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APPLICATION FOR CONSTRUCTION PERMIT <br /> �,-�«« <br /> Ihc Fcnigmcn e <br /> CITY OF <br /> everett <br /> BUILDING DEPARTMENT TO BE COMPLETED IN INK—PLEASE PRINT <br /> 259-8610 <br /> BUILDING MECHANICAL : 'PLUMBING S�GN <br /> DEMOLITION COMBINATION .�_ <br /> ��aa H URILA�DRE55 CIiV � ZIP ,. PMON � �/1�_�' <br /> „i � � OWNER ��� � � L a � � �� � � �� �✓�� <J�J I '_L�t����� � <br /> E2 � L, � (� �'� � <br /> y i[NANT i MAI RESS CITV ZiP PHONE <br /> �„� � .� � ��/�� C Lltt 21P PMONE <br /> y �n„� pRGHITEGTORDESIGNER UTAILpDORE55 <br /> � Hk7 amn'f11 <br /> b M b <br /> GENERAICONTRACT�"EY N�II4�il.YCR�QAS� INC. ��N Z�P PHONE LICENSE� <br /> �yyy y ~ 259•5492—3t,�'.�np� F,$— • ����11 �i�, 1 �Z� /J ppy�q�'_ /-� LICENSE� <br /> � � MECHANICALCONTRPGTOR z6O� MLUORUg��I ���I�ii� /� Il�•�L 1 ,\ ��J" <br /> Everott Woehln¢ton oa�m <br /> '�-7( C/� V 1✓ G!� V <br /> PWMBINGGONTRACTOR MAILADDRE55 CITY , ZIP PMONE IIGENSEI <br /> � � � <br /> � y �' CIFSSOFWOiiN -_ <br /> M � NEW ADOITION�A�-TERATION - REPAIR ' DEMOLITION �i '� WOODSTOV6FRPL INSERT _l BUILDING RELOCATION <br /> y CONTAGT PERSON AND PNONE NO <br /> p.� TENANTIhIPROVEMENTORINTERIORREMODE�LONLY 1 <br /> O N <br /> � C � CONTRAGTPFICEOFWORK: O ��� <br /> t4 OESCRIBE WORN ANO SOUAR OOTFGE INV LVE� _/ '/ � <br /> H � �tl y � <br /> O m <br /> PPOPOSEDUSEOFBUILDING � I HEREBY CERTIF\' THAT I HAVE READ AND EXAMINED THIS <br /> I APPLICATION AND K�OW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEGALOESCRIPTIONOFPROPEfitt�SMOWN9ELOWORAifACrIFOIIRCOPIES� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISNPEOF <br /> WORK WILL�E COMPLcTED WITH WHETHER SPECIFIED HEREIN OR <br /> toT BLOCK oF NOT. THE GRANTING OF A PERMIT �OES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE �R CANCEL TNE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAN'REGULATING CONSTFiUCTION OR THE <br /> PERFORMANCE OF CONSTRU�TION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICN <br /> APPLICATION IS MADE AND I COMPLY WITN THE STATE <br /> CONTRACTORS LAW 7827 RC'N AND 296200 WAC. <br /> SIGNATUREOFCOt1iRAGTORORAUTMJRiZEDAGENT OATE <br /> X �S�-C�n��C�� , la���5/ <br /> % ' PROJECTAD�RESS � �� �� � I��\ ( ppp�ICANT5C1TV8l15ME55LICENSENO.ANOBU5�NE55NAA1E <br /> l � <br /> I C�� - MECHANICAI <br /> PLUMBING <br /> i NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) !vC—NHNDLG UNITS—H.P. <br /> � '�� � FORCED AIR SYSTEMS—B.T. . E.A. <br /> BATHTUB <br /> � �� LAVATORY(WASH BASIN) i UNIT HEATERS—B.T.U. M <br /> �� ' SHOWER CLOTH[SDRYERS <br /> ' KITCHEN SINK 8 DISP VENTILATION FAN <br /> DISHWASHER RANGE HOOD <br /> i �� LAUNDRY TRAY WATER HEATEP <br /> CLOTHES WASHER WOOD 5T0 rE <br /> URINAL METAL FIREPLACE 8 CHIMNEI' <br /> DRINKING FOUNTAIN i FIREPLACE I�ISERT <br /> o� FLOOR DRAIN � HEAT PUMP � <br /> BACKFLOW PREVENTERS i GAS PIPING <br /> ROOF DRAINS—HAINLEADERS � EXHAUST FAN <br /> � '=1�' SINK(SERVICE—BAR,ETC.) 1 <br /> i � <br /> i <br /> � --� <br /> '�� <br /> �I I. SUB TOTAL 5 SUB TOTAL 5 � O ' � <br /> — PERMIT 5 PERMIT 5 1 �� <br /> � - TOTALFEE 5 TOTALFEE 5 " , 'rF� <br /> FAONT SETORGH FEAR SETDACN SIOE SETBALK PLAN CHECK Nill.�ER � FEE <br /> RECEIPT N0. <br /> 35 3 <br /> USEZONE IOTA�EA VACANTSITE FEES VALUATION FEE <br /> i.i YES �-�' N� BUILDING ' <br /> iYPEOPLONSTAILOWAdtE iYCEOiCOtIS1.AC7UAl oc[uvwr[r NoorowtwxcuWs — <br /> �A�P PLUMOING <br /> 1 <br /> SIZEOFBLDG. NO.OFSTORIES BASEMENT MECHANICAL ��� <br /> i-I YES !_I NO , ; <br /> . OLHER ' <br /> OGGUPANGVLOAD FIPESPRNKLERSREO'D NEIGMTIIMIT�T10N <br /> I_l YES i-; NO STATE BUILDING SURCHAFGE ' <br /> �T <br /> REASON FOR SPRINKLERS � <br /> STA7E ENERGV SURCHARGE � <br /> pPPUUTiONAGG.DY PUNSAPPROVEDBY CITYOFEVEREiT PUBUCWORKS � <br /> LOCAL SALES � _ <br /> TAX COOE IS 3105 TOTAL c� , ' <br />