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.�I _- ..'.t'.•'�'. . . _:....... .�...�..._ �_ � . _. � . �. _ - .' .�. . .�� .'� ... ,...; .. . �.. �. .: '. � .." '. � . .._ . .. _..n. ... . . <br /> �^ .� <br /> ,APPLICATIO��.: FOR CONSTRUCTI..�11 PERMIT everett <br /> rne evem�.en TO BE COMPLETED IN INK—PLEASE PRINT � <br /> cirr oF <br /> everett HEATING SYSTEM: C]GAS ELECTRIC U � <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> ❑ DEMOLITION ❑ COMBINATION I I BUILDING C]MECHANICAL O PLUMBING ❑ SIGN <br /> O ERr {� 1 M�IL�ODRESS (�+ ,pLITV/ ,l ZIP PNONE 2CC+ <br /> �!" L/�lP$C.U1}C1K�7f�/Nrl.1�' L �,4��LC.l6Gl�Biu > L� �L�E�4C N�f(�-S �.5� ✓C / � <br /> TENANT ILADDRESS CITY 21P PHONE <br /> s� t G. �A-�ni��i Co�.a •�_�,,.e.aL� C✓vt– � �Zo� 3�L� .S�f'�S <br /> ARCHITECTORDESIG�IER M�ILA RE55 CITY ZIP PMONE <br /> GENEq��TRACTOR M�ILADDRESS CITv 21P � �OyE� LICENSEI <br /> �].n �� .� �" Po L�io+C �L 47 ��sM,�f' �8 L� Y y�Fs <br /> MECH.W�KCQWjHACTOR MAIyADORE CITV ZIP PHONE LICENSEI <br /> �„f�.'c�'i.va,�Q-Cs,rftr �Q�[l6oL S;vc�i�!�.;�! S�zpG ��S=ZazF £[-I'c-�7'12.2CBc.� <br /> PWMBIN6CONTRACTOfl M�ILADDRESS CITV ZIP PHONE LICENSE/ <br /> GLASS OF WORK <br /> ❑ NEW ❑ ADDITION � ALTERATION I REPAIR rJ DEMOLITION I l WOODSTOVFJFRPL INSERT ❑ BUILDING RELOCATION <br /> CONTACT PEPSON AND PHONE NO. <br /> GONTMCT PRICE OF WORN - C � <br /> DESCRIBEVlORKANDsnpu AREF TAGEINVOLVED <br /> �Gl� Itin! HCQ3� �I <br /> PROPOSED�^UpSEOFBUILOING� 1 HEREBY CEflTIFV THAT I HAVE READ AND EXAMINED THIS <br /> Q 2T iC�; ��.'/~' APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL � <br /> LEGALDESGRIPTIONOFPROPERTY(SHOWNBELOWORATTACHFWRCOPIES) PROVISIONSOFLAWSANDORDINANCESGOVEHNINGTHISTYPEOF i <br /> WORK WILL BE COMPLETED WITH WHETHEP. SPECIFIED HEFEIN OR <br /> �. �or ei�K.�, oF _ NOL THE GfiANTING OF A PERMIT DOES NOT PRESUME TO OIVE �I <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 I AM AUTHORIZED BY THE � <br /> OWMER OF THIS PROPERTY TG PERFORM THE WORK FOR WHICH • <br /> � APPUCATION IS MADE AND I COMPLY WITH THE STATE � <br /> . CONTRACTORS LAW 18.27 RCW AND 296200 WAC. � <br /> - SIGNATUpE�AC�jpRORAU OPIZEDAGENT DATE_ __ /�^/ 1 <br /> � ��J n Y 7 <br /> X <br /> PRO.IECT ADORE55 <br /> S r, �PPUCANTS CITY BUSINE55 UCENSE NO.AND BUSINE55 NAME ' <br /> PLUMBIN6 MECHANICAL <br /> � NO. TVPE OF FDCTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE . <br /> WATER CLOSET(TOILET) � NC—A/HNDLG UNITS—H.P. � � <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> LAVATORY(WASH BASIN)� i UNIT HEATERS-8.2U. M i �. <br /> SHOWER � CLOTHESDRYERS ' �. <br /> KITCHEN SINK 8 D�SP � VENTILATION FAN � <br /> DISHWASHER i RANGEHOOD � .i, <br /> LAUNDRYTRAY ; WATER HEATER ' '�, <br /> CLOTHES WASHER � WOOD STOVE � �I <br /> URINAL ' METAL FIREPLACE&CHIMNEY ; I <br /> ORINK�iJG FOUNTAIN i fIREPLACE INSERT i <br /> FLOOR DP'.'4 � HE.1T PUMP ' <br /> BACKFLOW PREVENTERS ; GAS PIPiVG � ' <br /> �— E%HAUST FAN <br /> ROOF DRAINS—FlAINI.EADERS � ' <br /> SINK(SERVICE—BAR,ETC.) � � . <br /> i <br /> � ' <br /> --•— <br /> , � <br /> _ � i <br /> � ' <br /> i ' <br /> SUB TOiAL S i SUB TOTAL $ '� . <br /> PERMIT $ � PERMIT $ ' .i <br /> TOTAL FEE $ ' TOTAL FEE $ ' — ' <br /> I <br /> FOR OFFICE USE ONLY: <br /> FRONTSETBACY. PEARSETOACN SIDESETB�GK PUNCIIECNNIIMUER FEE RECEIPTNO. �' <br /> i <br /> USE20NE LOTAflEA V�C�NTSIT[ FEES VALUATION FEE � <br /> OUILDING � 1�j <br /> i <br /> ttPEO°CONTS.AILOW�9:i TVI'EOfCtNST.ACTUnL ntturuKr NoaDw[lux4uxn5 � �'i <br /> �aWP PLUMBING i " <br /> SIZEOFBLDC. NO.OFSTORIES BASEMENi MECHANICAL ��`� � �' <br /> i <br /> OCCUPANGY�OAO FIRE SPRNKlERS flE0'D IIEIGHT LIMITRTION AD�ITIONAL PLAN CHECK i <br /> i <br /> OTHER � <br /> RERSON FON SPflIN�(LERS -i- <br /> STATE BUILOING SURCHARGE � <br /> MTAHE BV PUNS�PPROVED OY CITY OF EYEREIT PUOLIC WORKS i �I <br /> LOCALSALES ✓� <br /> ��,J TAX CODE IS 3105 TOT�� /6 ; � � <br />