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.. . .,..,. .. . ,. . .. ... ..everett ` I <br /> APPLICATIO.J FOR CONSTRUCT.,:1P1 PERMIT <br /> rheeveryreen TO BE COMPLETED IN INK—PLEASE PRINT � <br /> CI7V OF <br /> everett HEATING SYSTEM: fJ GAS ❑ELECTRIC J?S � <br /> BUILDING DEPARTMENT <br /> 259•8810 <br /> I I DEMOLITION I I COMBINATION i I BUILDING �MECHANICAL I I PLUMBING I I Si.iN <br /> OWNEP MAILAODflE55 CITY ZIP PIIONE <br /> TENANT J MAILADDRESS CITY ZIP PHONE <br /> � ,�4�+�►�/i� Qif'�%c�r / '�=80/ cYcv'rn-er.n k/o .�Ye�^�-fiF' <br /> ARCHITECTOH ESIGNER MFILAODRE55 GITV ZIP PHONE <br /> � GENERALCONTflACTOR MAILAUDHE55 CITY 21P PHONE UCENSEI <br /> � � � <br /> MECHANICALCONTBACTOR MAILAD�RESS ,�� CITY ZIP PHONE LICENSE/ . <br /> /�.H 'to,., �Co�/.ro �29�35 l•n%r�7�enGf,F. . K� 98oY.� / -f�..3S3 �1'/�iQ/�OIP <br /> PLUMBINGCOI:�PACTOF MAILAOORE55 CI7V ZIP PIIONE LICENSEN <br /> CLASS OF WORK <br /> I .I NEW I I ADDITION �ALTEFATION I I REPAIR I I DEMOLITION I I WOODSTOVE/FRPL INSERT I i OUILDING RELOCATION <br /> CONT`A�jT PEflSON ANO PMONF NO. <br /> '. CONTRACT PRIGE OF WOPN /�QQ �' �//O'A� �WR�s�n S3/-�!<3S'3 <br /> ' OESGRIBEWORKANGSOUAREFOOTAGEINVOLVFD <br /> ? 3,S"oo /f�� 1��� f ,D��f <br /> aflOPOSEDUSEOFBUIL0ING I HEFlEBY CERTIFY THAT � HAVE READ AND EXAMINED THIS i <br /> . APPIICATION AND KNOW?HE SAME TO BE TRUE AND CORREC7'.ALL i, <br /> � LEGALDESCFIPTIONOFPROPEqTY�SHOWNBELOWOFlATTACHFOURCOPIES� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF i <br /> �VORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR � <br /> . ior _ e�ocK oF NOT. TH[ GRANTIN� OF A PERMIT DOES NOT PRESUME TO GIVE �� <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> ` OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE � <br /> � PERFORMANCE OF CONSTRUCTION.TI1AT I AM AUTHORIZED BY THE <br /> OWNER OF THI,�, PROPERTY TO PERFORM THE WORK FOR WHICH , <br /> �' _ APPLICATION IS MADE AND I COMPLY WITH THE STATE � <br /> � CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> 1� SIGNATUREOFCONTRAS,fOHOHAUTHORIZEOAGENT OATE . <br /> . / ,. . .."� <br /> � /4g _ro �e.a a , ore �'!`' X �:�l�Ji' " <br /> � PflOJECTAUDR[55 � .-�-�—G�_ ��, <br /> APPLICANTS CI�V OUSINE55 LICENSE NO.AND BUSINE55 NAME � <br /> PLUMBING MECHANICAL ��. <br /> . NO. TYPE OF FIXTUqE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE '�.. <br /> WATER CLOSET(TOILET) � A/C—NHNDLG UNITS—H.P. � - � <br /> . BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. ' ' <br /> LAVATORY(WASH BASIN) � UNIT HEATERS—B.T.U. M � �I <br /> - SHOWER --'— CLOTHES DflVERS ' � j <br /> KITCHEN SINK 8 D�SP ; VENTILATION FAN � .� <br /> DISHWASHER � RANGE H000 � <br /> - LAUNDRI'TRAY ; WATER HEATER ' <br /> . CLOTHES WASHEA �� WOOD STOVE _T_ � <br /> URINAL ' METAL FIREPLACE 8 CHIMNEY ; i <br /> ORINKING FOUNTAIN � FIREPLACE INSERT � I <br /> --�— <br /> . FLOOR DRAIN � HEAT PUMP � , i <br /> BACKFLOW PREVENTERS ; GAS PIPING � <br /> ROOF DRAINS—RAINLEADERS � EXHAUST FAN � ; I <br /> SINK(SERVICE—BAR,ETC.) ' � � <br /> � � <br /> � , i <br /> � � I <br /> i � , <br /> i ' <br /> i � <br /> SUB TOTAL $ ; SUB TOTAL $ ' <br /> ?ERMIT $ � PERMIT $ � <br /> � TOTALFEE $ ' TOTALFEE $ ' I <br /> FOR OFFICE USE ONLY: <br /> FflONT5ET6ACN RERfiSE70ACK SIOESETBACK PLANCHECKNUlABER FEE RECEIPTNO. <br /> USE20NE IOTAqEA vncar+isiie FEES VALUATION FEE <br /> �UILDItJG � ��i <br /> i <br /> iYPfO(CON75.ALLOWAOIE iYPEOfWqS1.ACIUAL u:Nru;cr NnofuNuinitunns — — i 'i <br /> rnroiv pI,UM0ING i ' <br /> SREOfBL�G. NOAFSTORIES OASEMENi MECHANICAL —r— I <br /> i <br /> OCGUPANCY LOAD FIRE SPRNKLERS(IEO'0 ��EIGHT UMITATION ADDITIONAL PLAN CHECK i � <br /> _ <br /> OTHER � <br /> flEA50N FOP SPRINKLERS �— <br /> i <br /> STATE BUILDING SURCIiARGE i <br /> INTAKEBV PLANSAPPflOVEDOV CITYOFEVERETT Pl1BLICWOPHS j 1 <br /> LOCAL SALES S <br /> TAX COOE IS 31D5 rorn� ; ; <br /> — c <br />