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APPLICATII. .� EOR CONSTRUCT�ON PERMIT <br /> �"�E""D'�^ everett <br /> ��T�oF e <br /> everett <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> DEMOLITION COMBINATION X BUILDING MECHANICAL PLUMBING SIGN <br /> OWNER 7 M�II�D�FE55 �1 /-� � CILY __- TiP"-- Pr10NC <br /> 3GSNnsY 7V� 5L.1.�i1SIh., K�• 1� �4Q��.� �N � <br /> TENANT M�IL�UpPE55 CItV 114 PNONE <br /> � <br /> �PCNRECTORDESIGNF.R AIqL�00RE55 ��fv 21P PIqNE - <br /> 1 <br /> gp O IN� � <br /> GENERALCON7q TOR AUIL�DORESS Lp PNONE IICENSE� <br /> �'�112,,.G�„�', f'.c. , �'or �i5'-7� Sr�,�l.d - A. 92� � � `,- stt�r-c37zNh <br /> MECN�NICQCONTR�CTOO IA�Ii�pDRE55 LiiV 21P PMp1E JCENSF• <br /> PLUMfiINGLONiRACiON MqLqpDRE55 QTY 71P PHONE LICENSE� <br /> CUSS OF WO!'t ----- <br /> X NEW ADDITION ALTERATION REPAIR DEMOLITION WOODSTOVEiFRPL INSERI �. � BUILDIN�RELOCOTION <br /> TEN�NTIMPROVEMENTORINiERIOqREAlOOf.LONIYI ' I _ _ 'y�— COHT�CTPff1,OKqp�)PHO4�E��� — <br /> 1 Iv V^!.l <br /> CONTRACT PRICE OF WOqM: ����y� � a�`l <br /> UESCRIBE WOFN�NO SOII�RE POOTAGE INVOLVLD ✓— / <br /> /1 � 1 r �_ ` <br /> �1� 1 �t � V M `10_I .��.I41'1 e l G nJ <br /> PROPOSEOUSEW miowc I HEREBV CERTIFV THAT I HAVE READ AND EXAMINEO THIS <br /> �"` K A�PLICA710N AND KKOW THE SAME TO BE TRUE hND CORREr,T.ALI. <br /> IEG�I.OESCNIPi1pNOFP(ipPERTY�SMOWNBELOWOR�TT�CNFOI/RCOPIES� PRC'JISIONSOFLAWSANDuhuINANCESGOVERNINGTHISTYP<'qF <br /> WORK W;;� BE COMPLETED WITH WHETHER SPECIFIED HEHEIN UR <br /> wr BLOCN oF NOT THE G�'ANTING OF A PERMIT JOES NOT PRESUME TO QIVE <br /> AUTHORITY TO VIOLATE Op CANCcL THF PROVISIONS OF ANV <br /> OTHER STATF OR LOCAL LAW RE�U�ATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPER7V TO PEFFOFM THE WORK FOR WHICH <br /> APPLICATION IS M�DE A��D I COMPLV WITH THE STATE <br /> CONTRACTO�IS LAW�B 27 FCK'AND 296200 WAC. <br /> SICN�IUfiEOlCONiNRGtOPO11�p7HOR12FD�GFNT O�tE <br /> X �� d-�a.,�.,� . �',,, rv,a,. P��,�,r <br /> PRUJECT�DORE55 . — <br /> � , � po4(IGNI�SCI1VBlI5iNF55UCEN5fN04N�BU9NF55N�ME <br /> w6 <br /> PLUMBINO MECHANICAL <br /> NO. TVPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—A�HNDLG UNITS—H.P —T— <br /> BATHTUB FORCED AIR SVSTEMS—B.T.U. M E.A. <br /> LAVATOqV(WASH BASIN) UNIT HEATEFS—B.TU. M <br /> SHOWER � CLOTHESURVERS <br /> KITCHEN SINK 8 DISP —` VENTILATION FAN <br /> DISHWASHER � RANGE HOOD —T <br /> LAUNDRV TRAV WATER HEATER �— <br /> CLOTHES WASHER WOOD STOVE 1— <br /> URINAL METAI FIHEPLACE 8 CHIMNEV <br /> DRINKING FOUNTAIN FIFEPLACE INSERT � <br /> FLOOR IIFAIN --T— <br /> — ___ HEAT PUMP <br /> BACKFLOW PREVEN7ERS GAS PIPING <br /> ROOF DRAINS—RAINLEADERS F%HAUST FAN <br /> _ SINH(SERVICE—BAR.ETC.) — <br /> '.—r. — <br /> --- -- � <br /> ___ SUB'IOTAL S ___� SUB TOTAL S �_ <br /> _ PEFMIT y PERMIT E <br /> TOTAI FEE S TOTALFEE 5 —�— <br /> FRONTSETB�CK RE�q5E7B�CN SIDESETB�CN � �OC � NHUM E� , _� fEE � RECEIPiNO <br /> ��( V� U <br /> use zone �oT ene� wceNr sire FEES VALUATION FEE <br /> VES NO BUILDING _ — ilQ�'� <br /> IYPIO�^ON$I����'��f 1YCI Of[�N$��L1Uq IXfVMNCY NO MIXYIIVYiuY'IS _ �,/_[?_J�� <br /> cnuue <br /> PLUM9ING <br /> SILEOFBLOG NOOFSTORIES B�SEMENT M�CHANICAL <br /> VES NO -- ---- . <br /> OCCUP�NCYLOAD FlBESPRNNL[RSREO'0 NEI(3HillMit�TION OTNER <br /> � VES NO STATE BUILDING SURCHRP.00 ' i� <br /> REASON FOR EPOINRLERS <br /> STAIE ENERGY SURChIAHGE ' <br /> nnruc�ri� r. rie�=n�•vaovennr CITY OF EVERETT pueuc wonKs <br /> LOCALSALES <br /> _� TAX COUE IS 3105 rorn� '\ <br />