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. - • <br /> -� - <br /> APPLICATLO./ FOR CONSTRUCT►..dN PERMIT e�«��t <br /> �E�,g,�„ TO BE COMPLETED IN INK—PLEASE PRINT � <br /> cin oF <br /> � �� everett HEATINGSVSTEM: �GAS ❑ELECTRIC ❑ <br /> Ci7 [s7 BUILDING DEPARTMENT <br /> � H 259-8810 <br /> Ay y : DEMOLITION COMBINATION BUILDING XMECHANICAL PLUMBING SIGN <br /> ty59 AON?!ER ( /` 1 1AFRRDORESS �l ` hCltt �j� ZiP /� PHONE ,(/ <br /> HZH f+rn�l,tc1 lA1Ti'C�QS Z3�� O�d�KJ /YJ �VQfL1� (,(�/+ ���G ( ��� '��'SL� <br /> K y � 7ENIJIT MRILI�DDFESS LIiV 21P PMONE <br /> � r�r� <br /> �y N nFCMITECTOROESIGNEN MA0.I�DDflE55 CITv 21P PHONE <br /> �z <br /> Q GENERALCONTRALTOR MAILMDPE55 Gltt ZiP PIKKiE 4CENSEI <br /> H t7 <br /> OH <br /> H �� MECHMIILALCONTRAGTOF MRILADDRE55 C?Y 21P PHWIE LICENSEt <br /> �� n eS�ur ..�. (�O� 200�'h S�LU� �-vnnwro� U/I�- qg0A3� 6�0-Hb�. �ODESRC l74 KO <br /> ..�L y� PLUMBINGCONiqACiOR � •M�ILADORE55 ITY 21P PNONE LICENSEt <br /> � Z <br /> H H CVSSOFYK:NN <br /> g y �..� x NEW !.��. ADDITION (.. ALTERATION ..! FEPAIp �.-.� DEMOLITION f : WOODSTOV6FRPL INSERT - BWLDING RELOCATION <br /> �l•1 L� CONTRALTPRiCEOFWOR� I� –11��} �� CO���OPi� f\('\ � (� �O"� •6� <br /> y�y <br /> OESCRIBE WORN�ND SOUARE FOOT�GE INVIXVED <br /> '���' Tn5��11 5 To oi. J I 2 <br /> PROPOSEDUSEOFBUILDM6 1 HEflEBV CERTIFV THAT 1 HAVE RFAD AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> IEGALDESCRIPTIDNOFPROPERTY�SHOWNBELOWORATTACNFOURCOPIES� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> WORK WILL BE COMPLETED WIiH WHETHER SPECIFIED HEREIN OR <br /> ior BLOCK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORI,IANCE OF CONSTRUCTION.THAT I AM AUTHORIZED DY THE <br /> OWNEF OF THIS PROPERTY TO PERFOFM THE WORK FOR WHICH <br /> APPLICATION IS NADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> SIGNRNHEOiCONTfl�GTOROR�UiHOFiZEDAGENi ORTE <br /> PPQIEC RDDR1S5 � \ � ��CUest�`� �/2q <br /> '-1 APPUGAN iS'CiTY OOSMC55 UGENSE N0.ANO BUSINESS NAME <br /> ro wc.� �. �uQr� <br /> PLUMBING MECHANICAL <br /> 1 ' NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EDUIPMENT FEE <br /> WATER CLOSET�TOILET) N�NHNDLG UNITS—H.P. <br /> f�' BATHTUB FORCED AIR SYST:MS—B.T.U. M E.A, i <br /> t ' LAVATORY(WASH BASIN) UNIT HEATERS—DS.U. M i <br /> � S40WEF CLOTHES�RYERS � <br /> KITCHEN SINK 8 DISP VENTILATION FAN <br /> '�' DISHWASHER � RANGE HOOD � <br /> ' ' LAUNDRY TRi.V ; WATER HEATER ' <br /> � CLOTHES WASHER i WOOD STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEY <br /> �' , � <br /> DRINKING FOUNTAIN i FIFEPLACE INSERT <br /> � FLOOF DRAIN � HEAT PUfdP � <br /> 1� BACKfLOW PREVENTEFiS i GAS PIPING _ <br /> ROOF DRAIIJS—RAINLEADERS � E%HAUST FAN <br /> ' SINK(SERVICE—BAR,ETC.) i M ICR - � <br /> ' 1 <br /> i <br /> 1 <br /> ' SUBTOTAL $ � SUBTOTAL $ � ' <br /> PERMIT $ PERMIT 5 <br /> � - TOTALFE[ $ TOTALi'EE $ � <br /> FOR OFFICE USE ONLY: <br /> I-RONiSEtpACK RERRSETOACK SIDESETBAGN PUNCNECNNUMBER FEE REGEIPTNO. <br /> � 7S/3C <br /> USEZONE LOTAREA VRCRNi51TE FEES VALUATION FEE <br /> BUILDING <br /> ttMOiCONiS.AILOWABIF lYPEOitONSi.ALiUAt O[cur�Ha xoawRWNGUNits <br /> �a�0 PLUMBING � <br /> SIZEOFBLDO. NO.OFSTORIES BASEMENT MECHANICAL � <br /> i <br /> OCGUPANCYLOAD FIRESPPNKLEPSREO9 NEIGMTLIMifh'ION ADDITIONALPLANCNECK i <br /> i <br /> OTHER ' <br /> NERSON fOR SPRINKLEflS —�— <br /> STATE OUILOING SUIiCIiAqGE i <br /> iNiA�:E�Y PLRNSRPPROVEOBV CITYOFEVERETT PCBLICWORK$ <br /> � LOCAL SALES � <br /> TAX CODE IS 3105 Ta*p� ��j5 ;�I� <br />