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. . . . _ . . .. ... __ . . . . . . _ . � <br /> I <br /> i <br /> AP'PLl1.A710N FOR CONSTkUCT10N ' <br /> PERMIT ' <br /> fhe Eve/preen everett <br /> CITY OF <br /> everett e <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK— PLEASE PRINT <br /> OWNEfl MRILRDORE55 GTY ZIP PIIONE <br /> �6AIT A CE�/TE/L S`�v�"i FG i/Y.CC-JLL(�c! Lw IA»I7��/G' �,LGT� <br /> TENANT ��AILAOORE55 CItY 1 !21P PNONE <br /> �RCHITECTOfl0E51GNEfl MAILPO�NESS GITY 2iP PHONE <br /> �8Wi4ALCONTRALTOfl MAILApDRESS CIiY ZIP PIIONE LILENSEt <br /> ME�-1�.e J�1L7ML�� � •��. � 1.1- 1_- 1'--��[�522_ f�J� f�c�.S_EL�YT«�if3v 4 �6ZL3.�Co <br /> � MELH�NILALCONTfl�CTOfl IAAILAOIJ.ii55 GIY ZIP P110Nf ICENSE• <br /> CG�-��-v�y� <br /> ' PLUMBINOGONTRACTOR MRILADOPESS LITY 21F PHONE LICENSE� <br /> � CLd OFWOPN <br /> . NEW ❑ ADOITION ❑ ALTERATION ❑ flEPAIP ❑ �EMOLITION ❑ WOODSTOVFJFRPL INSERT ❑ BUILDINCa RELOCATION <br /> • TEN�NTIMPROVEMENT OR INTEflIOfl REMOOEL ONLY Lp TAGT VERSON ANO PHONE NO <br /> . CONTRACTPNICEOFWOfl�C /��U` �— �A'uL Y /`�[�/�C/LL.� G� Y—`1y'`�'3 <br /> UESCHIBE WORI(AND SJUARE FCOTAbE INVOLVEO <br /> /�-!$i�v-[.� / 5/� ul�a-c.c_ S 14� ��� <br /> PROP09EDUSEOFBUILDING IHEREBYCERIIFYTHATIHAVEREA�ANDEXAMINEDTHISAPPLICATIONAND � <br /> ��.r��� KNOWTHESAMETOBETRUEANDCORRECT.ALLPROVISIONSOFLAWSAND �� <br /> LEGALDFSGPIPTIONUFPROPEflTY�SHOWNBELOWORRTTACMF011FGOPIES� ORDINANCESGOVERNINGTfiISTYPEOFWORKWILLBECOMPLETEDWITH I <br /> .. W HETHER SF�CIFIED HEREIN OR NOT.THE GRANTING OFA PEfiMiT 90ES NOT <br /> PRESUME TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PRCJISIONS Of .I <br /> , �or B�ocK oF ------------ pNYOTNERSTATEORLOCALLAWHEGULATINGCONSTRUCTIONORTHEPER- <br /> � PORMANCE OF CONSiRUCT10N.THAT I AM AUTHORIZED BY THE OWNEfl OF �' <br /> THIS PROPERTYTO PERFORM THE WORK FOR WHICH APPLICATION IS MADE � <br /> � AND I COMPLY WITH THE STATE CONTRACTORS LAW iB27 RCW AND <br /> . 296.200 WAC. <br /> 9GN�iUPEOFLONINAGIOflOBAlI1HORIZEDAGENi DATE <br /> ��\ <br /> �. PROJEGT�D�RE55 . �� �� L�� ,'��S , <br /> APPLI ANTSCITY'IID�E�ICENSENOANDBUSINESSNAME <br /> � � �� L��.�F- .L�h� � 1, 1 l . <br /> � PLUMBIN6 MECHANICAL , <br /> NO. TYPE OF FIXTUfiE OH ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> � WATERCLOSET(TOILE� A/C—P/HNULGUNITS—H.P. ' <br /> BATHTUB _ FORCF.D AIR SYSTEMS—B.T.U. M EA _ ', <br /> LAVATORYIWASHBASIN) UNITHEATERS—B.T.U. M � <br /> SHOWER CLOTHESORYEFS � <br /> � KITCHEN SINKB DISP. VENTILATION FAN ' <br /> DISHWASHER RANGE HOOD <br /> � LAUNDRYTRAY WATERHEATER � <br /> CLOTHES WASHER WOOD STOVE � <br /> � URINAL METAL PIREPLACE 8 CHIMNEY <br /> DRINKING FOUNTAIN FIREPLACEINSERT <br /> FLOOR DRAIN HEAT PUMP <br /> � BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> . SINKISERVICE—BAR,ETC.) — <br /> SUBTOTAL 8 SUBTOTAL 5 _ <br /> PERMIT S PERMIT S <br /> TOTAL FEf: 5 TOTAL FEE S <br /> FRONTSET9ACN REARSETBACK SIOGS[TOACN P�NLHECKNUMBEP FEE RELEIPTNO. <br /> � � � <br /> � uSE�e toranEn VACANTSITE FEES VALUATION FEE <br /> �� O YES n r+o <br /> BUILDING <br /> T'PEOFCONST. OCCUPPNGVGROUP NOAFOWELLINGUNIiS — <br /> pLLOIVABLE/RCTU�L PLUIdBING <br /> � SREOFBLOG. NOOFSiONIES BSMT. OCGLOAp <br /> ❑y MECHANICAL <br /> ❑ N <br /> HEIGHTIIMITnT10N OTHER <br /> FIHE SPpINHLEHSFEOUIREO ❑YFS ❑ NO STATE BUILDING SUfiCHARGE <br /> I <br /> STATE ENERGY SURCIIARGE . <br /> APPL!C�TION�GGBV PLAHSAPP . V — — — '. <br /> PUBLIC WORKS � <br /> TOTAL ' <br /> I� <br />