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APPLICATit,�l FOR CONSTRUCT�ON PERMIT <br /> everett <br /> n�e E��,�,��� e <br /> GTY OF <br /> everett <br /> BUILDING DEPARTMENT TO BE COMPLETED IN INK—PLEASE PRINT <br /> 259-8810 <br /> � DEMOLITION 1 COMBINATION BUILDING " ECHANICAL PLUMBING S� <br /> y 01VNER MAILRDDRE55 CITV � ZIP PIIONE <br /> �7 ro Ln�� �ar� k k �8g ('����, � �.�.��t� asa- ���I� <br /> [O CITY ZIP PMONE <br /> H TENANT n n MAI^LAOOIPE55 <br /> io c .Li'y .�h�� l l.6[) l,l�v�� <br /> 9C' H N Cltt 21P PHONE <br /> C� ��L! � ARCMITECTOADESIGNER MRILRODRESS <br /> K Z N LILENS�s <br /> � �p PM NE ,�/� <br /> f3 A GENEHAL CO TRACTOR ^ MAR ORESS �� 1(� � �t-�L�r <br /> UM tl � � / iLL ✓ / <br /> ��n. Z�p P�1ONE ICENSE� <br /> H� � [' MECHANICRLLONTR TOR A I A I L D P E 5 5 . I�/���I I /�/�� ����� / <br /> � � w v�j �' � J � <br /> O M � PLUMBINGCONiflACTOR MFILADDPE55 <br /> CITV 21P PHONE UCENSE� <br /> znc <br /> M � � CLASSOFWOFiN <br /> � �~-1 � ;1 NEW �.�: ADDITION � ATION �..1 REPAIR .. '. DEMOLITION ��..I WOODSTOVE/FR?L INSERT ._�'. BUILDING RELOCATION <br /> � y CONT4CT PERSON AN�PHONE N0. <br /> y tENANT IMPfiOVEMENT OR INTERI�OIR REh10DEL ON(LY�� <br /> ~ CONTRACT FRICE OF\VOFK: `I��� • " - <br /> � C � DESGRIOE ONH RND 011 E FOOTFGE INVOLYE� ���� <br /> Lti <br /> y y f I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> � O N PROPOS USEOFDUILDIN � �/��/� <br /> I ��� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> � �� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> LEGRL�ESCF�PTIONOFPROPERTYISHOWNBELOWORATTACMFOURCOPIES� yyORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> ��T B��K �F AUOTHORI YRTO V OLATEAOR CANCEOLE HE PROVES ONS OF AINY <br /> OTHER 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 <br /> CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> SiGNAIDF[OfCONTRACiOAORAUTHORiZE��GENT OATE <br /> /� X�'�Cl�k ,�' � ��'G!'�O�C�G?C� ��y�1G� <br /> - PR0.IECTADDRE55 A 11 ' ppp� ANTSGITV�U51 -55 CENSEN�.RADOUSINESSNAME <br /> , LL 1/ <br /> � �-g U�311.- �.� � <br /> ��� PLUMBING MECHANICAL <br /> FEE NO. TYPE OF EOUIPMENT FEE <br /> � NO. TYPE OF FI%TURE OR ITEM p�C—piHN�LG UNITS—H.P. <br /> 1 WATER CLOSET(TOILET) i <br /> '�� BATHTUB FORCED AIR SYSTEMS—B.T. E.A. <br /> __� LAVATORV(WASH BASIN) � UNIT HEATERS—B.T.U. M <br /> � SHOWER � CLOTHESDRVERS <br /> KITCHEN SINK 8 DISP VENTILATION FAN <br /> DISHW�SHER RANGE HOOD <br /> LAUNDRY TRAY ' WATER HEATER � <br /> I �.� � WOOD STOVE ' <br /> CLOTHES WASHER <br /> METAL FIREPLACE 8 CHIMNEY <br /> URINAL ; <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> � � NEAT PUMP � <br /> �=t _ FLOORDRAIN � <br /> BACKFLOW PREVENTERS � GAS PIPING <br /> FOOF DRAINS—RAINLEADERS � ExHAUST FAN <br /> � SINK(SERVICE—BAR,ETCJ � ' <br /> --�— <br /> �� . <br /> I <br /> i <br /> I ,�� SUB TOTAL $ � pERMIOTTAL 5 O ��O <br /> ; ���� PERMIT 5 ' <br /> \ TOTAL FEE 5 TOTAL FEE S _S 'U� <br /> � PUNCNECNNUM1IOER FEE RECEIPTNO. <br /> FRONTSETUACR REAfl5ET8ALN SIDESET�ACN <br /> uSEZONE <br /> LOTAREN VACANTSITE FEES VALUATION FEE <br /> ;1 VES �-' NO BUILOING <br /> acorercr xomm+2wweuxns � <br /> iYPEOFLONSTAIIOW��E iYPEOFCONSCALiOAI �pp�p p�UMBWG r <br /> SRE Of BLDG. NO.OF STOPIES OASEMENT ��/ECHANICAL • �J �C� <br /> IiYES ' � NO � <br /> . OCGUPANCYLOPO FIFESPRNNlERSREOD NEIGHTLIMITr1TION <br /> OTHER � <br /> i_.! YES !.1 NO SiATEBUILDINGSURCHARGE �_� <br /> � <br /> RERSON FOR SPRINNlERS i <br /> STATEBNERG�SURCHARGE <br /> pPpLICATIONFCC.O� PLANSAPPFOVEDflY CITYOFEVEREIT PUBLICWORKS <br /> LOCAL SALES � ;v U <br /> TAX CODEIS 3105 rora� <br />