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APPLICATION r'OR CONSTF�UCTIG.J PERMIT everett <br /> TO BE COMPLETED IN INK—PLEASE PRINT � <br /> mo Everyreen <br /> CITV OF }} <br /> CVel�ell HEATINGSYSTEM• �1GAS OELECTRIC ❑ � <br /> BUILDING DEPARTMENT <br /> 259•8810 <br /> DEMOLITION COMBINATION ' BUILDING 'y(MECHANICAL �PLUMBING , SIGN <br /> �� M�ILAD�PE55 PHONE <br /> � � O�Y E f' CI �I ..1���.�—���U�\.- <br /> �y � 1��11 't� 1'til ��� � 1li� ���`�� r �Y(`� i�'i1 I��I�I� L��'I"'�1-�- 1,1 �i!, <br /> y y TEN T . I MAILMORESS GITY ZIP PMONE <br /> �O A G -' <br /> C H <br /> S� N V1 FMONE <br /> � �yS ARCNITECTORDESiONER M�ILADDRE55 ��T� Z�P <br /> ~ y H <br /> n <br /> ��T. Z�p PNONE UGENSE 1 <br /> � � Q GENERALCONTMCTOA MAll�00RE55 <br /> � N H <br /> LipEns � <br /> ��� ec �c onrencron � wp�rooness� - � ��r t0 v�a ��1 y�, � ��-����� � \) i�'}��111� ���c���- <br /> � � � ���!�'��'Y�����i:�t l!,��t�t��'�;��l,f+� �:�iio E-��il r1�� )1P► � �t ����� � �� � �, �_ <br /> O� n � �PWMBINaCONTR�GTOR MAIL�bORESS CITY 21P PMONE 4CENSE/ <br /> N IV O � <br /> G1 • () <br /> �"� CLASS Oi WOAN -. <br /> y y <br /> �'�NEW ._' ADDITION _' ALTERATION - �. FEPAIF �� : DEMOLITION ..- WOODSTOVE/FRPI INSEfiT G BUILDING RELOC <br /> � M y � � �< ^ CONUGTPERSON�N�PNONENO <br /> � y "� �1/� 1 <br /> �y y CONTRACT PR10E OF WORK • � <br /> DESCRIBEWORKANDSOU�NEF TAOEINVOLVEO <br /> " ro 1'l;l(;�I' CS � � Y � �'�,li r';' �' - _�i, ,� <br /> O vyi v POSEDy EOFBU OIHG 1 HEREBY CERTIFY THA7 I HAVE AEAD AND EXAMINED THIS <br /> �1`!1(, ' .-�" �., � APPUCATION AND KNOW THE SAtdE TO BE TRUE AND CORRECT.ALl <br /> � PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEGALDESC�IPTqNOFGpOPEATYI9�OW BELOWOFATTACHFOURCOPIE51 y�/ORK WILL BE COMPLETED WITH WHETFicR SPEGFIED HEREIN OR <br /> �oT a�aK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHOFiITY TO VIOLATE OR CANCEL T�iE PROVISIONS OF ANY <br /> _ 1 r;f�i I - �'���'\- f�C�� - �Crt- . OTHER STATE OR IOCAL LAW REGULATINO CONSTRUCTION OR THE <br /> ll-l_ � � <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNEF OF THIS PROPERTY TO PEFFOtiM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> S�GNATUPEOfGONiR�CTOROF�UTMOAREDA6ENT DATE <br /> ' X ��l l �' I�� �� � � �I �� � 1 � ���� " �-�I � <br /> PROJE T MDR 55 l�^ Q� �pp���NTS CiTv BUS;NE55 UCENSE NO.A1N US�NESS N�ME <br /> ���, WY l �.� <br /> ( � pIUMBING � MECHANICAL <br /> � N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> 1 WATER CLOSET(TOILET) A�C-NHNDLG UNITS-H.P <br /> '�� BATHTUB FORCED AIR SYSTEMS-B.T.U. M E.A. <br /> �� LAVATOFiY(WASH BASIN� UNIT HEATERS-B.T.U. M <br /> � SHOWEfi CLOTHES DRYERS <br /> KITCHEN SINK 8 DISP VENTILATION FAN <br /> � DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> � � �� WOODSTOVE <br /> CLOTHES WASHER <br /> URINAL METAL FIREPLACE 8 CHIMNEV <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> . �'�� HEAT PUMP ' <br /> = FLOOR ORAIN <br /> '� BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAIN$-RAINLEADERS � EXHAUST FAN <br /> � — SINK(SERVICE-BAR,ETC.) � <br /> � <br /> � ' � <br /> SUB TOTAL S � � ' � <br /> SUB TOTAL S pERMIT S � � - <br /> ��►� PERMIT S 70TALFEE 5 � 1 <br /> TOTAL FEE E - <br /> FOR OFFICE USE ONLY: <br /> RECEIPT NO <br /> FRONTSETBACK RE�HSETBACR SIDESETBAGK PI�NCMECNNUMBER fEE <br /> usezowe lOT�RE� V�CANiSITE FEES VALUATION FEE <br /> BUILDING <br /> tYl'O�Gr,�iS�LLOW�BIF trVfO�CONSi�CtUAI x`p�� �a�tu��.G���+s � <br /> PLUMBING <br /> SREOFBLOC NO.OFSTORIES BASEMENT MECHANICAL - 73� � <br /> i <br /> OCCUPANCV IOAD FlRE SPANKLERS REO'D HEIGNT IIMITRION AD�ITIONAL PLAN CHECK � <br /> i <br /> OTMER � <br /> REASON FOH SPNINNLERS � <br /> � STATE B111L01NG SURCHARGE <br /> INTANE BV �1�N5�PPROYEDBV CITY OF EVERETT PUBLIC WORK$ <br /> LOCAL SALES � <br /> TAX COOE IS 3105 rorn� 7s ,00 <br />