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�l ��� . . �� <br /> APPLICAT�ON FOR CONSTRUCT�JN PERMIT <br /> everett ± <br /> .. MeErer9:e+en � . <br /> CITV OF <br /> eve�ett � <br /> BUILDING DEPARTMENT i <br /> 259�8810 TO BE COMPLETED IN INK—PLEASE PRINT • <br /> �EMOLITIUN COMBINATION BUILDING �MECHANICAL PLUMBINQ SIGN <br /> .. pwryEn M114iL �j U �r '� Z � � I IJJ� 1 J L i� �l �'. /J � <br /> + <br /> TENANT ' MAI�RODHESS CITY 21P PMONE <br /> APLIIITECTO OESIGNER MAILADORESG QTV ZIP PHONE <br /> [ NCR L O ITqRLTOA MR ADDP GIT� I� ZIP PHONE ENS � <br /> ��� �l I��. �_�c���5 ���c-�9��2��.� rf- � `�s�'�'.�9� , <br /> aN MECNANICRLCON GTOR MRILADDR 55 ��TY ��.^ ���_������� ^ �CEN�/—^� i <br /> ��ti r 7 U ` <br /> '�lr�CA PW6iBINGCONTRAGTOR MAILpODFlE55 CITY ZIP PHONE UGENSE• <br /> HS3 <br /> � '7'H LLp5SOF1YURK <br /> O �O �. . NEW . ADDITION �-AI-TFRATION . . REPAIR . ' DEMOLITION � � WOODSTOVE/FFPL INSERT BUILDING RELOCATION <br /> � yH tENANTIMFROVEMENTORINT[ p[AIO�ELON�� WNTRCiPER50NANDPNONENO. <br /> 7C n <br /> CONTRRCTPRICEOF1VOfiN: LJ C� , � <br /> � O� pES.:RIE3\YO KAND OU�RF. AGEINVOLVED I, <br /> H C7 � � <br /> �y PHOPOSEO SEOFBU��OIIIG I HEREBV CERTIFY THAT I HAVE READ l�YD EXAMINED THIS <br /> � [�iJ p S�2j APPLICATION AND KNOW THE SAME TO BE TRUE,4ND CORRECT.ALL �� <br /> �� � IEGALOESCAIPTIOYDFPROPERTV�SHOtYNBELOWORr1TTACHFOUNGOPIES� PROVISIONSCFLAWSANDOROWANCESGOVERN�NGTHISTYPEOF � <br /> WORK WILL BE COMPLETED WITH WHETHER SPcCIFIED HEREIN OR <br /> y y� �or otxK oF NOT. iHE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVe <br /> t� AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> � ~y OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE I <br /> y N PEFFORMANCE OF CONSTRUCTION.THAT I AM AUTHOR12ED BV THE <br /> C� C V1 OWNER OF THIS PROPERTY TO PERFORIA THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> � Lrs1 CONTRACTORS LAW 1827 RCW AND 296200 WAC. � <br /> "r. y(A SiGNAiUREOFGONiRACTOROP0UT110RRE�AG[�li OATE � <br /> H O tn — <br /> I�1I1 i <br /> PRQIEGTA�RESS �/" `��� � " `��'� '�'" I <br /> VI � L� �PPUCANLSCiTVOU�� ESSIICEVSENO AN�BUSiNE55NAME <br /> / 1 <br /> PLUMBING MECHANICAL _ <br /> � NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> �� WATER CLOSET(TOILET) A�C—A�HNDLG UNI1S—H.P. ' <br /> !.�� BATHTUB FORCED AIR SVSTEMS—B.LLL E.A. � , <br /> LAVATORY(WASH BASIN) UNIT HEATF9S—D.T.U. M �. <br /> SHOWER CLOTHES DRYERS ' <br /> '��i <br /> ' HITCHEN SINK 8 DISP ; VENTILATION FAN ; <br /> ^ � DISHWASHER � RANGE HOOD � <br /> LAUNDRV TRAV WATER HEATER <br /> • ti CLOTHES WASHER WOOD STOVE , <br /> '� URiNAL IAETAL PIREPLACE 8 CHIMNEY . <br /> DfiINKING FOUNTAIN i FIREPLl�CE INSERT � <br /> FLOOR DRAIN HEAT PUMP <br /> , BACKFLOW PREVENTERS GAS PIPING ; <br /> ��'�� ROOF DRAINS—RAINLEADERS ExHAUST FAN i <br /> SINK(SEflVICE—BAR,ETC.) ; <br /> ,8; <br /> �' SUBTOTAL 5 Si1BTOTAL 5 /}� <br /> ''= '�.'V <br /> PERMIT 5 PERMIT S ,S�C- � <br /> TOTAL FEE S TOTAL FEE S 'G ; <br /> FRONTSETBACN RERRSETBAGK Si�ESG'B4CN �LANCHECNNUM1IBEF FEE RECEIPTNO <br /> usexor+e IOTRREA YACRNi51iE FEES VALUATION FEE <br /> — T <br /> . VES . � NO BUaDING <br /> IVPFOFC0�I51.AltOWABIf iYPEO�CON57.AC1UAl ot�+:na 'mmexlloh,o�.�i <br /> �G�`� PLUMBING <br /> SIZ[oF BLOG. N0.oF STORIES DASEIdENT MECHANICFL <br /> . � VES �-'�. NO 'C � <br /> OCfUPANCYLORD FIRESPRNNlER5RE0D NFIGHTlIlA1TqT10N OTHER <br /> . � YES �. . NO STATE BUILDING SURCHARGE <br /> i�L4SONPOFSPflINNLERS -- —� <br /> STAiE ENERGV SUiiCI!ARGG <br /> nrrucnrio�+ncr..ov PUNSRFPf10VED0Y CITYOFEVEflETT PuoucwonKs ' <br /> LOCALSALES • <br /> TAX CODE IS 3105 TOTAL �,`� �OZ' <br />