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� everett <br /> �,� ppPLICATION FOR CONSTRUCTION PERMI <br /> TO BE COMPLETED IN INK—PLEASE PRINT � . <br /> + tM Every�een <br /> � CITY OF <br /> everett HEATING SYSTEM• I]G/1S ❑ELECTRIC U <br /> BUILDING DEPARTMENT -- <br /> i 259-8810 <br /> f� DEMOLITION I I COMBINATION ! I BUILDING I �MECHANICAL f I PLUMBING !_1 SIGN <br /> 1 f�( MR�IL AyD�DRESS (�GITV ZIP ` �P�+�N� (� �7� <br /> !• 'NIR ' aai �NM �;�+ 1 � �✓� �- ��_. YU � 1� b <br /> I MRIL AOORESS � CITV 21P PHONE <br /> 7ENAN1 <br /> ARCHITECT OR UESIGNEI7 <br /> MAILPODNESS CI7V ZIP PIIONE <br /> 6ENERIILCONiRACTOR MAILAOORE55 <br /> CIiV 21P PMOHE LICENSE� <br /> � MEGNANICRICONTPAC70A MA�IAUURESS C�TV 21P PHONE LICENSEt <br /> lu.w W.f+.l,�.+�« Zi... 3ll0- 1�;�� � �� c7� I ZS"fr �33i Nvr'ft,r/� !U3 itZ <br /> � <br /> PLUMBINOC M�RAOOIlE55 <br /> C�1Y 71P PIIONE LICENSEr <br /> �f�yassoFwonrc .i i � I DEMOLITION ' � WOODSTOVElFRPLINSERT � i BUILDINGRELOCATION <br /> � /Y'I NEW I I ADDI710N I � ALTERATION flEPAIR CONiACfFE1150N4NOP110NEN0 <br /> l ��p� — <br /> ppN7qpCT PAICE OF WORK <br /> p $�p18E WORI(ANO SOU��E FOOTAGE INVOLVEO <br /> ' ��..;n,._ /,.< A't✓X' u,,.! ,Qcw ¢- <br /> PROPOSEDUSEOFBIlIlOiNG ! Y 1 HEREBY CEHTIFY THAT I HAVE READ AND EXAMINED THIS <br /> S`� � ` APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> pROVI510NS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEO�LDESC IPPONOFP�O�ERTY�SIOWNBELOWOf1ATT�C11FOlIfICOPIES� ypORK WILL BE COMPLETED WITH WHE7HER SPECIFIED HEREIN OR <br /> �or eiocK or NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br /> — AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OFi LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.7HAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTV TO PEFFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE I <br /> CONTRACTORS LAW 1827 FCW AND 296.200 WAC. <br /> SION�IUREDFCONIMCIORON�VIIIO���ZED�GENi DATE i <br /> -- � � �(✓N/l�� � I <br /> PRQIEC7AD�RE55 APPLIC�NISCIIYOUSIHESSLICE SENO �NDflUSINE55N�ME <br /> 3 f(U� ' F�l d h. q-�- MECHANICAL <br /> /' <br /> PLUMBING _ FEE � <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT <br /> , A/C—NHNDLGUNIIS—H.P. ' <br /> WATER CLOSET(TOILET) -- � <br /> FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> BATHTUB ' � <br /> LAVATORY(WASH BASIN) � UNIT HEAiERS—B.LU. ti1 <br /> ��— CLOTHES DRYERS � <br /> � SHOWER ' <br /> ' VENTILATION FAN � <br /> KITCHEN SINK 8 DISP ---r-- — RANGE HOOD ' <br /> DISHWASHER � WATER HEATER � <br /> LAUNDRYTRAY ' ' <br /> � ; WOOD STOVE ' <br /> CLOTHES WASHER ___..--.— --- - ----- -- ; <br /> j __ � METAL Fl�EPLACE 8 CHIMNEY <br /> URINAL ;---- -- � ' <br /> • - , FIREPLACE INSERT ' <br /> �� DRRJKING FOUNTAIN "— — HEAT PUMP � <br /> ' FLOOR ORAIN � - .GAS PIPING � I� <br /> BACKFLOW PREVENTERS ---�— EXHAUSTFAN ' <br /> ROOF DRAINS—RAINLEADERS � � <br /> SINK(SERVICE—BAR.ETC.) ��_.— ; <br /> ---•--- � <br /> � SUB TOTAL S .f 1 0 <br /> SUBTOTAL $ ��_ pERMIT $ S �� <br /> PERMIT $ � — TOTAL FEE $ D ' <br /> TOTAL FEE $ <br /> FOR OFFICE USE ONLY: aeceirr r+o. <br /> fflONi5E7BACN fiF�R5E70ACN SI�ESE104GN <br /> PLAN CIIECN NUMAEII FEE <br /> .�-- FEES VALUATION FEE __ <br /> USEZONE loTAilEn V�CnNTSIIE � <br /> BUILDING � <br /> � <br /> tYPEOiCON1 IYPEUFCUN51 ACtWL of n�ua xadbAlluHGUMitS rLUMBING � <br /> i <br /> NO.OFSTOOIES OASEAIENT �.1[CHANICAL � I <br /> SIZE OF OlDO. � <br /> i <br /> ADDITION�I PLAN CI IECK ' <br /> OCLUPANCYLO�D fIRF.SPONNlCfiS(lE(70 IIEIGIIIIIAIIfNION � � <br /> OTHER _� <br /> — — i <br /> REASON fOR SPRINNLE05 STAtE BUILDING SURCHARGF ' <br /> �NTaKeor r�nNsnrrnoveoov CITYOFEVERETT runucwonKs � <br /> LOCAL SALES � � �,;, <br /> TAX COOE IS 3105 TOTAL ___ <br />