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,� r�, � <br /> �� �� �� A�PLiCAT10N FOR CONSTRUCTt.�.V PERMIT <br /> :�z, - � <br /> everett . <br /> fhe Evmgreen � ' <br /> CITV OF <br /> everett <br /> BUILDING DEPARTMENT TO BE COMPLETED IN INK—PLEASE PRINT <br /> 259-d810 ' <br /> DEMOLITION COMBINATION BUILDING i�ECHANICAL PLUMBING SIGN ' <br /> � �IAILAD�RESS CITY Z PHON[ 1 <br /> rE� rc � 5�t-,� u�.��� � -a nd�, �1-v— �f� 3cE�- _ �c� <br /> TENAN��ILRDDRE55 CITV 21P PMONE �. <br /> � � �ti <br /> �RCHRECT OR OESIGNEN MAtt AOORESS CITV 2iP PHONE i � <br /> +'��7 i <br /> y H ��! ALC NiRRCTO�^ M iLA " 5 J }���� y������ •� /'�„ // ��-�,R�' , , (��LICENSE� � ,:,j^t '� <br /> C+fC�f� 1/� I1 C�C �/ � �T � J JI 1 � - . <br /> 1 � <br /> y nieYMANICALCONTfi TOR MAR Rf)DRE55 CIiV 21P �%1� E� , �1����3 L� <br /> � G�� � <br /> a�–]y PlUA1BINGCONiRRCiOR MAILA�ORE55 CIIY IIP PHONE UCENSE� { <br /> H �� (�l-�3 9i� <br /> � � CLASSOFWOfiK 1 � �� <br /> � H� � NEW ��. �' ADDITION ,X4LTERATION . �. flEPAIR �.��. DEMOLITION . WOODSTOVE/FRPL INSERT �. � BUILDING RELOCATION i <br /> TENANTIMPROYEMEHTORINTE ORREMODELONLY WNi�GTPER50NANDPMONENO <br /> y~ CONTRACTPRICEOF\40RN: �� . I !. <br /> z ! I � � <br /> OESCRIO[ ORN AND SOU AE F iRGE INVOLV� � ,^ ,� � <br /> H t" <br /> � H b -Gtn�s j A ��� / �l-lJ l � <br /> O H � PROPOSEDUSL'OFBUII c rn I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS � <br /> H �g ���j APPLICATION AND KNOW THE SAME TO BE TRUE AND CORfiECT.ALL <br /> 'n` � IWAlDESCPIPTIONOFPROPERttI5HO1VNBELOWOfipifRCNFOURCOPIES) PROVISIONSOFLAK�JANOORDINANCESGOVERNINGTHISTVPEOF i <br /> � H� WOPK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> ior etocK oc NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> y z AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> H H UTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OH THE <br /> gy PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE � � <br /> H <br /> n Cy y OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> � �� CONTRACTORS LAW 1827 RCN'AND 296.200 WAC. <br /> SiGNATIIq[OFCONiRACTORORRUTMORIZEDRGENt pRE �� <br /> H O f�A I <br /> PP0.1ECi aDD E ,^ \\���^��"' �I � � � � <br /> � ICANiS CrtY BUSi YESS I�CENSE 1 0.AND BUSM[55 NAiJE <br /> PLUMBIN MECHANICAL <br /> �� NO. TYPE OF FIXTURE OR ITEM FEE N0. TVPE OF EOUIPMENT FEE <br /> '�. � WATER CLOSET(TOILET) NC—AMNDLG UNITS-4.P. i _ <br /> ._� BATHiUB FGRCED AIR SYSTEMS—B.T.U. E.A. <br /> IAVATORY�WASH BASIN) � UNIT HEATERS—B.T.U. M <br /> SHOWEA CLOTHES DRYERS <br /> �� VENTILATION FAN <br /> KITCIiEN SINK 8 DISP <br /> !! DISHWASHER RANGE HOOD <br /> LAUNORVTRAY ' WATER HEATER <br /> � � CLOTHES WASHER WOOD STOVE � <br /> �I URINAL �dETAL FIREPLACE B CHIMNEY <br /> DRINKING FOUNTAIN i FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMF <br /> �=`�' BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—RAINLEADERS E%HAUST FAN <br /> SINK(SERVICE—BAR,ETC.) ; <br /> i <br /> i'i <br /> SUB TOTAL S SUB TOTAL 5 <br /> !'! PERMIT 5 PERMIT 5 <br /> TOTALFEE 5 TOTALFEE S <br /> ���• <br /> FROIliSETBICK RERRSEiBRCK Si�ESETBRCK PIA�ICHECrcNU1.18ER FEE FECE�PTNO <br /> usE zor+e lOT RREF Vr1CRNT SITE FEES VALUATION FEE <br /> . -� YES N� yU1LDING � <br /> IVPf Of[ON51 ALlOWFBIE iYPE Oi tOqSI ACIUAL O[[cvµcr no oruanuu:n�,ti <br /> cnoua p��M81NG <br /> --i— <br /> SiZCOFpLDG. NO.OFSTpFlIES OASEMENi ,•.!ECHANICAL <br /> .��. YES �. NO <br /> OCCUPANCYLORO FIPESPPNRLERSREG� HEiGIRlI1.11TAilON �THER <br /> i 1 YES NO S7ATE BUILDING SURCHAPGE <br /> R[ASONFORSPRiNNLERS i I <br /> STATE ENERGV SURCHARGE <br /> i <br /> nrr�.icnnoNncc.nv rinr�snrvivweoor C�TYOFEVERETT punuCwORKs <br /> LOCALSALES <br /> TAX CODE IS 3105 TOTAL <br />