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...., <br /> - - APPLICATICd�I FOR CONSTRUCT�JN P�RMIT <br /> everett . <br /> Ihe E�rrgrepn � <br /> CITY OF <br /> everett <br /> BUILDING DEPARTMENT TO BE COMPLETED IN INK—PLEASE PRINT <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> ON4�ER MRiL4DDRE5S C�iY Z6' PHONE <br /> C� O C� <br /> TENANT M�ILADDRE55 GrtV ➢P PNONE <br /> pRCfIRECTOFDE5IGNER A1rILADDRESS GITY ZIP PN011E <br /> H <br /> GENERALGONTRAGTOR MRILRO�RE55 CITY ZIP PHONE LIGENSE� �.�("NTf"Q X. . <br /> x�� � u YG3sz .�-�� ieirC �J-�Sre � s^ <br /> tl� MECHANtCAL GONiPRGTOR L A �RE55 GITY ZIP PNONE LIGENSE t <br /> ��`�i <br /> (�^ H <br /> 'Y H� f'WMBINGCDNTPACTOR MAIL AODRE55 GIiY IIP PNONE IILENSE� <br /> � CLRSSOf WORK <br /> � y`.�0 � - NEW � ADDITION �. I ALTERAT6)N �'..-���. REPAIR 1/bEMOLITION . � WOODSTOVEfFRPL INSERT . BUILDING RELOCATION I <br /> � H� TENANTIMPROVEMENTORINTERIORREMGD[LONLY CONT4GTPERSONANOPHONENO. ' <br /> V1 H <br /> �c-.�1 CONTRqCi PNICE OF WOPN: <br /> � Oa DRGRIBEWORNANOSOUAREFOOTTGEINVOLVED <br /> s <br /> y d � o` 1 l ! .G��� �- <br /> � PROPOSEDUSEOFB ILDING - �.4K�l.r.�,. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> � � i 7 APPLICAi ION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALl <br /> �� �G EGALO Gp�PT��NOFPRO iiTY�SHOWNOEIOWORATTACNFOUflLOPIES� PRUVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> z H 3 WORK WILL BE COMPLETED WITH WHETHER .�',PECIFIED HEREIN OR <br /> � y X �pT o�ocK oF NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE � <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVIS1011S OF ANY � <br /> H H OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OH THE � <br /> �i y PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY TNE <br /> n d y OWNER OF THIS PROFERTY TO PERFORM THE WORK FOR WHICH <br /> � C.� APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> �� CONTFACTORS LAW 1827 RCW AND 296200 WAC. <br /> SiGNAiUREOFGONIRACTORORRUTNOFi2EDFGENi �RTE <br /> HO� �— <br /> X �G`�- �L �'` � C / <br /> �'�-., Y ET�`>7 <br /> PROJECTPDDFE55 <br /> pppl�CAHi UPG U9NESSLICENSENOA�4.1'USMESSNAME . I <br /> `� ;''f7 _���-� NIEGHAN� AL ��� <br /> PLUMBING � <br /> � NO. TYPE OF FIXTURE Ofl ITEM FEE N0. ' TYPE OF EOUIPMENT FEE <br /> '.� � _ WATER CLOSET(TOILET� _ A�C—A�HNDLG UNITS—H.P. i <br /> �� BATHTUB FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> LAVATORY(WASH BASIN) � UNIT HEATERS—B.T.LL M ._�_ �I <br /> SHOWER ' CLOTHES DRVERS , <br /> � � VENTILATION FAN I <br /> � I KI i CHEN SINK 8 DISP i <br /> "'� DISHWASHER � RANGE HOOD _ . <br /> LAUNDRYTRAY ; WATERHEA7ER ', <br /> .+.� CLOTHES WASNER WOOD STOVE <br /> �� URINAL METAL FIREPLACE 8 CHIMNEV � <br /> ORINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> f�+ .�. GAS PIPING I�I, <br /> _' ' BACKFLOW PREVENTERS — <br /> ROOF DRAINS—RAINLEA�ERS EXHAUST FAN , <br /> SINK(SERVICE—BAR,ETC.) ' <br /> � I <br /> ' '=' SUBTOTAL b PERMOTAL 5 �I <br /> PEflM1T 5 <br /> TOTALFEE 5 TOTALFEE S <br /> FFONTSEiBRCN RERRSETPACN SIDESETBACK P.PNCNECNNUM�ER F[E RECEiPTNO. <br /> a• , % <br /> useior+E IOTAREA vncnt+rsrte PEES VALUATION FEE <br /> �, . YES '. '. NO BWLDING <br /> iYPE OF CONSI.PILOWABIE tYCE Oi CONSt�CIUAL atoo�ar rw a VAUUxGurus � <br /> �"�""° PLUId�ING � <br /> ) —^— <br /> SR[OiBLOG. NOAFSTORIES BRSEMEHT MECHANICAL C�/ � <br /> , IYES �. � NO <br /> OCCUPRNGVIOAD FINESPRNNLERSREOD N[IGMTUIdIUTION OTHER % '�� <br /> / <br /> �.. . YES �. NO y;pTE9UILDINGSURCHARGE �J , <br /> REASONFONSPRINKLERS �/ i <br /> STAIE ENERGV SURCIIARGE <br /> APPUCA➢ON4GC.OY PlANSAPPROVE��V CITYOFEVEREIT PU�LICWORK$ � <br /> LOCALSALES <br /> TAX COOEIS 3105 TOTai <br />