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.. — <br /> APPLICATIOrI FOR CONSTRUCT�JN PERMIT everett <br /> �Ere��� TO BE COMPLETED IN INK—PLEASE PRINT � <br /> CITV OF <br /> everett HEATING SYSTEM: G GAS ❑ELECTFIC ❑_ <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING MECHANICAL ,�PLUMBING SIGN <br /> ONTJEP M�IL��ORE55 Cliv I�P PNONE <br /> AK �ANn/ 17302 Sl�'rA✓�,sr• �3��.�( 98o1L N8/- �y8/ <br /> TEN�NT MML�DO�ESS C17Y ZIP PMONE <br /> •RCNIfECTORDES,ONER M�IlA0DFE55 CITY 21P PHdIE <br /> aENEP�L GONTP�CiOR M�IL�ODRESS LITY IIP P1qNE LICENSE� <br /> MECN�NICQ CONTR�CTOR M�R�DURESS CIT\' 21P PMdIE LICENSE• <br /> PLUMBINOGdItP11GTOR M�IIADDRE55 CRV ZIP PHONE LICENSE/ <br /> �i►i� n�,� DO l�oi �.�oa��.�✓!/e 9£fo7L H8�- o9sa' flA,'l�N 165�S <br /> GLAS60F WORR—� <br /> xNEW ' �. ADDITION ALTERATION � REPAIR . DEMOLITION WOODSTOVE/FRPL INSERT i_�� BUILDINO RELOCATION <br /> N, CONiACT PE N�NO ONE NO �S (' <br /> COHTMCi PRICE OF WORN �O�w,�� N 83- t3 <br /> pEBCRIBE W�M�k ANO 6IXl�RC FOOTAOE INVIXVED <br /> PiqPO5EDU5EOFBUIl01N0 I HEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> _U.U�T •.tJ APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEML DESCNIPTION Oi PROP NTV ISHOWN tlELOW OR�1TACN FWR COPIES� PROVISIONS OF LAWS AND ORDINANCFS OOVEHNINO THIS 7YPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> iot e�acK aF NOT. THE ORANTING OF A PERMIT DOES NOT PRESUME TO dIVE <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REOULATIN6 CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV tH[ <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK fOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. n <br /> SION�TIIRE OF CONTR�CTOR OX AOTHd11ZED A�ENT D�TE �lt`/%I <br /> X ,�',� �,*, <br /> oz3y37 BAAC i.vc� <br /> PROIECT MlORE6S .rf <br /> / �O � / � �r APPLICMlT6CI7YBUSINESSLICENSENO�NDBUSINESSN�ME <br /> P��� MECMANICAL <br /> Np, TYPE OF flMURE OII ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) � A/C—A/HNDLG UNITS—H.P. � _ <br /> BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> � � LAVATORV(WASH BASIN) � UNIT HEATERS—B.T.U. M � <br /> �0 SHOWER � CLOTHESDNVERS � __ <br /> 1 KITCMEN SINK 8 DISP � VENTIUTION FAN �__ <br /> DISHWASHEH � RANGE HOOD <br /> UUNDRV TRAY ; WATER HEATER �_ <br /> CLOTHES WASHER � WOODSTOVE � <br /> UHINAL ' MtTAL FIFEPLACE 6 CHIMNEY i_ <br /> DRiNKING FOUNTAIN � FIREPLACE INSERT __� <br /> FLOOR DRAIN HEAT PUMP ' <br /> BACKFLOW PREVENTERS ; GAS PIPING �— <br /> ROOF DRAINS—RAINLEADERS � E%HAUST FAN ' <br /> SINK(SERVICE—BAR,ETC.) � <br /> � <br /> � T <br /> 1 <br /> �� I <br /> SUB TOTAL S ' SUB TOTO: S ' <br /> PERMIT E � PERMIT S _�_ <br /> TOTALFEE E TOTNLFEE S ' <br /> FOR OFFICE USE ONLY: <br /> PECEIPT NO <br /> FRONT 6ETB�CN REl1p SETBACK SIOE SETBACN PIAN GHECR NUMBEP FEE <br /> IISE ZONE lOi ARE� V�C�Ni SITE FEES VALUATION FEE <br /> BUILDING ' <br /> IYPF 0{CON7$�ILOWMIf lYVF Of CON$i IiLill�l �GRNXCr Ip d VMllINOuwitS I <br /> PLUMBINO ' <br /> li11E0FBL00 NOOiST0111E6 B�SEMENT MECHANICAL <br /> � <br /> IKCUPI4CYlU�O <br /> �IRE SPRNNlERS REO� NEIOMT UMIIQION �DDI?IONAL PLAN CHECK <br /> OTHER � <br /> �— <br /> RE�SON FOR SPRINHLEPS <br /> ST�TE BUILDINO SURCHAROE ' <br /> IN��ME BV PLANS�PPROVE�B� CITY OF EVERETT PUBLIC WORNS <br /> LOCAL SALES <br /> TAX CODE IS 3105 ror�� , <br />