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1, ,£ � , , . ,..... <br /> APPLICATI�N FOR CONSTRUCT�ON PERMIT <br /> fM Everpreen � ..��'"�� <br /> CITV OF ever�tt " � <br /> everett e <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK—PL ASE PRINT � �' <br /> ❑ DEMOLITION ❑ COMBINATION CI BUILDING �CHANICAL ❑PLUMBING ❑ SiGN <br /> T IL�DDRE$ ° '� <br /> '� - I����alb.c.Zi�/- q�l ��£�S' I , `, , <br /> TEN�Wi MII0.ADOPE55 CITY 21P PMONE <br /> ,r <br /> �RCHR[CT pR pESqNER MAIL f.M1RESd ��ry Z�P PHONE i <br /> �4 <br /> � <br /> ENN.CONTP�CTOR MIIRAUDRE55 pTY ZIP PNpNE LICENSEI <br /> �ALIET NATURAL G�S, �Mg, " ;�.,.� <br /> � � <br /> MECNNIICAICONTRAGTOR `Ya�_.'{Y. G/IT�V 1 ZI [� � P 'WE (]„� y� <br /> 2605 MeDot�M � ��f 1��(����3�J� Ci �� NSE� . , , , _tl <br /> �'LVMBMOCONTR�CTOR i�hlll�'(0� N�' CI71 21P PNpNE �5�� . � <br /> . CIASSOFNOHI( � !~ <br /> I I NEW U ADDITION ERATION [1 qEPAIR Ll DEMOLITION I� WOODSTOVE/FRPL INSERT ❑ BUILDIN�qELOCATION i �" <br /> TEN�NTnAPROVEGENTqiMTERIpR MWELONLY CpNt�CTPERSWIANOPNplENp. �— r 1 <br /> CONTPACT PRICE OF WpiN: <br /> � DESCHIBENVIIk�Npgp� pEF UGEMVOWED � �'�� <br /> PROPOSED $EOFBUILDMO "� <br /> I HEREBV CEHTIFY THAT I 11AVE READ AND EXAMINED THIS � "' <br /> APPLICATION AND KNOW THF.SAME TO BE TRUE AND CORRECL ALL <br /> 1E0111 DESCRiPTqN pF pRppEpTY(SIpWN OEIOW OB ATTAGN�OUp COI'IES) PROVISIONS OF UWS AND OHDINANCES OOVERNINO THIS TYPE OF � <br /> �or &,� � WORK WILL BE COMPLETED WITH WHETHER SPECIFlED HEREIN OR � <br /> ' NOL THE GRANTIN(3 OF A PERMIT DOES NOT PRESUME TO OIVE . <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF�ANV <br /> i OTHER STATE Ofl LOCAL LAW REQULATiNp CONSTRl1CtION OR THE <br /> i PERFORMANCE OF CONSTRUCTION.THA?I AM AUiFpRIZED BY THE <br /> OWNEF OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> ' AFPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 2982pp WAC. <br /> 6KifIRNREOF[',(H/TR�CT ORAVfIqR12ED�p9/7 p�7E , � <br /> X ' '�r <br /> rno.�crwou�ss � `� . � � ' <br /> L f a I APPLIChMS CITY BU$iN 55 LICENSE NO.AHC 9�gINE88 N1V�E <br /> ��� MECMAMCAL <br /> ' �. T1'PE t7F FlIITURE OR ITEM FEE NO. TYPE OF EOUtPMENT �E � <br /> WATER CIOSET(TpILEn � NC--/VHNDLG UNITS--H.P. � <br /> BATHTUB � � . <br /> FOHCED AIR SYSTEMS—B.T. M E.A. � • <br /> LAVATORV(WASH BASIN) � UNIT HEAi ERS--B.T.U. M � � , <br /> SHOWER � CLOTHESURYERS � '— <br /> � <br /> KITCHEN SINK 6 DISP ; VENTIUTION FAN � � � <br /> DISHWASNER � RANGE HOdD � - <br />�, UUNDRV TRAV ; WATER HEATER • , � <br />' CLOTHES WASMER � WOGDSTOVE <br /> URINAL � METAL FIREPLACE 8 CHIMNEY � � <br /> �_ DRINKIN6 FpUNTAIN � FIREPLACE INSERT � <br />� _ FLOOR DHAIN ' <br /> ' HEAT P'JMP i . <br /> BACKFLOW PREVENTERS � pA5 PIPING � <br />� ROOF DHAINS—RAINLEAOERS � E%HAUST FAN <br />' SINK(SERVICE—BAR,ETC.) � � <br /> 4a ' , . <br /> _ � � ; . <br /> � <br /> � <br /> _ , <br /> � <br /> — � � � . <br /> � — I <br /> � <br /> SUB TOTAL S � StB TOTAL : � � ' <br /> PERMIT S � PLiiM1T S i � <br /> TOTAL FEE S ' TOTAI FEE S - - <br /> lRONTSETB�CR RE�qSETBACK SIDESETOGCN PLANCHECNNUMBEfl FEE qECEIPiIq. ' <br /> usezor+e tOTAREA VACNITSIIE FEES VALUATION FEE � <br /> ❑ YES CI NO BUILDINO � � � <br /> fYPE 0�CONSf.ALLOW�SLE TYPE Of CONSC/�LiIIAL azur+uo' xa d owuurro unitE � � <br /> cnav � <br /> PLUMBIN6 i <br /> . ' <br />_ SIIEOFBIOG. NO.OFSTONIES BRSEMENT �— <br /> MECHANICAL -� _ <br /> L� ❑ YES ❑ NO <br />•� OCCVPANGVLO�D fIRESPRNKLERSREOD HEIGHTLIMIIATION OTHER i <br /> ❑ YES ❑ NO SUTE BUILDING SURCNARGE i - <br /> HEASONPOi15PRMRlE05 - � <br /> STA7EENERGVSURCHARGE ' � � <br /> 6PPLCATIONACC.6Y MNS�FPROVEO BY CI1Y OF EVERETT pUBUC WOflKS � <br /> LOCALSALES � <br /> TAX CODE IS 3105 ror�� . � � <br />