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s <br />; APPLICATI4:� FOR CONSTRUCT .�N PERMIT '; <br /> , , <br /> � � � everett i <br />� ms Everpreen � <br /> � everett . e' :; <br /> BUILDING DEPARTMENT � <br /> 259-8810 TO BE COMPLETED IN INK—PLE�A E PRINT , <br /> O DEMOLITION ❑ COMBINATION U BUILDING Wl'MECHANICAL ❑PLUMBING ❑ SION ; � <br /> OVMEq M�IlA0Dt1ESS CITV 21P PNONE •. <br /> (� ��md �.�h.�.-tQ Qe. 2a2�a �c��- �rc�.�r t�.�. �u��t- a�2o3 ,L � � <br /> TEN M�RA RE55 COV 21P PHONE �i <br /> ��3 • 3� oy <br /> ARCHITECTOROESqNER MAIL�OORESS CITY 21P PHONE . <br /> OENEMLCONiMCT017 M�IL�OOPESS CITY ZIP P410NE UCENSEI <br /> MECHMIICALCONTPACTOR MALL�DORE55 CITY ZIP PHONE UGENS / <br /> �w�1l..o K 1 lal lg . i �4 A� tvti Win.l�.lamd q�c�3H 82l •H542.�5uNlowrl46�`�)� <br /> PlUM01NOCONTMCTOR IMIL�DORESS CITY ZIP PHONE LICENS � � <br /> •CUS9 OF V/ORN <br /> ❑ NEW ❑ ADDITION 4XALTERATION ❑ REPAIR 1-J DEMOLITION f, WOODSTOVE/FRPL INSERT ❑ BUILDINO RELGCATION , <br /> TENMIT NIPROVEMENT OR INiEHIOF REMODEAL�1NlY `, CONiACT PEfl50N AND PHONE NO. <br /> CANTMCTVRICEOFW011K: I-1��• Ov <br /> •� DESLRIBEWOHKANUS,O1UA,R,E�FOOTnAO^EINYOIVED <br /> :I � �'U � <br />;� SEDUSEOFBUI irro � I HEREBY CERTIFY THAT � HAVE REAO AND E%AMINED THIS <br /> � �I O,1YYV� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br />'I lEOl1LDE8CNIPTpNOFP n�s BELOWORA CNFWRCOPIES� PROVISIONS OF LAWS AND OHDINANCES GOVERNINO THIS TYPE OP <br /> WOHK WILL BE COMPLETED WITH WHETHEH SPECIFIED HEREIN OR <br /> � tot e�xK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO OIVE � <br /> ., <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATIN(3 CONSTRUCTION OR THE . <br /> — PERFORMANCE OF CONSTRUCTIO�.THAT�AM AUTHORIZEU BV THE � <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH � <br /> '� APPLICATION IS MADE AND I COMPLY WITH THE STATE ' <br /> . CONTRACTORS LAW 1827 RCW AND 296200 WAC. ' ; <br />�� SIONATUPEOFCONTMCTORORAUTIIOpIZEDAOENT OAiE <br />" I�.c� ozo3"1� <br /> , . <br />� X . <br /> ',•- �,;mo�cr�ooncss 5W1��Dk. �f'1C . `�%t� `�-�OD'� <br /> �oon <br /> �i ��;• S�a � �( �� APPLICANT9CITYBUSMESSLICENSENO.hNDBUSINE55NM1E j�:� <br /> j� � PWMBIN� MECHANICAL ��j <br />�i � NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> .� , WATER CLOSET(TOILET) � AIC—A/HNDLO UNITS—H.P. i <br /> '� BATHTUB ' FORCED AIFi SYSTEMS—B.T.U. M E.A. � <br />�' � IAVATORY(WASH BASIN) � UNIT HEATEHS—B.T.U. M � <br /> �� �' - 3HOWER � CLOTHES DRYERS i <br /> I , <br />� , . <br /> KITCHEN SINK 6 DISP ; VENTILATION FAN ; <br /> j � � DISHWASHER � RAN�E HOOD i <br /> � ��'�i UUNDRY TRAY ; � WATER HEATER � �f <br /> ' '. ' CLOTHES WASHER � WOOD STOVE ; <br /> I , :` URINAL � METAL FIREP.LACE d CHIMNEY � ' <br /> � • DRINKINO FOUNTAIN � FIREPLACE IPISERT ; �'� <br /> FLOOR DRAIN � HEAT PUMP —i— ' <br /> � I �. � BACKFIOW PRFVENTERS ; GAS PIPINO ' <br /> �_ � ROOF DRAINS—RAINLEADERS � EXHAUST FAN � <br /> SINK(SERVICE—BAR,ETC.) ; � , <br />� . � i <br /> � � <br /> i.. i � 5 <br /> � • i � <br /> i , <br /> SUB TOTAI S ; SUB TOTAL S 'OO .� <br /> PERMIT S � PERMIT S I � ' <br /> TOTALFEE S ' TOTALFEE S 'O � � <br /> ^ <br /> � F110NT&ETd1C1( REMSETB�CK SIDESETBACK PLANCHECKNUM�ER FEE RECEIPTNO. i' <br /> i � usEza+e �or�� V�C�NTSITE FEES VALU.ITION FEE <br /> ❑ YES ❑ NO BUILOINO . i <br /> � NPE Oi CpISL KLOWMtE TYPE Oi CON51.�LtURL �'�T �a vMlUxo WnR � <br /> wwo <br /> PLUMBING � <br /> —T— .. <br /> BiIEOCBL00. NO.OF6TOPiES BASEMENt MECHANICAL i <br /> � ❑ YES rJ NO ; <br /> acuru�cnwo FIPESPpNKLERSREQD HEIOIITIIMITATION OiHER � <br /> � ❑ YES ❑ NO STATE BUILDIN6 SURCHARGE � <br /> � flE�50NFOH6PflttIKLERS • <br /> STAiEENERGVSURCHARGE � <br /> APPIICATION�CC.BY PlAN5A1�ROVEDBV CITYOFEVERE?T PUBLICWORNS � <br /> LOCAL SALES <br /> TAX CODE IS 3105 TOTAL � <br />