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�:��:� �l l�;'�: <br /> AR�LIt:dT10N l�QR CQNST��JCTION 7 <br /> PERMIT � <br /> fhs Everpreen <br /> CITY OF everett ' � <br /> everett � <br /> e .. <br /> BUILDING DEPARTMENT <br /> 259-Beto TO BE COMPLETED IN INK— PLEASE PRINT <br /> � <br /> � <br /> qyNEq M�IlA0DRE55 GITY ZIP PNONE <br /> Jofu� Mock 4616 Gol7ege Rverett 9A709 959-SG47 i <br /> TENNlT M�IL��OPE55 GITY ZIP PMONE � <br /> I t <br /> •fICHITEQOR0E510NER MAILADDNE55 CIiY ZIP PHONE , . <br /> OFNEMIfANTMCfON MMLADDRESS CITY ZIP PNONE LICENSE• � � <br /> Everett Bldrs, Inc. 5606 Evargreen Way Everett 98203 353-7161 EVEREB*301PH <br /> MECIUNIC�LCAN7A�CTOR M�IL��ORESS GITY 21P P110NE UCENSE• � <br /> PLUM9NOGONTA�CTOR IMILAODflE55 CITY � ZIP YHONE .. UGENSE• <br /> CLA9SOF1!VPN <br /> ❑ NEW ❑ �DDITION ❑ ALTERATION ,� REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPLINSERT ❑ BUILDIN�RELOCATION ' � � <br />}y TEIUNTIMPIpVEMENTORINTERIORflEMOOEIONIY CONi�CTPEN50NANUPNONENO. �: <br /> CON7pACTPq10EOFWOpK 2 145.79 � Dan Ma - � � 1, <br /> OESCAIBEWONN�NUSOUAi1EFO0TA0EINVOWED � I'� <br /> � Roof existink house (comn) (1 s _ � �' '�` <br /> rnovoseo use oF wuoina � <br /> �� . I HEREBY CERiIFY TH4T�u���e peAD AND E%AMINED THIS APPLICATION AND'� <br /> � KNOW THE SAME TO BE TRUE nND CORRECT.ALL PROVISIONS OF LAWB AND j' <br /> IEWLDE9GHIPftONOFPHOPERTY�9HOWNBELOWORATT�LHFOUHCOPIES� OROINANCESdOVERNINGTHISTYPEOFWORKWILLBECOMPtETEDWIiH�' <br /> I . WHETHERSPECIFIEDHEREINORNOT.THE6RANTINOOFAPERMITDOEfiNOT� <br /> �oi BLOGK OF PflESUMETOGIVEAUTHORINTOVIOLA7E0RCANCELTHFPROVI&ON90F�,I, <br /> i ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PER��'�, <br /> FORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZEO BY TME O.`.RJEH OF � <br /> � . THISPROPERNTOPERFORMTHEWOPKFORWHICHAPPLICATION19i��DE�' <br /> AND I COMPLY WITH THE 9TATE CONTFACTORB LAW 1827 RCW AAD��, <br /> 286200 WAC. . <br /> 51GN�TUPEOF ONTR�L70R THOR¢E0�6EN7 D�TE � y <br /> _ � <br /> X � � <br /> PROJECf�OOFESS �PPLICANTF ITY ..I 5 UGENS N N OS E � <br /> 4616 College Everett, Wa. 98203 � <br /> � <br /> PLUMBINO MECHANICAL <br /> Np, TYPE OR Fl%TURE OR ITEM FEE NO. 7YPE OF EOUIPMENT FEE � <br /> WATERCLOSET(TOILEn A/C—A/HN�LGUNITS—H.R � ; <br /> BATHNB FORCFO AIR SYSTEMS—&T.U. M EA j <br /> UVATORY(WASHBASIM UNITHEATERS—&T.U. M _ � <br /> SHOWER CLOTHES DRl'ERS <br /> KITCHEN SIN�B DISP. VENTILATION FAN <br /> D13HWASHER RANGEHOOD � <br /> LAUNDRY TMY WATER HEATER <br /> CLOTHE9 W/QfHER WOUD STOVE � <br /> URINAL METAL FIREPLACE 8 CH�MNLY ' <br /> DRI�KINO FOUNTAIN FIREPLACEINSERT <br /> FLOOR DRAIN HEAT PUMP � <br /> BACKFLOW PREVENTERS GAS PIPING ' <br /> i <br /> ROOF DRAINS—RAINLEADERc EXHAUST FAN ' <br /> SINK(SERVICE—BAR,ETC.) ! <br /> i <br /> SUBTOTAL S SUBTOTAL S <br /> PERMIT E PERMIT S <br /> TOTAL FEE S TOTAL FEE 5 I <br /> FpONT5ET6ACN PEARSETB,�CK SIDESETBACK PUNCHECKNUMBEII FEE PECEIVfNO. <br /> 1 <br /> usezoNE �oi�nEn VACANTSITE FEES VALUATION FEE � <br /> O YES ❑NO � <br /> iYPEOFCqNST. OGGUPANCYGROIIP NO.OFDN'ELLIN�UNITS BUILDING i <br /> �ILOWABLEMGNAL PLUMBING � <br /> i <br /> SIZEOFBLD6. NQOFSTORIES BSMT. OCCLOAD ' <br /> o r MECHANICAL j <br /> ON � <br /> I <br /> NEIONTLIMIT�TION OTHEF � <br /> FIPESPRINNLERSP.EOUIRED OYE9 ONO I� <br /> STATE BUILDING SURCHARGE <br /> � <br /> STATE ENERGY SURCHARGE <br /> i <br /> �PP4G�TION�GG BY PlAN9 APPR BY � I <br /> PUBL�C WORKS � <br /> TOTAL � <br /> i <br /> t <br />