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. , . . . , <br /> ; , , . . <br /> . .�, . �. ..... . . . . . .. ., l, .. ...,_�:c�<<. . ..__�.��.r.r:t^+�ra: <br /> _ ^ <br /> APPLICAr'ION FOR CONSTRU.:TION <br /> PERMIT <br /> me eVsro�ae� i <br /> CITYOF � everett ' <br /> everett e <br /> BUILOING DEPARTMENT <br /> 259-8810 TO c� COMPLE7ED IN INK— PLEASE PRINT � <br /> OWNER MAILAODPE55 QTY ZIP PNONE ^ � ' <br /> ✓.v/ytc�s �G{{Gc��l•LT� �ct'S� lc�,u6,��'•J ����c.—�7 ��c�/ z�SZ � S3nJ ! <br /> TENANT MAIL�ODRE55 CIiY 21P PMONE <br /> � ' <br /> ARGHITEGTOflDE51GNER MAILADORE55 CITY ZIP PMONE . <br /> .?�C,�cqcx/S3I� <br /> GENENALGONTPACTOR MNILADDqE55 CITY 21P PMONE LICENSE♦ <br /> �2c2���rs�, a�az �«'Ji�'�- i,a�,.�� � Pfaiz �J'�'�.� 7 <br /> MECHANICALCONTRACTOR MAILADORE55 CITY ZIP PMONE LICEYSEs ' <br /> PLOMBINOGONTflr1CTOfl MAllA0DflE55 CITY ZIP PHONE �ICENSE• � <br /> -- <br /> CLA55 OF WOflK �, <br /> ❑ NEW L1 ADDI710N �,�, ALTERATION ❑ REPAIR ❑ DEMOLI710N WOODS70VE1FRP�INSERT ❑ BUILDING RELOCATION ; <br /> TENANTIMPflOVEMENTORINTERIONREMODELONLY ONTACTPENSONRII�D,/{�ONENO. J� <br /> LONTRACTPPICEOFWOPIC� � E'tL,.(� �/ RX/��!<- I�O/1/ ���3 C� � � <br /> OESCRIBEWORHANOSOUAREFOOTRGEII;Y L — � ` ' <br /> ,L.gIT.CLG � C r_-r/ .i! Gn��i/-'o� �,Cec- l �t <br /> PaoaoS uSeoFeui�oiNc IHEREBYCERTIFVTHATIHAVEREADANDE%AMINEDTHISAPPUCATIONAND � <br /> ��,��/J� KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS OF LAWS AND <br /> LEO�LDESCFIPTIONOFPROPEHTY�SMOWNBELOWORRITRCHFOUflCOPIE51 ORDINANCESGOVERNINGTHISNPEOFWORKWILLBECOMPLETEDWITH , <br /> WHETHERSPECIFIEDHEREINORNOT.THEGRANTINGOFAPERMITOOESNOT i <br /> PRESUME TO GIVE AUTHORITV TO VIOLATE OR ChNCEL THE PROVISIONS OF <br /> �or e�oGK oF ANYOTHERSTATEORLOCALLAWFEGULATINGCON57AUCTIONORTHEPER• ' <br /> FORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE OWNER OF � <br /> THIS PfiOPERNTO PERFORM THE WORK FOR WHICH APPLICATION IS MADE <br /> AND I COMPLY WITH THE S7A7E CONTRACTORS LAW 1B27 RCW AND �. <br /> 296.200 WAC. / <br /> SIGNAT EOFGONTRACIORONAU1110FREDAGENT DRTE / Z! L,�� <br /> '� / <br /> Zc�e�+r Lc�ti r /,�i-E c�i� � c�c/� c°o -x-� �.5.�J� ` <br /> PROJELT�OORESS � pPPLICnNT5p1 OUSINESSLICENSENO.nN�BuSWESSNAME ,' <br /> � <br /> PLUMJING MECHANICAL � <br /> NO. TYPE OF FIXTUfiE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE � <br /> WATER CLOSET(TOILEn A/C—fVHNDLG UNITS—H.P. <br /> 9ATHTUB FORCED AIR SYSTEMS—B.TU. M EA <br /> LAVATORY(WASHBASIN) UNITHEA7ERS—BT.U. M <br /> SHOWER CLOTHES DRYERS <br /> KITCHEN SINKB DISP. VENTILATION FAN ' <br /> D�SHWASHER NANGE HOOD <br /> LAUNDRYTRAY WATER HEATER ' <br /> CLOTHES WASHER WOOD STOVE , <br /> URINAL METAL FIREPLACEB CHIMNEV <br /> DRIMKINC.�FOUNTAIN FIR�;:ACE INSERT ' <br /> FLOOR DRAIN HEAT PUMP � <br /> BACKFLOW PREVENTERS GAS PIPING � ' <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> SINK(SERVICc"—BAR,ETQI <br /> SUBTOTAL 5 SUBTOTAL 8 <br /> PERAiIT $ PERMIT $ <br /> TOTAL FEE S TOTAL FEE $ " <br /> FRONTSETBRCK REARSETBRCK SI�E z�C' VL1� ��B`Erq� � FE�O[�C� HELEIPfNO. � <br /> L_ <br /> UsezoNe LOTAREF VACRNTSITi FEES VALUATION FEE �� <br /> O YES <br /> BUILDING <br /> TYPEOFCONST. OCGUPANCYGROUP NO.OFDN'ELLINGIINlTS ? <br /> RLLOWABIE/FCTWL <br /> _3 PLUMBING <br /> SIZEOFBLDQ. NO.OFSTOflIES BSMT. OGGLOnO � � <br /> o r ldECHANICAL � <br /> ❑N <br /> MEIGHTLIMITATION OTHER <br /> FIFESPflINKLERS flEOUIFEO ❑YES NO STATE BUILDING SUFCHARGE r 1 � <br /> �< <br /> STATE ENERGY SURCHARGE <br /> i <br /> APPLICRTION ACC.BY PLANS APPN_9Y � <br /> �,( � PUBLIC WORKS <br /> ��\ � <br /> TOTAL <br /> 1 <br />