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i <br /> "•`"q � ('Vl'fPll '� <br /> APPLICATIO�. �OR CONSTRUCT��N PERMIT <br /> in�e.,�rnm�� TO BE COMPLETED IN INK—PLEASE PRINT � ' <br /> GTY OF <br /> everett HEATING SYSTEM: GAS ❑ELECTRIC ❑ � <br /> BUILDING DEPARTMENT ' <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING / ECHANICAL PLUMBING SIGN <br /> O\4NEP MA1l�DDR[S$ CiTV 21P ONE1 � � <br /> � I-lr���t� �c�a ���� �.�,� ��- � ;��1�.� � ,_�sa- -�'roc) ,� <br /> � 1� Ni � MAILAOORE55 CItV ZIP PMONE <br /> �� , , <br /> � FIIEGTOROESiGNER MAILAODPE55 QTV ZIP PHONE <br /> a (`� {� �,/�\ j� <br /> � NERALCO iFAryALLEY NA11f�#l�'L'O��J� �I\C. \`y,��TY li-. �� �/�PII N LICENSEt <br /> F�'i 259�5442=355.Z7�,. �� - �7 �1 �! <br /> MEGNAWUICONiRACTOR �RI�ADDA[53q� ��T� IIP PNONE UCENSE <br /> e A 2605�.7cDougail <br /> ��� everan,_w�p��ypl <br /> PWMBMGCONTRALTOR MNL�R�DfiE CITV 21P PIIONE UCENSEt <br /> � <br /> �� C�ASS OF WORN V <br /> � I NEW I � ADDITION „/�htTERATION . . REPAIR ' DEMOUTION . � WOODSTOVE/FRPL INSEF7T - BUILOING/RELOCATION <br /> CONTACT RgqNMJqPN0NEN0. ^/�/�]_ �/ // /� <br /> �°�� ��y�/ � n1/lJ ��, i � �� - r �-� --,- , <br /> CONTRPCi PRiC[OF WORN l�C�I L� �' v � t / ���l.. L�1 � / ! / <br /> p� �[SCRiDE WORH N�SO A FOO r1GE I 1�OW <br /> x H T 4'l5�-� �� � <br /> PROPOSEDUSEOFBIIILDING � I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> �4 �l i �PPLICATION AND KNOW THE SAME TO BE TFiUE AND CORFECT.ALl <br /> ~ LEGALDESCRIPTIONOF PROPEFTY ISNOWNBELOW OR ATTACH FOURCOPIESI PROVISIONS OF LAWS AND OFDINANCES GOVERNING THIS TVPE OF <br /> �� WORK WILL 6E COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> � �or eiocK oF NOT. TF'E GRANTING Of A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> y OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> Q fA PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> �� - � OWNER OF THIS PflOPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> SiGNATUREOFCONfNRCiOROflAUTMOppEOAGENT DATE <br /> X � �� �,.d-�,,,��,� <br /> PqOJECTPDDRE55�o^ -\ ��'}� Q,/ /) p LICANIDCITYBUSPI 110EN5EN .-ANOOOSINESSNAAIE <br /> u(�� �i�l�C� <br /> PLUMBING MECHANICAL <br /> �� � N0. TYPE OF FI%TURE OR IT@M FEE N0. TYPE OF EOUIPMENT FEE <br /> I C�, WATER C;ASET(TOILET) NC—NHNDLG UNITS--H.P. <br /> �. BATHTU3 FORCED AIR S`.'STEh1£—B.T.U. M E.A. <br /> 1 ' LAVATORY�WASH BASIN) � UNIT HEATERS—B.T.U. M � <br /> SHOWCP ' CLOTHES GRYERS ' <br /> �''a VENTIIATION FAN � <br /> KITCHEN SINK 8 DISP <br /> � �� DISHWASHER � RANGEHOOD <br /> I LAUNDRY TFAY ' WATER HEATER <br /> I CLOTHES WASHER WOOD STOVE <br /> � METAL FIREPLACE 8 CHIMNEY <br /> ' I � �' URINAL <br /> � DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP I <br /> BACKFLOW PREVENTERS GAS PIPING I <br /> ' '�1 ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> , � SINK(SERVICE—�AR,ETC.) . <br /> I '�1� <br /> I SUB TOTAL $ SUB TOTAL 5 � <br /> PERt.11T 5 PERMIT 5 <br /> '�1�� TOTP.L FEE S TOTAL FEE 5 <br /> FOR OFFICE USE ONLY: <br /> � - FRONTSET9FCN REARSF1pACK Si0E5ETURCH PL�NCH[CrcNOMOER FEE HECEiPTNO <br /> 31o�/S <br /> USE 20N[ LOT RREA VACANi 51TE FEES VALUATION FEE <br /> i I <br /> ouaoiNc ' <br /> tYPCOiCONiSAIIOWABIE fYPEOFLON5IALIUPL o:mr�Ntr nomnnwu..;�+�;c � �. <br /> csovv PLUMBING � <br /> SREOFBIOG. NOAFSTORIES BRSEMENT MECHANICAL I <br /> OrGUP4NCVLORO FIRFSPRNNIERSREOD REIGHTLiMITAT10N ADOITIONALPLANCHECK � �� <br /> I OTHER � <br /> REASON FOR SPfiINKLERS <br /> ----T— <br /> STATE BUILDING SURCHARGE <br /> iMpNEBY FLANSAPPROV[p�V CITYOFEVERETT PU�LICWORNS <br /> LOCALSALES <br /> TAX COOE IS 3105 TOTAL � . <br />