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API�LICAT14�1 FOR CONSTRUCT �ON PERMIT <br /> ��E���� everett <br /> ciTv oF � <br /> evere�:t <br /> BUILDING DEPARTM[NT <br /> 259-8810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> DEMOLITION ❑ COMBINATION f:l BUILDING I 1 MECHANICAL I l PLUMBING I J SIGN <br /> ONTlER N�II�DORE55 CITV ZIa PHONE � <br /> LyGE E. �/,yN�^Do%��' f�nX,�2�/� G�ver'��y"l Z 9�d� 3 PN«�.��" 3.�;1� a,� 3S-S-'�7vT� <br /> � <br /> ANCMITECTORDESIONER 61�ILA�OPE55 CIiY ziP PHONE <br /> OENERAL CONTR�CTOfl MAIL ADORE55 QTY ZIP PIqNE LICENSE� <br /> �y�.�.f'.�B/,��N�� .�`��rli� i�s /�l�rv� .8/„!�NiYBP//o GG <br /> MECH�NICQCONTP�C70P M�R�OOPE55 CITY IIP PHONE LICENSEI I <br /> PLUMBINGCONTR�C70R MAIL�DDRE55 dTY 2�P PININE LICENSEI <br /> CUSS OF W011K �� <br /> ❑ NEW ❑ ADDITION ❑ ALTERAI'ION I] REPAIR �DEMOUTION I.J WOODSTOVE/fRPL INSERT ❑ BUIlDIN6 RELOCATION '�,� <br /> TENANf IMPqOVEMENT OB INTERIOR NEMODEL ONLY CO/NT�CT PERSON AND PHONE NO. <br /> CONTRIk:T PRN:E OF WdiN: L I/LLi � . �i✓� ���� <br /> DESCRIBiWONA�;D�EFOOT�OEINVOLVEO� � �—� � �✓�� ���� I <br /> �c L� �V <br /> PqOPOSED/U�SEOFBURUINO ,� � � I HEHEOV CERTIFV THl�T I HAVE READ AND EXAMINED THIS <br /> �ea�/N4/���/1I�I �f�'Si 9'f'/lCt'� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL II <br /> PTqNOFPR�ISHOWNOELOWOP�TT�CHFWNCOPIES� PROVISIONSOFLAWSANDORDINANCESGOVERNINOTHISTVPEOF <br /> � �ot 9t S e�ceK ,� oF .�el�t�Le �fo�J7C WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OF ��'�, <br /> �— NOT. THE 6FANTINO OF A PERMIT DOES NOT PRESUME TO GIVE i <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY I <br /> A�C,f� ,rJ p, OTHER STATE OR LOCAL lAW REOUI.ATING CONSTRUCTION OR THE '� <br /> PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE j <br /> H„�n�- �,n,�, OWNER OF THIS PROPERTY TO PERFORM TNE WORK FOR WHICH I <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> . �(//f+V /Q n` ��� � ��y 610N T RECTO�7R G O.'10RAUN R ODOENTZOODAAE.�/�/�� . <br /> Od •"' o i i sif%N ��`/�����/'��v� ,d<.9n�K.8P //o GL <br /> YNOJEG(ADd1E55 �N /Y/N���P�//rS <br /> /3�D � � D �PPLICANTSdTYOUSINESSLM.ENSENO.�NDBUSINESSNAME <br /> PLUMBINO MECHANICAL <br /> N0. TYPE OF flIfTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE . <br /> . WATER CLOSET(TOILET) � NC–AIHNDLG UNITS–H.P. � ! <br /> , BATHTUB ; FORCED AIR SVSTEMS–B.T.U. M E.A. � i <br /> LAVATORY(WASH BASIN) � UNIT HEATERS–B.T.U. M i '�. <br /> ' SHOWER � CLOTHES DRVERS � ' <br /> KITCHEN SINK 6 DISP ; VENTILATION FAN ; I <br /> OISHWASHEH � RANGE HOOD � <br /> , LAUNDRYTRAV � WATF.H HEATER � i� <br /> , CLOTHES WASHER � W000 STUVE ; I <br /> � UFINAL ' METAL FIREPLACE 8 CHIMNEY � '. <br /> � ORINKIN(3 FOUNTAIN i FIREPLACE INSEHT ' <br /> � <br /> _ ; <br /> FLQOH DRAIN � HEAT PUMP � I <br /> � BACKfLOW PREVENTERS ; OAS PIPING ' �, <br /> ROOF DR.41NS--RAINLEADERS EXHAUST FAN � <br /> SINK�SERVICE–AAR,ETC.) ; ' <br /> - � <br /> � <br /> � � <br /> SUB TOTAL 5 ' SUB TOTAL S ' <br /> PERMIT S PffiM1T E <br /> TOTALFEE E TOTAI FEE E ' <br /> FRONi6ETB�GK REARSETB�GR SIDESETBACK PUNCNECNNUMBER FEE RELEIPTNO. <br /> UfiEZONE LOT�RE� VAC�NTSITE FEES VALUATION FEE <br /> 1 I Y'CS I ' NO pWLDING i <br /> lYPEqtON51.ALLOWABtF 7Yff0iGOfISiACIWt awwxcr rn,utxnwxcurinf • <br /> r.�nw � <br /> PLUMBING ' <br /> --� <br /> 61ZEOFBL00 NOOFSTOPIES B�SEMENT MECHANICAL � <br /> I� VES i I NO <br /> OCCUPANCYLO�O FIRESPqNKLEP5RE0'D HEIONTIIAIITI'ION OTHER � <br /> I 7 YES I_l NO STAiE BUILDING SURCHAHOE <br /> PEASONFORBPRINKLERS — —� <br /> STA7EENEROVSURCHAROE i <br /> �PPLICQION�LC,BV PLANS�PPqOVE09V CITYOFEVERETT PUBLICWORKS � <br /> LOCRL SALES � <br /> TAX CODE IS 3105 �T�� � <br /> , <br />