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C:�'�1 �/ <br /> APPLICATIOi� FOR CONSTRUCTI�N PERMIT `� <br /> � � everett <br /> 1M Everpreen � <br /> CIN OF <br /> everett <br /> BUILDING DcPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> C� DEMOLITION ❑ COMBINATION ❑ BUILDING C�ECHANICAL O PLUMBING ❑ SIGN <br /> I� IUIlf �l�X/ VI �� A�/ULV/5^ /�� vw • h7�/�� ��-LNL/IIPWJ. �V�PNONE�a -3�la� <br /> I 7ENA1�(�nf�� , MAIL�DDRESS CIN 21P PHONE <br /> JYMV� <br /> �RCHITECTORDESIONER MARADDRE55 CIiY ZIP PIIONE <br /> O NER CONi/UCTOR AILADDRESS CITV � 2 ^��PH�N@ I �_ ll_CENSE/� <br /> �( lJ �Y ✓~'c�( <br /> MECHANICAL TRAGTOF • MAR/�DUNESS ZIP ����� nll��`LEN��` �U� <br /> PLUMBMOCONTMCTOR MAIIADDflE55 CITV ZIP PNONE � LICENSE/ -� <br /> CUSS OF WOqK <br /> ❑ P1EW O ADDITION _ LTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVFJFRPL INSERT ❑ BUILDING RELOCATION <br /> TENMlT IMPROVEMENT OR INiERqR PEMODEI ON�LV\ CONTACT PERSON AND PHONE NO. <br /> CONTR�CiPPICEOFWIXiK: � LJ <br /> � pQ�p9E WORI(NIO Sqy�gE F00T�6E ttNOI. VFp_ <br /> `'1'.nila 1 1 1 /L 11 V1'lrlr/1 <br /> .J��I�ilit.�� /1 r lA�(�C.Y/J <br /> PROPOSEDUSEOFBUIL� _ ^ I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> ��� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> LEOALDESCRIPTIONOFPNOPERTY�SMOV/NBELOWOHATTACHFOURCOPIES) PROVISIONSOFIAWSAN00RDINANCESGOVERNINOTHISTVPEOF <br /> WORK WILL BE COMPLETED WITH WHETIIER SPECIFIED HEREIN OR <br /> �or e�acK__ oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> ,SI6NATUREOFCONTfl�CTORORAUTHORIZEDAGENT D�TE <br /> T I1DIX1 � � <br /> A PLICANTS CITV BU51 SS LIC NO.AN BUSINESS NAME <br /> i <br /> LUMBINO MECHANICAL <br /> N0. TYPE OF fl7(TURE OR ITEM FEE N0. TYPE OF EOU�PMENT FEE <br /> � ' WATER Cl0.5ET(TOILE'� � AIC—WFINDLO UNITS—H.P. � <br /> i � BATHTUB ' FORCED AIR SYSTEMS—B.tU. M E.A. � <br /> UIVATORY(WASH BASIN) � UNIT HEATERS—B.T.U. M ; <br /> �� SHOWER ' CLOTHES DRYERS � <br /> KITCHEN SINK 8 DISP � VENTILATION FAN ; <br /> DISHWASHER � RANGE HOOD � <br /> ' LAUNDRY TRAY ; WATER HEATEF ' <br /> i <br /> CLOTHES WASHER � WOOD STOVE i <br /> ' URINAL ' METAL FIREPCACE 6 CHIMNEY � <br /> ORINKING FOUNTAIN i FIREPLACE INSERT ; <br /> F100R DRAIN � HEAT PUMP � <br /> BACKFLOW PREVENTERS ; GAS PIPING ' <br /> ROOF DRAINS—RAINIEADERS � E%HAUST FAN � <br /> � SII�K(SERVICE—BAR,ETC.) ; O ' <br /> i <br /> � i <br /> � � <br /> � i <br /> � � <br /> i <br /> � i <br /> sue�orn� a ; suerorn� s � <br /> PERMIT $ � PERMIT S � <br /> TOTAL FEE $ ' TOTAL FEE S ' <br /> FRONTSE78ACK RE�RSETBACK SIDESETBACK PWICHECNNUMBER FEE NEGEIPTNO. <br /> useza+e LOT�PEA wcurtsite FEES VALUATION FEE <br /> ❑ YES ❑ NO BUILD�N� . i <br /> IYPFOFLOXST.�LIOW�BIE TYPEOFCOHST.ALNAL ��' ��aownuxGlMrt6 <br /> cnav ' <br /> I PLUMBING ' <br /> i <br /> SIZEOFBLDO. NO.OFSTORIES BASEMENT MECHANICAL ��� <br /> i ❑ YES ❑ NO , <br /> OCLUPANCVl011D FIRESPFlNKLERSREOV HEqHTIIMIiATION OTHER i <br /> ❑ YES ❑ NO STATE BUILDING SURCHARGE � <br /> i <br /> � REASONFOflSPpINKLERS <br /> STATE ENERGY SUfiCHAflGE � <br /> ' APPLICATION�CC.BV PUNSAPPROVEDBV CITYOFEVEflETT PUBLICWORKS � <br /> LOCALSALES <br /> TAX CODE IS 3105 TOTAL � <br />