORDINANCES60VEHNINOTHISTVPEOF <br /> WORN WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �or BIOCN ov NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO OIVE <br /> AUTHORITV TO VIOLATE OR CANCEL THE PFOVISIONS OF ANV <br /> OTNER STATE OR LOCAL LAW REdUUTINO CONSTPUCTION OR THE <br /> PERFOIiMANCE OF CONSTRUCTION.THAT I AM AUTHOHI2ED BV THE <br /> OWNER OF THIS PROPERTV TO PEqFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTOHS LAW 1827 RCW ANO 298.200 WAC.J' ���Z <br /> SIGN�TUHEOFCONTR�GTON OR12EDAUENI ��TE iL �) <br /> X � n_ '`�'_'— <br /> anaectwoness _LNbM�1'S �-�Rl� O��I�Z <br /> � � SLU �PP���NiSCIttB115ME55lIGENSENO.IJI�BU51NE55NM1E <br /> ' ' ����� MECMANICAL <br /> � yp, TYPE OF FUfTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> '�t WATER CLOSET(TOILET) NC—A/HNDLCi UNITS—H.P. - <br /> BATHTUB FORCEDAIRSYSTEMS—B.T.U� M E.A. <br /> LAVATOHY(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> '�' SHOWER CLOTHES DRVERS ' <br /> '�' , KITCHEN S�NK 6 DISP VENTILATION FAN � <br /> DISHWASHER FANGE HOOD <br /> 1_' _ LAUNDRV TRAV WATER HEATER <br /> ClO7HES WASHER W000 STOVE <br /> '�' URINAL METAL FIREPLACE 6 CHIMNEY <br /> '_' DRINKINO FOUNTAIN FIPEPIACE INSERT <br /> FLOOR ORAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> '�' ROOF DRAINS—RAINIEADERS E%HAUST FAN <br /> ' ' SINK(SERVICE—BAF.EiC.) <br /> � <br /> ' <br /> �I SUB TOTAL S SUB TOTAL S <br /> � PEHMIT 5 PERMIT f '� <br /> TOTALFEE f TOTALFEE f <br /> FOR OFFICE USE ONLY: <br /> FRONTSETBACK FE�RSETB�CN SI�ESETB�GN PLANCNECMNUM6ER FEE RECfIPTNO <br /> USE 70NE lOT�RE� WC�HT SRE FEES VALUATION FEE <br /> BUIl01NG <br /> LYYFOfCONIS�IIOWABIf IYMOfCONSIALIWI aLuw�:� innownorcvxns ' <br /> PLUMBIN� <br /> SIIE Oi BLD� NO Of STORIES BASEMENT MECHANICAL <br /> OLCUPANCv 10�0 ��AE SPANN�ERS REO'D MEIGNT LIMrt�110N AODITIONAL PLAN CHECK <br /> O1HER <br /> PE�SON fON SPRiNKLERS <br /> STATE BUILDING SUFCMARGE <br /> IIIi�NEBY GlANS�VPPOVEDBV CITYOFEVENETT PUBUCWORK$ � <br /> LOCAL SALES � <br /> TA)I CODE IS 3105 Tor�� ; <br />