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APPLICATIV�id FOR CONSTRtjt.T��ON PERMIT <br /> everett <br /> fM Everyreen � <br /> CITY OF <br /> everett <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK—PLFASE PRINT <br /> I_I DEMOLITION I I COMBINATION I I BUILDING I IMECHANICAL I IPLUMBING IJ SIQN <br /> pyM[q YAILAOORESS CIIY ZIP PHONE <br /> Qn,d� N+uCfar,� Gyo �1�,�,�vro.v %1nfJ �ji���c�j c9s 9 -51�y <br /> TEN�Nt M�M1AflD11F59 Llrv ZIP PIIOHF <br /> ARCIIRECTOROESIONER M�0.�ODPE53 dTY 21P PHpJE <br /> �NENALCp1TRICTd1 M�RM011E55 CI7Y 21P PIIONE LILENSEI <br /> ��.uv,�ll ,��vV �/�/��b� u2l:�Q 1�YOdeM.il< ('�'�4D PJ7't9�� ����rc/P/O'l <br /> dECMINICQCWITRACTOR MAIL�DOPE59 CITV ZIP PIqNE LICENSEI <br /> PLUTACNlIC(M/TiUCTOR 1.U0./iUDREfi9 CITY 21V P110NE LICENSE� <br /> CU48 OF WIMI(�� <br /> Cl NEW YI ADDII'ION LI ALTERATIOM I 1 REPAIR f 1 DEMOUTION I I WOOD5iOVE/FRPL INSERT I I BUILDINO RELOCATION <br /> TENANTYAP110VEMENTORMIENIORREM(10ELdAY RJB F1 r� CONT�C�PE1150N�NUPIqNENO. <br /> caarn�cr�nr,e or waac: _11l0 _ �� l � �3 7Ql �Q f M �P(`iN vo i J 5 3 y-04S�I <br /> pElGqIBE Wp1Jf�ND 6IXIMIE FO07 E INVOLVED �y � —r <br /> / � � � �� <br /> vnov�os¢ouseove tio� I HEREBV C[RTIFV THAT I NAVE HEAD AND EXAMINED 1HI8 <br /> � ncs,�/r APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> �eau BCRIPTIONOFFf10PERTY�SNCWNBFIOWONATT/�CNFWRCOPIE3� PROVISIONSOfLAWSANDOHDINANCES�OVEFNINOTHISTVPEOF <br /> � /�� WORK WILL BE COMPLETED WITN WHETHER SPECIFIED HEREIN OR <br /> tot 1h eiocK oc �aN� ✓i.' NOT. THE 6HANTINO OF A PERMIT DOES NOT PRESUME TO OIVE <br /> ,,,_,,, AUTHOHITY 10 VIQLATB OR CANCEL THE PHOVISIONS OF ANY <br /> 0 �, � DTHER STAiE OR LUCAI LAW HEODUTIN(3 CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSiRUCTION. THAT I AM AUTHOi112ED BV THE <br /> OWNER OF iHIS PROPERTV 70 PEAFORM THE WORK FOR WHICH <br /> APPLICATION IS MADF. AND I COMPLV WITH ?HE STATE <br /> CONTRACTORS IAW iB.27 RCW AND 298.200 WAC. <br /> SIbNATUREOFCONfNACiO110RAUT1101112E0�0ENT DATE <br /> vnowcr�ooxcss �«"""� / '�'^�'r <br /> � (,� ��9GT�SY U9W�ICENSENO.ANDBUSINE89N�ME <br /> K�ryq MECHAINCAL <br /> N0. TYPE Of fl%TUHE OR REM FEE MQ. TYPE OF EOUIPMENT FEE <br /> WATER CLCSET(TOILET) � /VC—AIHNDLO UNITS—H.P. � <br /> BATHTUB ' FOHCED AIR SYSiEMS—p.T.U. M E.A. ; <br /> LAVATOflY(WASH BASIN) i UNI?HEATERS—B.T.U. M i <br /> SIIOWER ' CLOTHES DHVERS � <br /> KITCHEN SINK 8 OISP � � VENTIUTION FAN ; <br /> DISHWASHER � RANaE HOOD � <br /> UUNDRV TRAV � WATER HEA7ER ' <br /> CLOTHES WASHER —�— WOOD STOVE i <br /> URINAL ' METAL FIIiEPLACE 8 CHIMNEV � <br /> DRINNIN6 FOUNTAIN � FIREPLACE INSERT � <br /> FLOOH DRAIN � HEAT PUMP � <br /> BACKFIOW PREVENTERS ; 6AS PIPINO ' _ <br /> ROOF DRAINS—RAINLEADERS � EXHAUST FAN � <br /> SINK(SERVICE—BAR,ETC.) ; ' <br /> � <br /> � <br /> � '• <br /> r <br /> — i T— <br /> � I <br /> SUB TOTAL S _ i SUB TOTAL S _�� <br /> PERMIT 1 � PERMIT S � <br /> TOTALFEE S ' TOTALFEE 3 ' <br /> FRONT6ETBI�N RE�R6ETB�K SIDESE=B�Ck � VUNCNE NNUMBER FEE �C AECEIVj q. <br /> � d o T �n � N0= � 3 <br /> use IOT�PE� V�C�NTSIIE FEES VALUATION FEE <br /> � I.I VES �O BUILD�NO r /n� ��y� <br /> MFOfcOBSt/�IIOWMI[ IrPEOfcONSr/iL1U�L aWwrt. xna iiMtiwin -- —� ` . , <br /> i <br /> PLUMBINO � <br /> r � <br /> BREOFBL NO.OF9TOHIE9 B�SEMEN! MECNANIf,p� � <br /> I I VES NO ---- <br /> OCCUPI1NCYlOAO FIRESPRNNlE115RE0'0 NEqNTLIMIUIION OTNER � <br /> � � -�i <br /> I I VES � NO STATE BUILDINO SURCHAf10E � , �,� � <br /> RE� iONSPPINNLERS — <br /> SUTEENERGYSUPCHANGE i <br /> era�ceran,�cc er PlAN9APVPr•rE00V CITY OF EYEflfTT ru[+uc woiaks � <br /> .,A LOCAL SALES —r— <br /> /�' TAX CODE IS 3105 rota �. � /� ;�'. ) <br /> V <br />