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. . . .�. �..�L..�. r..�. J.r <br /> APPLICATIOnI FOR CONSTRUCT�JId PERMIT <br /> everett <br /> fM Eveq�een � <br /> CITV OF <br /> everett <br /> BUILOING DEPA.FiTMENT <br /> 259-8810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> 1 I DEMOLITION I i COMBINATION i BUILGING �CHANICAL i PLUMBING i i SIGN <br /> '�gp� � MAII�DDRES$_ _ _ • .�I:dTY �{.l.l �� ��l�/l� ���5_ I� �1� I <br /> �n nC1„n� <br /> �6r`�. � lx'r/ 1 -. <br /> TE IJ� M�R ADORESS -- LITV ZIP PIIONE <br /> �RLFITEG�OROE514NkR / MnII�DORF55 ���� ziP P���E <br /> .�OF R f, TRAC70H ^ _ M�i�ADORES� ��Ll� �� ^���� (�_ /PIION �I IICE SF,J�� ;. <br /> / �} -�- �1` / �� %J`�� r� <br /> ���� r 'l,t�l L 91 � <br /> MECH�NtG1lCON1 TOfl MAII�D� SS CIiY iP VHOy� , UCENSE� � <br /> vf�u_r��r/� L f3 9) ; <br /> �� ��� <br /> PIUMBINCCONTR�CIOR MAR�DOfiE55 CITY IIP PIIONE IIGENSEI <br /> CLAS90F WOfiK <br /> f 1 NEW I 1 ADDITION �+�ALfiERATION I i REPAIR I I GEMOLITION I '� WOODSTOVE/FRPL INSERT I I BUILDING RELOCATION <br /> TENMlT IMiROVEMENT OR INTEHIOP NEMO�EL ONIY CONI�LI PENSON�NO P110NE NO <br /> CONiMCT VRICE Of N'011K: •O <br /> �OESCRIBE WORK/.N E FWTAGE �EO /1 / <br /> ny►U- �AhMB ,�, 4'l^� <br /> PROPOSEDUSEOFBUILDyw-1, ,^ I HEREBY CERTIFV THAT I HAVE READ AND E%AMINED iHIS <br /> �� 1/ APPLICATION ANO KNOW THE S6�tE TO BE TRUE AND CORRECT.ALL <br /> � �---- PflOVISIONS OF LAWS AND ORDiNANCES GOVERNIN�THIS TYPE OF <br /> LEMI OEBLR�PTION Of PNOPERTY 15110WN BE/OW OR ATTIIGM FOUN COPIES� <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEHEIN OR <br /> �or PLOCN oF NOT. THE GHANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHOfl�TY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR IOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMAYCE OF CONSTRUC710N.THA'. I AM AUTHORI2ED BY THE <br /> OWNER OF THIS PPOP[HTV TO PENFORM THE WORK FOR WHICH <br /> APPLICATION IS MAOE ANU I COMPLV WITri THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296,200�lAC. 'i <br /> SIGN�tVPEOFLONiN�C10FON�Ui11(NIIZED�OENI D�IE !' <br /> �� _ X � �I�� I� <br /> PAOJECT A�DRELS � i <br /> •PPIIC�NiSCITY01 MESSLIGEN 'NO ANObUSME55N�A1E <br /> � � u-� ; <br /> PLUMBINO MECHANICAL ! <br /> N0. TYPE OF FORURE OH ITEM FEE NO. TVPE Oi EOUIPMENT fE_ET_ ' <br /> WATER CLOSET(TOIIET) NC—NIINOLG UNITS—N.P. _�_ <br /> BATNTC9 FORCED AIR SYSTEMS—B.T.U. M E.A. 1_ <br /> LAV.:(OPY(WASH BASIN) � _UNIT HEATERS—B.T.0 M � <br /> SHCWEFl � _ _ CLOTHESDRYEFS _ ! <br /> KIT;:HEN SINK 6 DISP i VENTILATION FAP! i <br /> Dlf}1WASHER ; NANGEHOUD ' <br /> WATER IIEATER � <br /> LAUNDRV TRAY ---- �_ —�— -------� , <br /> CLOTHES'NASHER --? WOODSTOVE _ � <br /> � URINAL _ _ METAL FIREPLACE 6 CHIMNEY _ : ._ <br /> � <br /> FIREPLACEINSERT <br /> j DRINHING FOUNTAIN ____�_ _ - —T <br /> FLOOR DRAIN _�_ _ HEAT PUMP __ : <br /> ! BACKFLOW PREVENTER3 GAS PIPING � <br /> � ROOF DRAINS—RAtNLEAD[HS E%HAUST F I � <br /> SINK(SERVICE—BAR,ETC.) ' � � <br /> � <br /> � <br /> � —r <br /> ---- ; —'-..-- -----T--- <br /> --'------- ---�— --- — <br /> SU6 TOiAL S __�_ — PERMOTAI s (�'�"t <br /> PER6117 S ' <br /> TOTAL F[f: E ' TOTAL FEE f 'O <br /> fR01/75ETB�CN REAPSEI9�LF SiDkSELp�Cn PIANC�1[CNNIIANER LCE PELEIPiNO <br /> USE20NE IOT�RE� veceNtsrte � FEES VALUATION FEE r_, <br /> � � YES I I NO R;mLI�!� i <br /> IVPEOiCON51�llUW�BIE TYPEGf[ONE!ALtll�l acur�wu xndGwliuxtuNn�----�- -- — i <br /> cwuiv PIUMdING � <br /> fiREOFBLD6� NOOFSTORIES B�SEMENi MECHANICAI � �O <br /> ���, YES I NO -- ; <br /> OCLUPANCVLO�O FIRESPqNNLEP5NE00 NEI6ML/11A1T�Tlp� OTHER __ <br /> I I YES I I NO _ ST�TEBWtDIN(3SURCHAPGE ' <br /> — __—�— <br /> RE�SON FOR 6PRINNLERS � <br /> STATE ENERGY Sl1RCHARGE � <br /> _ _ � <br /> �PP�IC�TION�CC BY PLANS�PPROVEbBV i CITY OF EVERETT PIIBIIf,WORN$ i <br /> I LOCALSALES ' � �� <br /> TAX CODE IS 3105 TOTAL _�_ <br />