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1n <br /> ' ,1r..1\C `� APPLICATIOrI FOR CONSTRlJCT1�N PERMIT <br /> �, everett <br /> tbe Erergreen � <br /> CITV OF <br /> � everett <br /> BUILDING DEFARTMENT TO BE COMPLETED IN INK—P.L ASE PRINT <br /> � 259-8810 <br /> ! 1 DEMOLITION i] COMBINATION I i BUILUING I MECHANICAL ❑ PLUMBING ❑ SIGN <br /> p `� (I MRIIADORE55' L. .`C /i�l Y ZIP ' � � �� U �. � ^ . <br /> c h� l.i <br /> � c.� // l <br /> cin � nr PHONE � <br /> TENANT �� �y„ � MA��ADDRESS , • - <br /> �/ I K% <br /> ' Y <br /> nOCHI— TECTOfr�E51GNER hIMLADDRESS CITV ZIP PHONE '.�; � <br /> �'1. <br /> � GEN[��LCONiMCiC'AL`� pN41dIYY��S�Scr '�^. CITY 21P PIIONE LICENSE� � ' :'�.�j,,.• <br /> ��R 1 UI(AL I�Ru d ��'i��!,'c°, <br /> MECN�tlICAL CONBiACT017 MAIL ADD 55 - �N ��' N s� UCENSE t � ' <br /> 2605 McDougall ��� �� pe� � ��c�� <br /> � Fvnroe! w� ! ���� <br /> i PLUMBINGCONiRACiOR MAIL�DO�S CITY 21P PHONE LICENSEII <br /> i <br /> CLA55 OF YlORK <br /> . I.1 NEW ❑ ADDITION I RAT�ON C] REPAIR ❑ DEMOUTION ❑ WOODSTOVE/FRPL INSERT ❑ BUILDING RELOCATION <br /> �� CONTRACTPPH E OF WOfiNNTERqR�EfM��lI MI�' �� CONTACT PERSON AND PNONE N0. <br /> - OESCRIAEWONKA! SW� E O EINVOLVED � �/ / I i <br /> �C 7�vv <br /> . rnoroseousEOFeuaoir+c /��[ / I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> L I APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFECT.ALl <br /> � ' � PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> � IEGAL0E5CRIPTIONGFPf10PE �SHOWNBELOWORATTALHFOURCOPIGS) y,�ORK WILL BE COMPLETED WITH WHETHER SPEGFIED HEREIN OR <br /> � �ot o��K oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT 1 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 /> SIGNATUREOFCONTRACTO�OMUTHORIZED�GENT UATE <br /> / � ���` � <br /> ' f`ROJECT�ODRESS 1 � (�j � � � �� ` • <br /> ,1 vl j APLIC�NTSCITYBU N SLICENSENOANDBUSINESSNAME <br /> � PLUMBING MECHANICAL <br /> � NO. TYPE OF FO(TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> ! WATER CLOSET(TOILET) � AIC—NHNDLG UNITS—H.P. � <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T. E.A. ; <br /> LAVATORY(WASH BASIN) � UNIT HEATERS—B.T.U. M � <br /> SHOWER ' CLOTHES DRYERS • _ <br /> � KITCHEN SINK 8 DISP � VENTILATION FAN � _ <br /> DISHWASHER � RANGE HOOD ' <br /> LAUNDRYTRAY . <br /> ; WATER HEATER � <br /> CLOTHES�VASHER � WOOD STOVE _� <br /> � URINAL ' METAL FIREPLACE 8 CHIMNEY � <br /> � ' FIREPLACE INSERT � <br /> � DRINKING FOUNTAIN � <br /> � <br /> � F�OOR DRAIN � HEAT PUMP <br /> BACKFLOW PRCVENTERS ' GAS PIPING � <br /> i <br /> ROOF DRAINS—RAINLEADERS � EXHAUST FAN ' _ <br /> � <br /> SINK(SERVICE—BAR,ETC.) i , — <br /> i <br /> � ' <br /> � � <br /> i <br /> i <br /> � <br /> � <br /> SUB TOTAL $ i SUB TOTAL S _ <br /> PERMIT $ � PERMIT E �_ <br /> TOTAL FEE $ ' TOTAL FEE $ ' <br /> ff.ONI5ET0ACN �E�RSElO�CN SI�ESE/OAf,N PLAtj,IIECR/NUAIIIE �EE OECEIPTNO. <br /> 15 I <br /> usezor+e iornnen V�CANTSII[ FEES VALUATION FEE <br /> I_l YES I I NO BUILDING � <br /> IYfEOiCONSl.A�LOWABLE 1YPEOFCONSI.pC7lIAL aCUPANtr nnINVMIUNGUMnS � <br /> GRWP � <br /> PLUMBING ' <br /> � <br /> 92EOFO�f�. NO.OFSTORIES BASEMENI MECHANICAL � <br /> I�.7 YES I 1 NO � ; <br /> OCCUP4NLYLOAD FIBESPRNNlER5BE0'D HEIGNTLIMrtNIOIJ �THER <br /> ❑ YES L 1 NO STATE BUILDING SURCH�RGE { <br /> � <br /> ItFA50N FOII SPRINKLE{75 � <br /> STATE ENEfiGY SUf1C11AfiGE ' <br /> nrvucnnon ncc.Bv P:ANS nPPROVEUDY CITY OF EVEREIT PU9LIC WORKS � <br /> LOCALSALES � <br /> TAX CODE IS 3105 TOTAL ' <br />