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-�" APPLICATIOR� FOR CONSTRUCT�JN PERMIT <br /> ; everett <br /> ihe Eroigreen � <br /> Q7Y OF <br /> everett <br /> BUILDING DEPARTMENT TO BE COMPLETED IN INK—PLEASE PRINT <br /> 259-8810 <br /> D�MOLITION COMBINATION ?� BUILDING 61ECHANICAL PLUTABING SIGN � <br /> � OYItIER I.IFiLADDRE55 CITV ]ii <br /> PMpNE � <br /> CRA/6 LJocD.�� mA6NeuA AuE. �^�JCsP�T1' 9�as3 355' !og/�l � <br /> TENANi IIARRD�RE53 CiTY Zi� FHOtiE <br /> APCHIiEGtORDE5IGNEN MAiLpD�RE55 CItY IIP PNOtIE <br /> G[NEPALGONiRRCTOR IAAllA0�RE55 C�TY ZIP PNONE LICENSE♦ � <br /> ��F3 IAECeAH��CALCONTRACTOR M��LROOPESS Cltt ZIP PHONE UCENSEt <br /> ,ozx <br /> C H <br /> ��� �LUM�iNiLONiRPCTOB MAILAD�RiSS GTY ZIP PHONE LICENSEs <br /> � 0.4550F WORK <br /> � � H 71 NEW '_ ADDITION � ALTERATION . �. REPAIR DEMOLITION )( WOODSTOVE/FRPL INSERT � .. BUILDING REIOCATIUN <br /> O •r•O CONTACi nER50N RND PHGNE HO <br /> � yH iENAi1TIlAPqOVEMENTORINTEfl10RREMODELONLY /� 2 / <br /> COflTRAGT PRICE Of WOAN: fl 6 (,J o a D �J S��1�_I_�— <br /> `.r. O� DFSCRIBE WOF✓FN�SOUARE FOOi/.GE V�YGLVED <br /> [t� [�1 <br /> HC <br /> PROPOSEDUSEOFBUILO�NG I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> � �� APPLIGATION AND KNOW THE 5l+ME TO BE TRUE AND CORRECT.ALL <br /> 4'1� f'7 PROVISIONS OF LAWS.4ND ORDINANCES GOVEFNING TI�IS NPt OF <br /> LEGAL CESCRIPTION OF PROFEPTY ISMOWN BELOW OR ATLACN FOUH GOPIE51 <br /> � y� WORK PJILL B[COMPLETED \VITH WHETHER SPECIFIED HEREIN OR <br /> �ot eiocK oF NOT. THE GRANTING OF A PERM�T DOES NOT PRESUME TO GIVE <br /> 2' AUTHOFITY TO VIOLATE OR CAPICEL THE PROVISIO�S OF ANV <br /> �"�y OTHER STATE OR LOCAL lAW:1EGULATING CONSTRUCTIUN OH THE <br /> g �' <br /> H PEFiFOfiMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> f] C[/� OWNcR OF THIS PROPFRTV TO PERFORM THE WORK FOR WHICH <br /> � �'� — APPLICATION IS IdADE AND I COMPLV WITH THE STATE <br /> CONTRACTORSLAW 1827RCW AND296200 WAC. <br /> Z O� — SIGAAi11REOFCO�liR�:GiORO�aUl110RIZEDAGENT D-iE <br /> H <br /> - X �__�L'� �� <br /> VIiOJECTADDRp[SS — -- <br /> •JQ �(�,�DL�fl � ���� ����������� �� ���ENSENOANUDUS�NESSNAIa� � <br /> PLUMBIIIG MECHANICAL _ <br /> NO. TYPE OF FI%TURE OR ITEM FGE N�J. TYPE OF EOUIPMENT FEE <br /> �� WATER CLOSET�TOILET) __ tiC—A�HNDLG UNITS—H.P. _ <br /> �o I BATHT�B ____ _ FORCED AIR SVSTEMS—B.T.U. M E.A. _ <br /> LFVA?ORY(`,NASH BASIN) UNIT H'cATERS—B.T.U. M _ <br /> SHOWER T—— ���THESDRVERS <br /> �p KITCHEN SINK h DISP ' VENTILATION FAN <br /> �., � --� RANGE HOOC <br /> '� DISHWASHER ._ <br /> LAUNDRY TRAY ; N1ATER HEATER <br /> -,-=k--- <br /> GLOTHES WASHER WOOD Sf0\'E <br /> � UFiINAL _ _ METAL FIREPLACE R CHIMNEY <br /> r <br /> DR'IKING FOUNTAIN FIFEPLACE INSEFT <br /> FLOOR DRAIN � HEAT PUMP <br /> _� <br /> BACKFLOW PREVENTERS GAS PIPING <br /> '"^� ROOP DRAINS—RAINLEADERS FXHAUST FAN __ <br /> SINK(SERVICE-6AR,ETC.) <br /> _ � <br /> �.e,�,. _ __ — --'— <br /> w�:� —_' <br /> !'`�q _ SUB TOTAL S � PERM TTAL � - v 'OO <br /> PERMIT 5 �— �DU <br /> TOTALFEE S TOTALfEE 5 <br /> fRONT5ET0�CN RERCSETfi<CH Si�[SETOFCK PLAHO�[CNNUkO[R FEE PECEIPTNO. <br /> ♦ � <br /> usezor+E LOTNPEP vncnnTsrte FEES VALUATION FEE <br /> ' � YES . NO �,im�iNG <br /> i1f(OFCONSfAILOWAflIf lYPEOiLONSCALNAL Occv�evcv p�q[:xunncumns . -- — <br /> waur p�UM[71NG <br /> SiZEOiBLDG. NOAiSTOPIES �RS[MENT MECHANICAL ✓D�� <br /> ' ; YES '�. . NO . <br /> OCCU'FNGYLOn� FIRESPPNKLERSREO'0 HEIGHTLIMIiATiON OTHER <br /> .I YES �I NO SiATEBUILDINGSURCHARGL � <br /> REASONfOPSPRINNLERS <br /> STATEENGRGYSURCHARGE <br /> APPIIC�TIONACQ�Y PlAN31.VPR0VEP'V CITYOFEVEiiE1T PURLICWORKS i <br /> LOCAL SALES 3� '�� <br /> TAX CO�E 18 3105 �otA� <br />