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. . <br /> . _, . <br /> ; ,..:. . � � , <br /> �.:..... �.��•.' <br /> ,,�. . .. . . . . . � .t �.. .. .. . . � . ... ... .. ... . ... . . .'�, <br /> everett ;: <br /> APPLICATIG.J FOR CONSTRUCT:.�N PERMIT ; <br /> nre E�.ro�� TO BE COMPLETED IN INK—PLEASE PRINT � • <br /> CITV OF }} <br /> eVel�ell HEATING SYSTEM: �GAS ❑ELECTRIC ❑ ` <br /> � . <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> ❑ DEMOLITION ❑ COMBINATION r7R BUILDING I_I MECHANICAL�NE ❑PLUMBING L7 SIGN <br /> MAILADDR SS• 1�• 6G��IW�C�Sw /�'IW Z1� 'DWS /T� ���� 1,. <br /> �wla+�Fi•� 'I� � , ;: <br /> �ENI�NT ID MAILADDflE55 r�' � ���TY yy, ZP PHONE �" �" � �� <br /> ���y�j� CylY�p�T 9��$ �b (aG 1 siu� ' <br /> T��+•+� CITY PXONE C � �' <br /> /�pCNITECTd1UESI0NER M�ILAUONESS ����I I���.`�,1�Z�� .L . I�nV/'� Qto�2 �7 QO �V� <br /> �vds�'�tCh_��t�M�' r..-� wvvR� �o - — �;; <br /> LITY ZIP PHCNE IICENSEI ��: <br /> GENE Tp�Tp MAILAODi1ES5 �L `� �'�O 1.1__Jfµ�"^ q�"�2 ��� y, <br /> "�G�,� �,,,�,�� 1t11S- 14'�•e rz MrauRa <br /> ��n, Z�p PHONE UCENSE� I � <br /> ��µ�7p/�p7pp M�IL AOj1RE55 � �(�' <br /> 4 C�Cl.I�o�t+C�I I?c 8 • GG�"M►�.w �to h(ov►..fl,l�.?'awR���0 �s f c ,� <br /> CITV ZIP PHONE IICENSEI <br /> pWMBMO TRACTOR MAILAODPE55 9w � �� <br /> 44�s plu►..�r G2�? ciee.�s�, �v�tf ��,3 3 3 3 d <br /> ���,�K � � �,. <br /> ❑ NEW ❑ ADDITION �ALTERATION I 1 REPAIR ❑ DEMOUTION ❑ WO�DSTOVEIFRPL INSERT ❑ BUILDING HELOCATION i <br /> P SONANq�ONFj�lO.�� `'� �� ` <br /> � O��M •jJRY• r1I �� <br /> CpIRMCT PRICE OF WONK w . <br /> pES�flIBE yp�y�µD SOUANE Fg�T�OE INVOIVED '. <br /> buil/l oifi 4'7S st affl'ce � 2 F4G (M.'�S ; <br /> rnoroaeouseoFauwwo I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> � �t APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL � � <br /> �pkpEgpq�pTpNpFpROPEfiTY15MOWN8ELOWORA�CHFOUNCAPIE'� PROVISIONSOFLAWSANDORDINANCES60VERNIN6THISTYPEOF �. ',,i <br /> � OF � WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR � <br /> �T�_ ��K � pp NOL THE GRANTING OF A PERMIT DOES NOT PRESUME TO OIVE �� <br /> TwK �N � L� AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV ! <br /> IrJ•� . OTHER STATE OR LOCAL LAW REQULATINQ CONSTRUCTION OR THE ° <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY TME . <br /> 1y,� � �L �Q ��(y� r` S� { £ +� OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH : <br /> T APPLICATION IS MADE AND I COMPIY WITH THE STATE p <br /> � CONTRACTORS lAW 1827 RCW AND 296200 WAC• 6��; <br /> ���A � . SI6NANR CONTRAG �6ENT DATE E <br /> �� A w' t <br /> �� � f.� _IO ��� <br /> pIqJECTA00RE5S N � � APPLICAN 5 LICENSENO_ SINESSNAME ' <br /> � N , <br /> MECHA ICAL — �:�'�. <br /> PLUMBINQ TYpEOFE�UIPMENT �E <br /> pp, TYPE OF fll(TUBE OR ITEM FEE NO. � ,5� <br /> WATER CLOSET(TOILET) � AI�AIHNDI G UNITS—H.P. ' <br /> BATHnB � FORCED AIR S`!STEMS—B.T.U. M E.A. ' �` <br /> LAVATORY(WASH BASIN)� � U N I T H E A T E R S—B.T.U. M � ��� <br /> � CLOTHES DRYERS � �' � <br /> SHOWER � VENTILATION FAN ' {t��`I <br /> KITCHEN SINK 6 DISP ' , i.'� <br /> DISHWAShER � RANGE HOOD [ <br /> L4UNDRY TRAV ; WATER HEATER � {: <br /> CLOTHES WASHER , p,�E p�L FI EPLACE 8 CHIMNEY ' _ <br /> URIMAL � FIREPLACE INSERT ' ' <br /> DRINKfN6 FOUNTAIN , HEAT PUMP � � <br /> FLOORL�RAIN ' f� <br /> BACKFLOW PREVENTERS ; 6AS PIPtNG <br /> EXHAUSTFAN ' �'� <br /> ROOF DRAINS—RAINLEADERS ' � Q., <br /> SINK(SERVICE—BAR,ETC.) � ; t. <br /> � �— 6 <br /> i <br /> i � <br /> � •t <br /> � <br /> SUB TOTAL $ ' SU8 TOTAL S � ���, <br /> PERMIT E PERMIT S � ' <br /> � TOTAL FEE S ' �,�..�� <br /> TOTAL FEE S ' ,4 <br /> �f <br /> FOR OFFICE USE ONLY: � necyyrppo,� fl <br /> uIDESETBAGK PUNCNECK MBER FEE b'� <br /> FRONT SETBACK � REM SETBACN- )1 O /��(Q <br /> �pS I�./ [ <br /> T�RE� VAC�NT51T FEES VALUATION FEE : <br /> U�� � ! � BUILDING O O � � <br /> i i <br /> ryPE OF CONTS.�LLOWABLE ttPE OF CONST.ACIDRL otcuvwcr xo n ewEuixG uxns i <br /> �� wWP � PLUMBING � <br /> i <br /> SIZEOFBLIX<7.w HO.OFSTORIES BASEMENT MECHANICAL <br /> i <br /> ����I'1 �� ^' � J <br /> ADDITIONRL PLAN CHECK ' <br /> � <br /> OLGUPANINLO�D F�dESPRNNLEFiSRLOL' HEIGHTLIMIUTION � � <br /> � � <br /> `�G OTHER �— ? <br /> f '� � 'S <br /> REASON FOfi SPRINKLEHS STATE BUILOING SURGHARGE � <br /> i �: <br /> INTAKE BY PLANS APPRO ED BY CITY OF EVENEIT PUBLIC WORKS � <br /> LOCAL SALES �� �JC G <br /> �l�/` TAX COOE IS 3105 TOTAL � <br />