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l-�.. <br /> APPLICATI�+.1 FOR CONSTFlUCTrJN PERMIT � <br /> everett <br /> � tne Evergrem � <br /> CIN OF <br /> everett <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> DEMOLITION ' COMBINATI'JN BUILDING J(MECHANICAL PLUMBING SIGN <br /> � 01YNER AITILADDRESS CIiY 21P PHONE <br /> }` _�_ ��c�ti�i.. �. ,\.� � �.����1- 'S"�- `!I { G <br /> tECqNi y� M�ILA�DRESS CI1Y ZIP PNONE <br /> APCIIITEGTOP�ESIGNER MAIIRDDREtL CITV 21P PHONE <br /> ���, c. nsc.��,�a,p <br /> G�RqLCONi`�CTOR MnIL40DRE55�1 GITY ZIP VHONE LiCENSE• <br /> �r� \'< \ �1 . :��z Q�. Y a � f 5-)'� h<n-v'�� `16c��u 23 to c.c.`1 ����� <br /> ay !d[CHRNICALCONTRPC�JR F1nIL AD�PE55 CITV ZIP PMONE LICENSE� <br /> ��H .`)r��.z � � � h .i, <br /> 9yy PLUM8INGCONTPpCTOP �ARRAD�FESS CITV 21P PHON[ LICENSEI <br /> H m3 <br /> �-] ��--1 CI n5$OF\VORK � <br /> K y,.n� NEW � ADOITION �. � ALTERATION �REPAIR . . DEMOIITION �. WOODSTOVE/FRPL INSERT '. i BUILDING RELOCATION I <br /> � N� T[N�NT IMPROVEMENT OR INTERIOR REMODEL ONLY C ACT PEPSON 10 PHONE N0. <br /> �H CONiRACTPRGEOFWGfiN: �Q`7 ' \n \�'.�j � � � C'�=• L- �� <br /> y O� �ESCBIBE\40RN r1ND SOURRE FJOiRGE INVOLVED <br /> C]] L� <br /> p H d PROPOSEDUSEOFBUI�DI I HERE�Y CERTIFY THAT I HAVE READ AND E7CAMINED THIS <br /> '.H'd �g 5 � APPLICATION AND KNOW THE SAME TO BE TqUE AND CORRECT.ALL <br /> 4']� O ILGALDESCniPTIONOFPROPERTVISHOWNBELOWORRTTr1CHi0UflCOP�ES� PROVISIONSOFLAWSANDORDINANCESGOVERNWGTHISTVPEOF <br /> i-i q WORK WILL BE COMPLETED WITH VlHETHER SPECIFIED HEREIN OR <br /> z y� �ot__ e�ocK oc NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> C : <br /> Z AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> H H OTHER STATE OR LOCAL LAW flEGULATING CONSTRUCTION OH THE <br /> �7 y PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED 6Y THE <br /> n d N OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> C C� APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> � tr� CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> � <br /> z yy SIGNRTUREOFCONiRnCTOBORAUiMOR4 AGENT DAiE <br /> � 0� �^ , <br /> v ' / � <br /> A / � <br /> i . <br /> PRQIEGTADOHE55 - `� <br /> J � _ l a �r'IiCANi. CItY�USiY.�55LiCENSEN ANOBUSiNE55NMiE <br /> / �.I� <br /> PLUMBING MECHANICAL <br /> � N0. TYPE OF FI%TURE OR ITEM FEE NO. TYPE Of EQUIPMENT FEE <br /> � � WATER CLOSET(TOILET) _ AiC—AHNDLG UNITS—N.P <br /> I� � BATHTUB FORCED AIR SVSTEIdS—B T.fJ. M E.A. <br /> LAVATORY(WASH BASIN) UMIT HEPTERS—B.T.U. h1 <br /> SHOWER CLOTHES DRYERS �, <br /> `'�' � KITCH[N SINK 8 DISP VENTILATION FAN i, <br /> �! DISHWASHER RANGE HOOD , <br /> LAUNDRYTRAY WATERHEATER , <br /> '� � � CLOTHES WASHER � WOOD STOVE � <br /> � i URINAL ' METAL FIRE°LACE 8 CHIMNEY <br /> r DRINKING FOUN7AIN FIREPLACE INSEFT <br /> FLOOR�RAIN HEAT PUMP <br /> �� BACKFLOW PREVENTERS ; GAS PIPING <br /> !� ' ROOF DRAINS—FiAINLEADERS � EXHAUST FAN <br /> SINK�SERVICE—BAR,ETC.) ; <br /> � � <br /> � SUB TOTAL 5 SUB TOTAL 5 J ;l7(� <br /> �.�.� PERMIT 5 PERh11T 5 — <br /> TOTALFEE 5 TOTALFEE S <br /> FRONiSETBRCN REARSETBACK SIOESETBACK PlA!�CriCCnf:l1R0E(i ftl �ECE,PTNO <br /> `��� <br /> usezor+e LOTAREA veeu+rsrte FEES VALUATION FEE <br /> 'i YES �-1 NO ODUUu�G <br /> rvrE oi[Ox57AlOw�BIE TVP[01[a+5i.�Lluu ��°�r �w oew+,.•.�.e — <br /> cnwr PlUlABING <br /> 92E OF BLDG. NO OF STORIES OASEIAENT �,�ECHANICAL 'OO <br /> � ves � . No � <br /> OCGUPANCYlO�D FIHESPPNKLEflSPEdU HEIGHiLIMITAtiON �THER i <br /> � VES . NO STATEBUILDINGSUFCHARGE � � <br /> PGSON iOH SPRWNLENS Ii <br /> STATEENEflGYSURCHARGE i i <br /> Ai'PIIC�TIMiRGC BV PlAN5NP4iUV[DOV CITY OF EUEREIT PU�LIC WORN$ � <br /> LOCAL SALES <br /> TAX CODE IS 3105 TOTAL �� <br />