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APPLICA�ON FOR CONSTRU-`r10N PERMIT <br /> �E�� everett <br /> �,r� e <br /> everett <br /> BUILDING DEPARTMENT <br /> 259•8810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> Cl DEMOLITION ! i COMBINATION X BUILDING MECHANICAL PLUMBINO !"i SWN <br /> OWNER no om s �u ,��DDHE6S C�^: 21P PM011E <br /> Public Utility District N1 P.O. Box 110% Everett WA 98206 347-4341 (DennTs Coerber, P.E.) <br /> TEN1W7 1A�IL�DDRE55 dTv 21P iMONE <br /> �RCNITECTORDESqNER M�IL�ODHE6S CITY iIP PIIONE <br /> OENEML fANTR�CTdi M�R 110DREBS CITY 21P PNONE LICENSE� <br /> ino� e �y�r. �in �/s�ir��lj�..+.., �ryvv s3i- sZ �� /�iaZRc2i7,3,r� <br /> MECHIWICALGONTRACTOR MAR�DDRESS C�iY IIP YIqNE IICENSE/ <br /> PLUMBMlOCONTRAGIOq M�0.�DOREB$ CITY ZIV PIpNE LICENBE• <br /> cusa ov rronK <br /> ❑ NEW fX ADDITION L 1 ALTERATION . ' REPAIR I-� DEMOLITION ( ! WOODSTOVE/FRPL INSERT Cl BUILDINQ HELOCATION <br /> TENANTMPROVEMEMORMlTERIONPEMG'IELONIV � CONTACTPERSONMIDP110NEN0. <br /> �«mucr��ceawo�: Concrete Foundattons Denn15 Coerber. P.E. 347-4347 <br /> DEBCR9E MIORK�ND BIXIAME FOOTAOE INVOIVED <br /> Install equipment in electricel substation <br /> PROPOBEDUBEOFBUILDMq 1 HEHEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> N/A APPLICATION AND KNOW THE 3AME TO 8E TRUE AND CORFECt ALL <br /> LEOIIL OEBCRIPTIONOF PROI'ERTY ISIqWN BELOW OH�TTACH FWR COPIEB) PROVISIONS OF LAWS AND ORDINANCES OOVERNINO THIS TVPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �aT ��K °F NOT. THE ORANTIN6 OF A PERMIT DOES NOT PRESUME TO QIVE <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVI810NS OF ANV <br /> Please see attached Drawing B-1061 for OTHEH STA?E OR LOCAL LAW REQUUTINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONRTRUCTION.THAT I AM AUTHO�iIZED BV TME <br /> lsgal descriptlon OWNER OF THIS PROPERTV TO PERPORM THE WORK FOR WHICH <br /> APPLICATION IS MADE ANO I COMPLV WITM ?HE 6TATE <br /> � CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> BqNATURE OF CONTPACTOR OR AUTNORRED�OENT D�TE <br /> PRQIECi BS <br /> � 1 x�� �.�. <br /> 3003 a5100 i.d. � Everett, WA ���ANTSCITYBUSME95lICEN9ENO ANOBU81NE8SNMIE <br /> RUM�Nq MECMAfNCAL <br /> N0. T'/E OF Fp(TU11E OII fTEM FEE N0. TYPE Of EOUIPMENT FEE <br /> WATER CLOSET(TOILET) � A/C—A/HNDLC�UNITS—H.P. � <br /> BATHTUB ' FORCEDAIRSVSTEMS—B.T.U. M E.A. � <br /> UIVATORV(WASH BASIN) UNIT HEATERS—B.T.U. M ; <br /> SHOWEP ' CLOTHESDRYERS � <br /> KITCHEN SINK 6 DISP � VENTILATION FAN ; <br /> DISHWASHER RANOE HOOD <br /> LAUNDflVTqAV ; WATER HEATEH ' <br /> CLOTHES WASHER � WOODSTOVE � <br /> URINAL ' METAL FIREPLACE 8 CHIMNEV � <br /> DRINKINO FOUNTAIN i FIREPUCE INSERT i <br /> FLOOH DRAIN MEAT PUMP � <br /> BACKFLOW PREVENTERS � QAS PIPINO ' <br /> ROOF DRAINS—RAINLEADERS � EXHAUST FAN � <br /> SINK(SERVICE—BAR,ETC.) ; ' <br /> � <br /> _ ' <br /> � � <br /> � � <br /> � � <br /> — � � <br /> SUB T07AL S i SUB TOTAL S ' <br /> PERMIT S � PERMIT S � <br /> TOTAL FEE S ' TOTAL FEE S ' <br /> FRONT SE7BACk MEAR BET&1Ck 61DE 6ETBACN P�AN CNE K NUM�iD FEE/��� AECEI `u^ <br /> ��`r� r i/�C <br /> O\✓ <br /> uae LOi11REA V�CANTSITE FEEB VALUATION FEE <br /> f I VES . NO BUILDINO �,1, o00 oZ5g5C� <br /> rntacousr.uiaw�ut rmEorcoHST�cruu arurwc. �o mm�� ���c , <br /> �� PLUMBINQ i <br /> 812EOi8LD0. NO.OFBTORIES E/�SEMENT MECHANICAL � <br /> f� YES f�i NO � <br /> OLCUP/�NCYIWD FIRESPRNI(LERSPEQD MEqNTlIM1UTI0N OTHEN i _ <br /> I I VES I I NO STATE BUILOINO SURCHAROE � '�. /'1 <br /> REABON FOII BPRMNLERS — +�;L <br /> STA7EENER�VSURCHARQE i <br /> i <br /> APPIIC�Tk7N AGC.BY PL4NS v o er, CITY Oi EYERETT PUBLIC WORKS � <br /> 1' LOCAL SALES <br /> 1 TAX COUE IE�105 *�*�� � <br />