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�,��r ` APPLICATIOI�FOR CONSTRUCTt�i PERMIT everett <br /> 'm��E,e�.�n TO BE COMPLETED IN INK—PLEASE PRINT � <br /> CIiY OP <br /> eve rett HEATING SYSTEM: GAS O ELECTRIC ❑ <br /> BUILDING DEPARTMENT � <br /> 259-P810 <br /> DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> r�I � �.LV �/ \Y`'r 1 c � �� I 1 .�I �� ZI � �� PHON �� _ I l/1� <br /> YEN�Ni 41AIL E55 CITY 2 /1� PMONE <br /> C' <br /> nRGNITE TORDESiGNER MFRADDRE55 GITV 21P PNONE <br /> GF.NE /•l TRACTOq M IL A 55 — �� I�P„ ON t i N • ���/I (%'�h/ <br /> (�lV �J ` b��_ <br /> MLCN iCiIGONT R TOR MAILRDURE55 C \ �,��PMO,I.'En�� LIfrFNSEI �_��— <br /> \ �`� 'r <br /> PLLIMBMG CONiRACTOA MAIL ADORE55 CIiV ZIP PNONE UGENSE I <br /> G�A55 OF WORN <br /> NEW �,. ADDITION �ALTERATION � . REPAIR � DEMOLITION . � WOODSTOVE/FRPLINSERT �.�. BUILDINGRELOCATION <br /> v?�1 fANTpCT PERSON AND PHONE N0. <br /> CONTR�CT PR�CC OF WORN V�—I `�� '�r <br /> GESCRIpE WORN N Sd1AR�,fOpTAGE 1NV E <br /> tJ� <br /> ' PaoroseouseoFem�oin, / I HEREBY CERTIFY THP.T I HAVE READ AND E%AMINED 7HIS <br /> � APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> - LEGALDESCRIPTIONOFPqO�ERTY(SIIOWN�CLOWOFATTALMFOURCOPIES) PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> ' 1'JORK WILL BE COMPLETED WITH WHETHER SPECIFICD HEREIN OR <br /> i �or eiceK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GNE <br /> � AUTHORITY TO VIOLATE OR CANCEL TNE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> . PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> , OWNER OF THIS PROPERTV TO PERFORM THE WORK FOfi WHICH <br /> � APPUCATION IS MADE AND I COMPLV WITH THE STATE <br /> � CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> . SIGNATUAEOFCONTRACiORORAUTNORIZEDAGENT OAiE <br /> PROJ[CTRDDFE55 / �`� � �� ��� � � <br /> , �.I U A PIIGANiS CITY U51 �SS CENSE NO.NID BUSINE55 NAME <br /> ! 1:.. <br /> . PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> � WATER CLOSET(TOILET) NC—A/HNDLG UNITS—H.P. <br /> �' BATHTUB FORCED AIR S`.'STEMS—B.T.U. M E.A. <br /> LAVATORV(WASH BASIN) i UNIT HEATERS—B.T.U. M <br /> SHOWER CLOTHES DRYERS � <br /> � KITCNEN SINK 8 DISP ; VENTILATION FAN � <br /> DISHWASHER � RANGE HOOD <br /> LAUNDRYTFAV WATEF HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL ' METAL FIREPLACE 8 CHIMNEY <br /> DRINKING POUNTAW FIREPLACE INSERT I <br /> FLOOR DRAIN HEAT PUMP � <br /> ' BACY.FLOW PREVENTERS i GAS PIPING __ i <br /> ROOF DRAINS—RAINIEADERS � EXHAUST FAN <br /> SINK(SEFVICE—BAR.ETC.) ' _ <br /> - i — <br /> --T— <br /> i <br /> � <br /> . SUB TOTAL $ SUB TOTAL $ <br /> PERMIT $ � PERMIT $ / � <br /> TOTAL FEE $ ' TOTAL FEE 5 �D� <br /> FOR OFFICE USE ON�_Y: <br /> FAONTSEiBACK �—REPRSEiBACK SIDESETBACK PLFNCMECRNUMrBER PEE AECEIPTNO. <br /> J \ <br /> USE IDNE LOT ARER VRCRNT SITE FEES VALUATION FE <br /> BUILDING � <br /> r'/PE�FCONTS.ALIOWABIE tYt'EOFCONSi.PCiU�I otcuMxGr NCmPMu�NGUNrts ' i <br /> canur PLUMBING � <br /> SIZE OF BLDG NO.OF STOPIES BASEMENT � - <br /> MECHANICAL ��j ' <br /> OCCOPANCYLOAO FlNESPRNKLEFSREOD HEIGHTUMITATIOH ADDITIONALPL4NCHECK <br /> OTIIER <br /> RlASON FON SPRMKLERS � <br /> STATE BUIL�ING SUIiCHARGE <br /> �NIAMEBY PL�NSAPPROVEDBV CITYOFEVERETT PU�LICWO(9NS <br /> LOCALSALES <br /> TAX CODE IS 3105 rorni. 30 ; o� <br />