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t y 1 <br /> APPLICA�10�1 FOR CONSTRUCT�vN PERMIT <br /> everett <br /> rns e�ero,ee� � <br /> CITV OF <br /> everett <br /> BUILDING DEPARTMENT <br /> 259-6810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> L7 DEMOLITION ❑ COMBINATION 1"� BUILDING ❑MECHANICAL i I PLUMBING ❑ SIGN <br /> pWyEq M�ILADDAE55 CRV 2IP PHON[ � <br /> .S[.�Sow ��y�qp •Xe�.p /'7Z6 Gct9y Evcir�f.'�✓cfl� <br /> TENIM MRR/�BDPE55 CIiY TIP PIqNE <br /> ARLHR[CTORDESqHER 1MIL/�DDRE55 CITY 21P PIIONE , <br /> OENERM.CONTP�CTOB MAR�WRESS Cltt 11P PHONE LILENSE� <br /> MECMIJIIC0.CONiP�CTOR MAILAUDAE55 Cltt ZIP PIqNE LIGENSEI . <br /> �ol.�rii /�^P�.(e �ra/ i^. c Po Ber /i8l //�o.y�i.:.ce ctis 9P.ujo C�nGt✓��i.riBi✓ <br /> pIUMlMOLONiPAtTOf1 MAILADDRESS GIIY 21P 1'1qNE V:ENSEI <br /> cus�a wonn — <br /> ❑ NEW ❑ ADDITION 1`SAITERATION f7 REPAIR CI DEMOLIT�ON I_I WOODSTOVE/FRPLINShRT ❑ BUILDINGRELOCATION <br /> TENMIT IMPf10VEMENT OR MTEPIOR REMODCL ONLY CONTACT PEPSON ANO PHONE NO. <br /> CONTRH:T VRiCE OF WORK: <br /> � � <br /> DESCNIBE WORI(�NU Sd1ARE FOOTAGE MVCKVEO <br /> .����-� ✓ <br /> vosE se emio I HEREBY CERTIFV 7HAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW lHE SAM[TO PG TRUE AND CORRECL ALL <br /> lEOl1LDESCRIPTqNOFPP01'ERTY�SIIOWNBELOWOH�TI�GHFWHGOPIE51 PROVISIONSOFLAWSANDOR�.n�t+CESGOVERNINGTHISNPEOF <br /> WORK WIIL BE COk1PLETED K TH WHf1HER SPECIFIED HEREIN OR <br /> lOT OLOLN OF NOT. THE GRANTING OF A PERMIT DO�S NOt nn�CUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PHOVISICNS OF ANV <br /> 0TI1ER STATE OR LOCAL LAW REGULATING CONSTRUCTIJN OR THE <br /> !'�HFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZE7 BY T.4E <br /> � OWNER OF THIS PROPERTY TO PGRFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE BTATE <br /> CONTRACTORS LAW 1827 RC W AND 296200 WAC. <br /> SILN�TUREDFCONINRGTOROR�UtNOliREOAQENI DRTE <br /> PROJECT MORESS <br /> X�Y�✓�`��J <br /> /� u �aLa APPI.ICANiSC1TYBUSME55LIGENS[NO.pNDBU71NE55NAME <br /> PLUMlIN6 MECHANICAL <br /> NO, TYPE OF FI%TURE OR ITEM FEE NO. TVPE OF EOUIPMENi FEE <br /> WATER CLOSET(TOILET) � !VC—NFIN�LG UNITS—Ii.P. <br /> BATHTUB ; FOFiCEDAIRSYSTEMS—B.T.U. M E.A. ; <br /> LAVATORY(WASH BASIN) i UNIT HEATERS—B.T.U. M i <br /> —,— <br /> SHOWER ' CLOTHES DRYERS � <br /> KITCHEN SINK 8 DISP ; VEIJTILATION FAN ; <br /> DISHWASFiER � RANGE HOOD � �— <br /> LAUNDRY TRAV ; WATER HF.ATER ; <br /> CIOTHES WASH[A i WOOD STOVE�. � <br /> —�— <br /> URINAL ' METAI FIREPLACE 8 CHIMNEV ; <br /> DRINKING FOUNTAIN � rIFEPLACE INSEF7 � � <br /> —T <br /> FIOOR DRAIN HEAT PUMP � <br /> BACHFLOW PREVENTERS � X GAS PIPING � <br /> ROOF DRAINS—RAINLEADERS � EXHAUST FAN �— <br /> S�NK(SEFiVICE—BAR,ETC.) ; <br /> — ' � <br /> � <br /> i : <br /> SUBIOTAL S ; SUBTOTAI $ ' - <br /> PERMIT 5 � PERMIT $ / i ' <br /> �— <br /> TOTAIFEE S ' TOTALFEE S O ' � <br /> FRONT SEiBACN REAq SETBACK SIOE SETBRCK �IAN CM[CK NUMBEP FEE REGEIPT NO. <br /> use za+e �or�n� VACANT SITE FEEE VALUATION FEE <br /> �— <br /> ❑ YES ❑ NO BUILDINO . � <br /> 1YPE Of CONGT.ALIOwABIE TYPE Of CONSL�CNAL a�a���' Mo d ow[ll�xc uxns ' <br /> GNdN � <br /> PLUMBINO � <br /> S�ZEOFBlDO. NO.OF6ipAlES BRSEMEM MECHANICAL � <br /> ❑ VES I] NO — � <br /> OCCUPANCYLOAD FIBESPRNNLERSfiEO'D HEIOHTLIMITATION OTHER i <br /> ❑ YES ❑ NO STATE BUILDINQ SUFCIiFRGE � <br /> � <br /> PEA50.�FOR SPPINKLER9 T <br /> STATE ENFRGV SURCl/ARGE i <br /> APMIC�iIONACC.BY PlANSAPPROV[OOY CITYOFEVERETT PUBLICWOIiKS � <br /> LOCAL SALES � <br /> TAX COOE IS 3105 Torn� ' <br />