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„: � � ' <br /> °�"'��� APPLICATI�''1 FOR CONSTRUC�N PERMIT everett i � <br /> �: e' !he Everpree^ TO BE COiNPLETED IN INK—PLEASE PRINT <br /> CI7V OF <br /> everett HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ —� <br /> BUILDING DEPARTMENT <br /> ;� M 259-8810 <br /> �htl pLUMBING ! SIGN <br /> � ❑ DEMOLITION C' COMBINATION �BUILDING u MECHANICAL � <br /> OWNER MFILADORE55 CITV ZIP PHONE <br /> a i cw�. Nc- r�� cN�-R.yn-�«�z�+ rosrs Evei�6R.E�1 way, sv�ET'r ss3��9ss <br /> ��� C�N� p� �T�q RESS CITV 21P PHONE <br /> rTb�.JIC J <br /> ARCHITECTORpEStGNER MAILRDOFE55 CItY 21P PIIONE <br /> o �' ryt� ar-�,��cd e�a�P, �. t'Rotim� �lc�ts �A'g- �.� �le�la�s 339'�58 <br /> ��� GENER��CONTRACTOF MAII FOORE55 CITY 21P PHONE IILENSE I <br /> �� �-p� cc��w�Tro� �.�c. l'7/5 !ro tk R.s�. ��•zil4- <br /> Q� MECMRNICALC NTRRCTOR��AILADORE55 CITV ZIP PHONE LICENSER <br /> ��y , PLUM9INGCONTRAGTOR MAILADDRE55 CITY ZIP PHONE LICENSEI <br /> QY �] <br /> H CLASSOFWORK <br /> � H rl NEW X ADDITION L ALTERATION �l REPAIR '�.J DEMOLITION ❑ WOODSTOVFJFRPL iNSERT G BUILDING RELOCATION <br /> CONTALT P NO PMONE N0. � � / <br /> 7��y CONTRRCTPRICEOFWORI( 3G,Crt,� / W '� � N �—K'� ��/� <br /> H <br /> ��� OES^.RIBE WOPK PND SOU E FOOTAGE INVOLVEO N • �' � <br /> MTL. BUlt.cn-�4 ��'� —8[b 5l�- <br /> �� PROPOSEDUSEOFBUILDING �Vf�s �3'��(�p,�l/ I HEREBY CERTIFY THAT I HAVE AEAD AND EXAMINED THIS <br /> y � APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEG�LDESGNIPTIONOF PflOFER (SHOWNBELOW OR ATfACH FOlIRC01'IES� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS NPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �oT e�ocK oc NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> � �,�s OTHER STATE OR LOCAL LAW REGULATING CONSTfiUCTION OR THE <br /> PEflFORMANCE OF CONSTRUCTION.THAT I AM AUTHOFiIZED BY THE i <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH i <br /> APPLICATION IS MADE ANU 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> SIGNRTUREOFCONTRRCTOFOR.�UTHOflIZEDAGENT DATE <br /> X <br /> � <br /> PROJELTA�CRESS q� <br /> 5/5 UIJI r A, LIC NTSGITYBUSINE6SLiCENSE AND/ E NA E I <br /> �li� PLUMBING MECHANICAL <br /> '�� 7 NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE I <br /> r� WATERCLOSET(TOILET) A/C�AIHNDLGUNITS--H.P. I <br /> BATHTUB FORCED AIR SYSTEMS-B.T.U. M E.A. I <br /> ' LAVATORY(WASH BASIN) i UNIT HEATERS-B.T.LL Id � <br /> ��' CLOTHESDRYERS _—r- � <br /> SHOWER <br /> � KITCHEN SINK 8 DISP VENTILATION FAN � I <br /> � DISHWASHER RANGE HOOD i <br /> LAUNDRY TRAY WATER HEATER I <br /> � . CLOTHES WASHER i WOOD STOVE � <br /> �� � URINAL METAL FIREPLACE 8 CHIMNEY ' '�. <br /> � � � �RINKING FOUNTAIN FIREPLACE INSERT . <br /> ' FLOOR DRAIN HEAT PUMP <br /> I �,� BACKFLOW PREVENTERS ; GAS PIPING I <br /> w Z ROOF DHAINS-RAINLEADERS � EXHAUST FAN I, <br /> SINK(SERVICE-BAR,ETC.) <br /> � ' 1 <br /> 1�� <br /> i <br /> :' SUBTOTAL $ ' SUBTOTAL $ ' <br /> . •�� PEAMIT $ PERMIT $ <br /> ��p TOTAL FEE S TOTAL FEE $ <br /> FOR OFFICE USE ONLY: <br /> FRONTSETBACK PERRSET9ACK Si0E5ETBACK �LANCY.ECKNUMBEfl FE[� / �-1 RE��PTH�`,�� <br /> .�� ” /� �� `� <br /> !'1til _ _ � � <br /> usezor+e iornaen VRC/NTSITE FEES VALUATION FEE � <br /> C- ��� BUILDING G lUU ,�7' �7 ' �� � <br /> IYPEOFC01!)SAILOWAflIE tYP[pFCONSi.A�7UAL oc[uvui�r 'a0��v:uurGoc��S PLUMBING <br /> V /\/ V V <br /> SIZEOFBI�Q I��S.' NO.OFSTORIES BASEMENT MECHANICAL . <br /> OCCUPANLYLOAD FIRESPHNKLERSREO'D HEiGHiI�MITATION •a0DIT10P1ALPLANCHECK I <br /> �/ 7 / i <br /> �(- /V J — I:7 I J�. OTHER <br /> REASON FOR SPRiNKLEPS 1 <br /> STATE BUILDING SUflCHARGE � i SC <br /> R�iAKEBV PlPNSA RO.�E�BV CITYOFEVERETT PUBLICWOFNS I <br /> j6.. LOCAL SALES <br /> / ,b TA%CODEIS3S05 TOTAL ..�,�9 ;o`�' <br />