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� � <br /> APPLICATIvN F�OR CONSTRUCI �ON PERMIT <br /> everett <br /> .�E���� e <br /> CIN OF <br /> everett <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> � DEIAOLITION C; COMBINATION 1i BUILDIt�G MECHANICAL PLUMBIN(3 I : SI(iN <br /> ,�'�' "lt1DWKa y ���Q9�IC{�.A(.E `v�J�'(� 31� KI�bUANOZ�VIIQ 9803'� nE S2'L- 22Za <br /> rn., e�w�nu� <br /> TENANT M�ILAUORE55 CITY IP PHONE <br /> 11R NITEGTOROES�ONER M�ILADDRESS CITY 21P PMONE <br /> A120 fZAA1M5 2304-1415T'A-.5,�. MIU. CREEK WA 9�12 33S -IQ1� <br /> OENEfALCONTR�C'OR MARAJDHE55 dTY ZIP PIIONE LICENSEI <br /> I.ODWIG C:oW�CO, 2�15 N.E. 113 SEeTfLE�WA °I8125 "�7fi-1144 I,OpWIGI 151L-� <br /> MECHANK�LCONTR�GTON MAILADl1PES5 CITY ZIP P110NE LILENSE� <br /> SAME AS At3odE <br /> MUMBINOCONiP�CTOR M�II�DDRESS CITY ZIP PIpNE L�t�!SE/ <br /> {lAIN1ER 2GIS, N.E. 113 SEe�LE � WA 98125 525-1144 KAINIP,� IIDKA <br /> cuss ov wonK <br /> O'LNEW CI ADDITION C7 ALT HATION ' REPAIR C1 DEMOLITION i 1 WOODSTOVE/FRPLINSERT ❑ BUILDINORELOCATION <br /> iEtUN?IAIPROVEMEMORINTEfl10RREMODEI I � � CONTAQLTPENSONANDPNONE/�NU�. �(y� y <br /> CONTqACTPRICEOFWORN: � O, �O� ��M1O�'� �� �`�'^' `� 33a-1 1 1 __ <br /> 3�I E�V�N T�naPTsrrvavzo GJQ� �e�T SQ.FT _ <br /> PROPOSFDUSEOFBUROINO I HEREBY CEHTIFV THAT I HAVE READ AND EXAMINED THIS <br /> M U l,T 1 PLE- �S i�ENT i a� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> LEOALDESCRIPiqNOFPflOPERTY�SHOWNBEIOWORAR�CHFWRCAPIES� PROVISIONSOFLAWSANDORDINANCESOOVERNIN6THI$TYPEOF <br /> WORK WILL BE COMPLETED W�TH WHETHER SPECIFIEk HEREIN OR <br /> �or e�ocK ov NOT. THE ORANTINa OF A PERMIT DOES NOT PRESUME TO 61VE <br /> AUTHOHITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHEH STATE OR LOCAL LAW REGULATINO CONSTRUC710N OR THE <br /> PEHFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTOflS LAW 1827 RCW AND 206200 WAC. <br /> S�ON�TUREOiCONTRACTOROR�UTHdiRE0�0ENT DATE <br /> PNOJECT�ODRECS �/� � • �r '~� /�_��V�� <br /> CA51 NO �!•./AD �VERE7T WA APPLICANTSGiYBU51NE55LICENSENb ANDBU51NE55NAME <br /> p��s��p MECHANICAL <br /> Np, TYPE OF flIITURE OR ITEM NO. TYPE OF EOUIPMENT FE <br /> WATER CLOSET(TOILET) � -� A/�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 /> O SHOWER ' CLOTHES DRYERS ! <br /> KITCHEN SINK 6 DISP ; VENTIUITION FAN � <br /> DISHWASHER RANGE HOOD <br /> LAUNDRV TRAY � WATER HEATER ' <br /> CLOTHES WASHER — WOOD STOVE � <br /> — URINAL ' — METAL FIRF.PLACE 6 CHIM ' <br /> DRINKINQ FOUNTAIN � -� FIREPUICE INSERT � <br /> FI.00RORAIN � -' HEATPUMP ' <br /> BACKFLOW PREV TERS ; — 6AS PIPING <br /> Z ROOf DRAIN AINLEADERS � / EXHAUST FAN � <br /> .�- <br /> SINK(SER E-BAR,ETC.) � �C� � <br /> i ' <br /> � <br /> � � <br /> —T <br /> SUB TOTAL S � SUB TO'!AL S ' <br /> PERMIT S � PERM�T S <br /> TOTAL FEE S TOTAL FEE E ' <br /> FRpIlSETB�CIj pE�RSETB�CK� SIDESETB�CN ' PLANCNEC NUMBER FEEI �� /'� RECEIPTNO. � <br /> 2n � �0 � 4 �r <br /> USEZONE LOT�REA VAG�NTSITE PEES VALUATION FEE <br /> 'CZ-3 9 9 5 .F xves : No B„��o�„�,�e•so 7/z syz 2�75i <br /> trxacoxsruiaw�u[ acoxsr,�cTuu aan+cr �a«mm���w��rs , <br /> .�. Y I �� —� j��l) PLUMBING i <br /> �6RE oF B�S�3( NO.OF 6TORIES B�&EMENT MECHANICAL ; <br /> iN� 3 [] YES �NO <br /> pCpypMMMIMB FIRESPRNNlERSHEdC HEIONTLIMITATIOtl OTHER � <br /> q` 1 � <br /> �K /13� �YES Ll NO ✓✓ STAiEBUILDIN65URCHRR6E ,� <br /> P ASONFOR6PPINKLERS � <br /> � ��� 5T'OR� STATEENER�V5URCHARGE � <br /> 7 APPLIGQqN�CC BV PLANS�PPROVEOBV��� � CITY OF EYEREIT PUBLIC WORKS � <br /> h' LOCAL SALES <br /> rn� ,�'�„� TAl(CODE 18 9105 TOTAL Z '(0 5 <br /> � EYau{ 13� oc., . <br />