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i <br /> APPLICAT;.;JN FOR CONSTRU(.::�ION PERMIT everett <br /> ;, m.Ew,�n TO BE COMPLETED IN INK—PLEASE PRINT � <br /> CITV OF <br /> ; everett HEATING SYSTEM: ❑GAS 0 ELECTRIC ❑ <br /> BUILDING DEPARTMENT <br /> - ; 259-8810 <br /> ; ❑ DEMOLITION ❑ COMBINATION 1 1 BUILDING CI MECHANICAL ❑PLUMBING �� SIGN <br /> pWHEq MAILADDRESS GTV 21P PMONE ^ <br /> TERRA FIRMA SSO-W:- Hastings 11716 Vancouver IIC B6C1E1 259-2482 , y,2� � � � / <br /> ' TENMIT 1MIL�DORESS QIY 21P PNONE <br /> Kyle Technologies 10701 Evergreeen Way Everett, Wa 98204 Space D <br /> AqCWTECTORDE810HER M�RAUDRESS CITY 21P PHONE <br /> It <br /> Architects Northwest 18915 142nd Ave. , NE Suite 100, Woodinville, Wa 98072 <br /> �� DENEPALCONTMCTOR MAILAODRESS CIiY ZIP PHONE LICENSE/ CASCACCL10R0 <br /> r r r t..i r r .. r 18915 142nd Ave. , NE Suite 170, Woodinville, WA 98072 <br /> MECNM�ICALCONTMCTOR MAILADCHESS CITY ZIP PHONE LICENSEI <br /> i'i � <br /> i <br /> pW1ABMN3CANTMCTOR MAIL1100PE55 GITY 21P PHC.: .ICENSEI <br /> C1A68 OF M/ONK <br /> I7 NEW I 1 ADDITION �AL'iERATION I I REPAIR I I DEMOLITION I I WOODSTOVEIFRPLINSERT I_i BUILDINCaRELOCATIOY <br /> 1 CONTACT FEFSON AND PIIONE HO. <br /> j carrw�crva�ceovwauc 15 000.00 <br /> i pEBCplEM/ORNANOSOUMEFOOTAf1EWVOlVEO <br /> F <br /> PnoposE°u�°FeuK°w° I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> WARFH011SE APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEdLLOEBCflIPTqNOFPR(WENTY�SNONNBELOWORATiACHFOUflCOPIESi PROVISIONSOFLAWSANDORDINANCESGOVERNIN�THISTYPEOF <br /> WORK WILL BE COMPLETED WITH WHETHEH SPECIFIED HEREIN OR <br /> i �oT e�xic oF NOT. THE GRANTING OF A PERMIT DOES NJT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF A�'Y <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> AP°LICATION IS MADE AND I COMPLY WITH THE STATE <br /> � CONTRACTORS LAW 18.27 RCW AND 266200 WAC. <br /> SN3IUTUNE OF CON7 011 OR�UT!I ��' AOENT DATE <br /> ; C I � X <br /> i P ECT�WPESS <br /> � W Y EVER TT 67A 98204 F �c" s� aswEss ISENO ANOBUSINESSNMIE <br /> PLUMBIN6 MECHANICAL <br /> { N0. TYPE OF FIXTURE OH ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) � AIC—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 ; <br /> SHOWER ' CLOTHES DRYERS i <br /> � KITCHEN SINK 6 DISP � VENTILATION FAN ; <br /> � DISHWASHER � RANGE HOOD � <br /> � UUNDRY TRAY ; WATER HEATER ' <br /> CLOTHES WASHER � WOOD STOVE � <br /> � URINAI ' METAI FIREPLACE 8 CHIMNEV � <br /> � DRINKING FOUNTAIN � FIREPLACE INSERT ; <br /> i FLOOR DRAIN � HEAT PUMP � <br /> BACKFLOW PREVENTERS � GAS PIPING ' <br /> ! ROOF DRAIIJS—RAINLEADERS � EXHAUST FAN � <br /> � SINK(SERVICE—BAR,ETC.) ; � <br /> { <br /> i � <br /> � � <br /> � , <br /> � i � <br /> i � � <br /> ' SUBTOTAL S � SUBTOTAL S —~— <br /> PERMIT S � PERMIT S � <br /> TOTAL FEE $ ' TOTAL FEE S <br /> i FOR OFFICE USE ONLY: <br /> F110NTSETBACK PEAflSETBACK SIDESETBACN PLANCHE NNUMBEfl FEE flECEIPTNO. <br /> x�s���_ l!a � s a � o .f .7 0 � 6 i <br /> usezor+e �or�pe� v�cu�rsire FEES VALUATION FEE <br /> � ' � <br /> � BUILDING i O <br /> IYP(OfCONT3ALlOWABLE TYPfOFCNST.ACIUAL a[urux'r raaowl«uGuxnS <br /> �— � pfl°':� �.— PLUMBING � <br /> i <br /> SQEOFBLDO. NO.OFST01ilES B�SEMENT MECHANICAL i <br /> 5 ov a � Rloiu� , <br /> OCCUPANCY�(MD FIRE SPPNKLEflS NEO'D MEIGHT LIMITAiION ADDITIONAL PLAN CHECK � <br /> •� �' �� OTHER � <br /> pEA50N FOB SPRINKIEflS � <br /> �Q�. l� g'�3'� STATEBUILUINGSURCHARGE � <br /> �'�►. <br /> WLVCEBY PLANS�P�BY CITY OF EVEflE1T PUBLIC WORKS � <br /> � � LOCALSALES <br /> TAX CODE IS 3105 TOT�� 'S p <br /> +:t3i"u, ti .ni. �.;. , • . . _.. . ..._ ;.y... ......... ---.� _ ._ . _ .- . , _ . _ <br /> �- �a ���. . _ _. . . _ . .. _.. ,. � <br />