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APPLICa\TIOr.i FOR CONSTRUCTIa�N PERMIT <br /> nro Ewryreen everett <br /> CITV OF � <br /> everett <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK—PLFASE PRINT <br /> ❑ DEMOLITION ❑ COMBINAI'ION l_I BUILDING /`MECHANICAL L� pLUMBING i7 SIGN <br /> ��� ' �R ADDRE,5�(�/� ��'�GTY / � TIP jJ�q� �PHONE � S�- 3 5yS <br /> C./ <br /> TENA �-.�—rN Y / `�/ ADDRE55 CIT IIP / VNONE <br /> ARCMITECTOFDESIGNER MAILAO[1flE55 CITY IIP PHONE <br /> GEN��7�e�Y NATURAL CAB,�INC. \f��-L��(� I`j�j�2 � � LICENSE I -- <br /> MFGH�NICQCONiR H OG CITY 2iP PM LICENSEt <br /> 2605 MeDougall <br /> PLUMBINOCONTRM1 � GTY ZIP PHpNE LICENSE� <br /> CU53OF W:1FN X, / <br /> ❑ NEW Cl ADDITION/` MILTERATION I 1 REPAIR �] OEMOLIT�ON I I WOODSTOVE/FRPL INSERT ❑ BUILDING RELOCATION <br /> TENANT IMP90VEMENT OR INiER OR REMOpEI ONIY�� �f.NTACi PEPSON�ND PHONE NO. <br /> CONTRACT PRICE OF WOR1t: <br /> OESGyRI—BE W'^ORN A SOU�REF UOE INVOlVEO <br /> J/Yl C � _ <br /> PROPOSEOUSEOFBl11LDIN(1 ��}-- I HEREBV CERTIFY THAT I H:1VE READ AND E%AMINED THIS <br /> y 1 APPLICATION AND KNOW THE SANE TO BE TRUE AND CURRECT.ALL <br /> LEOAL DESCBIPTIONOF PROPERTY�SIIOWN BELOW ONARACMid1R COPIES� PROVISIONS UF LAWS AND ORDINANCES GOVERNINC THIS TVPF OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIh OR <br /> �ot eioc�c _ oF _ _ NOT. THe GRANTING OF A PEPIAIT DUES NOT PRESUME TO (iIVE <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LbCA�I.AW REGULAiING CONSIRUCTION OH THE <br /> PEFFORAIANCE OF CONSTRUCTION.hiAT I AM AUTHORIZElO BY THE <br /> OWNER OF THIS PflOPERTV TO PERFORM THL' WOF�K FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW 4ND 296.200 WHC. <br /> 61GNATURE OF CONTR�CTOR OR�UiNORITEO AOENT O�iE <br /> PROJECi�0URE55 � � /' "`�' "-- _ ���� <br /> ' I� APPLIC�NTSCIiVBU SUCFNSE OANOBUSINESSN�ME <br /> � <br /> PLUMB�NO MECHANICAL _ <br /> N0. TVPE OF FIkTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(iOILET) � A/C—/uHNOLG UNITS—H.P. � <br /> ---•-- <br /> 3ATHTUB ; FORCED nlfi SYSTEMS—B.T. E.A. � <br /> � LAVATORY(WASH BASIN) � UNIT NEATERS—B.T.U. M ; <br /> SHOWER ' CLOTHES DRYERS <br /> KITCHEN SINK 8 D�SP � VENTILATION FAN ; <br /> DISHWASHER RANGEHODD � <br /> LAUNDRV THAY WATER HEATER ' <br /> CLO'HES WASHFR � WOODSTOVE � <br /> UFINAL M[TAL FIREPLACE 6 CHIMNEV ' <br /> DRINKING FOUNiAIN � FIREPLACE INSERT � <br /> T <br /> FLOOR DRAIN � HEAT PUAdP � <br /> BACKFLOW PREVENTERS � GAS PIPING <br /> ROOF DRAINS—RAINLEADERS E%HAUST FAN__ <br /> SINK(SERVICE—EAR,ETC.) ; __ <br /> � <br /> — � � <br /> — �— <br /> � � <br /> SUB TOTAL S ; SUB TOTAL E (J 'vl'7 <br /> PERMIT E PERMIT E /.��/Jv <br /> TOTAL FEE S ' fOTAL FEE S r> ' :J� <br /> FRONT SETB�CN REAR SETBACN SIDE SETB�CK PUN�HECN NUMBEfi FEE RECEIPT NO. <br /> USE 20NE LOT AREA VAC�NT SRF PEES VALUATION FEE <br /> � <br /> I7 VES f! NO BUILD'NO � <br /> TYPf Of CONSI ALIOWABIE iYPE Of COHSf�CiU�I ^u��r xo tl mHniNGuxns <br /> snwv � <br /> PLUME'NG <br /> 6RE OF B100. NO OF STORIES B�SEM[N7 MtCH�NICAI. tj,� �✓.� <br /> f I VES IJ NO ---- - '— <br /> OCf.VPANCYIO�D FIRf:SPRNKLERSREQD HI:IDMTUNIT�TION Ol'HER i <br /> 1.J VES I I NO STATE 9UILDING SURCHARGL ' <br /> i <br /> RE�SON FOR SPRINNlERS --- —�— <br /> STATE E�IERGV SURCHARGE i <br /> ♦PiIICATKNACC BY Pl�N4IPPROVEDBV CITY OF EVERETT PUBLICWORK$ ! � <br /> LOCAL SALES -*— <br /> TAX CODE IS 3105 � TOTAL ( �'>� �>> <br />