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. . . , � � '� . ....�'3'..n. <br /> .. . . ' . � _ .. . . .. . . . . . , . . . ... . . . . ... . .. .�y. <br /> APPLICATIOrd FOR CONSTRUCTI4N PERMIT <br /> everett <br /> �M Everyreen � ,!. <br /> CIiY OF <br /> everett ; <br /> BUILDING DEPARTMENT TO BE COMPLETED IN INK—PLEASE PRINT '� <br /> 259-8810 <br /> ❑ DEMOLITION Q4 COMBINATION ❑ BUILDING I_l MECh:NICAL ❑ PLUMBING ❑ SIGN , <br /> 0�,"�1A111NuA MRILADDRESS GITY ZIP PHONE � <br /> TENSEN 7/S MEL�oN AUg NAVER'fCu1N +�, � qag; (215)�lyb'Sy(i� � <br /> TENNIT �� 5Am � MN��DDRESS Q��" CITY 21P PHONE <br /> A5 `�1P <br /> ,.iCHRECTORDE5IGNER MAILADIIRESS GITY 21P PMONE <br /> DCSigNLiNES �oio �5�. s+ s�. EvErc�l} wa 9s2o3 3S3-o5"'3 � <br /> GENERQCONTRACTOfl MAILAO�PESS CITY ZIP9Q177 PHONE LICENSEI <br /> �.A LANb �ui I.DER- TN� I q 31�4 2►s� A� A1 w SeqlN.e wA 5yb-894o SPLAN BI 139.�A <br /> MECHANICA�CONTRACTOR MAILAUDRESS CIN 21P PIIONE LIGENSEI <br /> A/or�l-, �qrk Hu��� 0 8 Ll.in�Et� RD IJ E Sea�lLe 9Cl155 3�S-)41'I NoR+►�+ PN 'i4� LF <br /> PLUMBINOCONTflACTOR �II�DORE55 M�j��RWS�4� CITY ZIP PHONE LICENSE� � <br /> l�er�'rormANce�lww�bin,� 12N14 H�rV 94 sA9yb E✓efe� 982oy 3M7•IffYy PERF �o� 13l �3 ; <br /> ClAS3 OF WONK <br /> Q4 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVEIFRPL INSERT ❑ BUILDING RELOCATION � <br /> CONTMCTPPR EOFWpRNNT��q_EMOOELONLY�.� „ " CONT�LTPER�AN�PHONENO. ���NO i• <br /> /'l r'4'�'7"1 P ; <br /> V 4�.,.(,Y <br /> DESCflIBEW011KANDS^IXUREFOOTAG INVq.VED <br /> l I1 <br /> PFOPOSEDUSEOFBUILDINO I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ? <br /> S 1Ng1n. �A���y l�e5 i o e ro ce, APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND OFiDINANCES GOVERNING THIS TYPE OF � <br /> lE[ULDESLN�PTIONOFPROPENiV�SNOWNBELOWORA ACHFWRCOPIES) � <br /> r1 WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �oT e�acK 1 oF NOT. THE GRANTING OF A PERMIT DOES �lOT PRESUME TO OIVE � <br /> AUTHORITY TO VIOLATE OR CANCEI THE PROVISIONS OP ANY � <br /> � �j OTHEfl STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> � � OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH ' <br /> ^� APPLICATION IS MADE AND I COMPLY WITH THE STATE i <br /> CONTRACTOflS LAW 1827 RCW AND 296.200 WAC. p ! <br /> 516N�U���TRACTOjiOflAUTHORIZE0A6ENT DATE Z•G ' /O <br /> G•�� <br /> X S�.44ND Bu;�DE2 tNc. <br /> PROJECTADDRESS <br /> ,f�/L y�/�S6 A/ PL APPLICANTSCI7VBUSINESSIIGENSENO.ANDBUSINESSNAME <br /> PLUMBIN(1 MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILEn e � - NC-IVHNDLG UNITS-H.P. � <br /> BATHTUB f ;- FOflCED AIR SYSTEMS-B.T.U. M c.A. ' <br /> '� LAVATORY(WAShI BASIN) • /J� �- UNIT HEATERS-B.T.U. M i <br /> / SHOWER ,r '- / CLOTHES DRYERS ' <br /> / KITCHEN SINK 8 DISP _� i� VENTILAT Oi 1 FAN i <br /> / DISHWASHER �' �- / RANGEH'�OD _�_ <br /> / IAUNDRYTRAY r ;" � WATERhEATER ' <br /> CLOTHES WASHER � � WOOD STC'JE .�i � <br /> � - <br /> URINAL ' METAL FIREPLACE 8 CHIMNEY ' <br /> DRINKING FOUNTAIN i FIREPLACE INSERT i <br /> FLOOR DRAIN � HEAT PUMP ' <br /> BACKFLOW PREVENTERS ; GAS PIPING � <br /> ROOF DRAINS-RAINLEADERS � EXHAUST FAN � <br /> SINK(SERVICE-BAR,ETC.) ' � <br /> � <br /> � � <br /> .— <br /> i � <br /> � � <br /> i � <br /> � i <br /> SUB TOTAL S I' � - <br /> SUB TOTAL 3 .y0 ' ^ <br /> PERMIT $ � PERMIT E � <br /> TOTAL FEE $ SS� <br /> �-- TOTAL FEE S 9'a � " <br /> FRONTSETBACI� flEARSEIDACK SIDESETB/ZK� PLANCN KIIUMBEIi _ I FEE� �� J� p � �PT�� <br /> 25 25 � �� �L3��� N V <br /> usez E LOTAREA V�CANTSITE FEES 1VALUATION FEE <br /> � I 7 YES CI NO BUILDING �o'/•� � `Y(7 �0 0 <br /> lYPEOfCONST�ILOWABIE NPEOFCONST.ACTU�L ottuv�xcr rrootmvnuxGuwis i <br /> cia3 pLUMBIN dG"� i " <br /> 52EOF6 D� NO.OFSTONIES B�SEMENT h1ECHANICAL 1 <br /> i <br /> wa' �, ��. 2 n ves ;w No ° � � <br /> OCCUPANCYLO�O FIflESPRNKIERSREO'D HEIGNTLIMITATI�N OTHER � <br /> A ❑ YES G4 NO 2$ STATE BUILDING SURCHARGE �� <br /> HEASON iOfl SPRINKlERS <br /> STATEENERGYSURCHARGE i <br /> — i <br /> APPLICATIONACC.BY PLANSAPPROVEDBY CITYOFEVEREIT PUBL�CWORKS �� ✓ ' � � � <br /> LOCAL SALES � w• 3 � S"� <br /> L1X CODE IS 3105 TOTAL <br /> �3y ? y3 � �_ <br />