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APPLICI�TI�.: FQR �ANSTRUCT�.1N P'ERMIT everett <br /> mee�erqreen 1'f) BE COMPLETEa IN INK—PLEASE PRINT � <br /> cin oF <br /> everett HEATING SYSTEM: ❑GAS ❑ELECTRIC i] <br /> BUILDING DEPARTMENT — <br /> 259-8810 <br /> ; DEMOLITION COMBINATION BUILDING �AECHANICAL PLUMc!"!G �: SIGN <br /> OWNER MAILADORESS CITV IP PMOKE <br /> � Eh�o►° ���c, � c� bvX Co3 n�i•�[.�� v�/t- 9A�n3rv <br /> TENANT MAILA�DRESS CITV ZIP PHONE <br /> OlD ��..Ov��- 1 T� lolO S.c, C�,jEPi-�rr t�u. t�J�+M . _ <br /> ARCHRECTORDESIGNER MAILADDRES CI?Y ZIP PHONE <br /> GENERAL CONTRALTOR MAIL AODFESS CITV 21P PNONE LICENSE P <br /> 1 ECHANICAL ONTRACTOR MAILA�DRESS CITY ZIP PHONE LICENSEa <br /> �Pc.�Dv,ft� 1`1,u�,.-z. S�KJic{s- -I�ol o�-reo�-r sv� 9Q�t��n -t e1-199s MM b��r�s�4-t�.vf <br /> PWMBING CONTRAGTOF MAIL ADDRESS GTY ZIP PHONE LICENSE P <br /> CLASS OF WORK . <br /> i.7 NEW �.ri ADDITION ` ALTEFATION �-�. REPAIR �-! DEMOLITION �.-! WOODSTOVE/FRPLINSERT `_� BUILDINGRELOCATION <br /> �x� CONTACT PERSON AND PHONE NO. �� — ���� <br /> CONTRACTPRICEOFYlORK �� <br /> DESCRI9E WORK AND SOIIPPE F TAGE IN OLVEO <br /> < < / . �D�{c,i' ��F E �T-5 <br /> Paoroseou- oFem�oiNc � � I HEREBY CERTIFY THAT I HAVF READ AND EXAMINED THIS <br /> ���F�_ APPLICATION AND KNOW THE SAMG TO BE TFUE AND CORRECT.ALL <br /> LEGALDESCRIPTIONOFPROPERTYiSHOWNBELOWORARAC41F0URCOPIES� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �oT BLOCN oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CAN�:.EL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CGNSTRUCTION.THAT I AM AUTHORI2ED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR �VHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE S1ATE <br /> CONTRACTORS LAW 18.27 RCW AMD 296.200 WAC. <br /> SIGNATURE OF C TRACTOR OR AUTHOR'LEO AGENT OATE <br /> — _ X �, <br /> PPOJECT AOD ISU S� CV / / '✓,// � <br /> 1 qPPLI TS BUSME55 LILENSE NO AN�BOSINESS NAM <br /> PLUMBING MECHANICAL <br /> � NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) � A/C—NHNDLG UNI1�S—H.P. � <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> LAVATORV(WASH BASIN) � UNIT HEATERS—B.T.U. M � <br /> SHOWER CLOTHESDRYERS i <br /> KITCHEN SINK 8 DISP � VENTILATION FAN <br /> DISHWASHER � RANGE HOOD ' <br /> LAUNDRY TRAY ' WATER HEATER � <br /> CLOTHES WASHER � WOOD STOVE � <br /> URINAL METAL FIREPLACE&CHIMNEY <br /> ORINKING FOUNTAIN � FIREPLACE INSERT � <br /> FLOOR DRAIN HEAT PUMP ' <br /> AACKFLOW PRE\'ENTERS ; GAS PIFING � <br /> ROOF DRAINS—RHINLEADERS � EXHAUST FAN ' <br /> SIPJK(SERVICE—BAR.ETC.) � , <br /> � G --:-- <br /> — � <br /> � <br /> � � �� ' <br /> _ � <br /> SIIB TOTAL $ ; SUB TOTAL S ' _ <br /> PERMIT 5 PERMIT 5 �_ <br /> � TOTAL FEE $ TOTAL FEE $ ' <br /> FOR OFFICE USE ONLY: <br /> RECEIPT NO, <br /> FRONT SEiBACK REAR SETBACN SIDE SETBACK PLAN CHECI$NU�IBER FEE <br /> ^��ll <br /> USEZGNE LOTFREF VFCANTSITE FEES VALUATION FEE <br /> BUILDING ' <br /> ttPEOFGOGiS.ALlOWA81E 1YPEOFCONST.ACiUAL atUver�[r HoovVNFwxcuNrts � <br /> cnouv PLUMBING � <br /> i <br /> 52E OF BLDG. NO.OF STORIES BASEMENT MECHANICAL <br /> i <br /> ADDITIONAL PLAN CHECK <br /> � <br /> OGCUPANCV LOAD FIRE SPRNKlERS REO'D MEIGMT UMITATION i <br /> OTHEfi � <br /> ' HF.ASONFORSPflINKLERS <br /> STATE BUILDING SURCHAFGE <br /> INTAKEOV PLANSAPPPOVEDBY CITYOfEVEREIT PUBLIGWORKS � <br /> LOCAL SALES <br /> TAX CODE IS 3105 TOTAL <br />