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� � <br /> APPLICATIOtW �OR CONSTRUCTlL�i PERMIT everett <br /> TO BE COMPLETED IN INK—PLEASE PRINT � <br /> Iha Evorgrean <br /> CITY OF <br /> everett HEATING SYSTEM: ❑GAS ❑ELECTRIC <br /> BUILD�NG-D PARTMENT <br /> I�59- 810' <br /> EMOLITION f_J COMBINATION 'f�BUILDING I:1 MECHANICAL 17 PLUMBING C; SIGN <br /> OWNEP MAILADOf1E55 G1Y 21P PHONE <br /> j <br /> eN, �c 13K� f� f2 3 �I5 Lo,�h��� � vP��Y� —� 6 a <br /> TEII�Nf <br /> M41L�ODPESS CITY 21P PIION6 <br /> �j��j.'ae� <br /> ARCHI7'cCTOROESIGNER MAILAUDRESS <br /> GITV ZIP PIIONE <br /> a U (''�f <br /> GE��ERAILONiRACTOR ' <br /> MAIL A�DRE55 GTY 21P PNONE LICENSE I <br /> � Suv�– • =/� <br /> MECIIANICALGONiRALTOR MAILAD�RESS <br /> CITV ZIP PHONE IICENSE� <br /> N�,,.�_ �eQ-y a,^-`�� <br /> PLUMOINGLO��T��C10R M�ILAUDRES .. 1 CITY ZIP PIIONE LICENSEM <br /> N J-y�.0 rtet�ul/u.c� <br /> cwss or woaK�� � <br /> —f <br /> I I NEW I�!ADDITION � i I ALTERATION I I REPAIR I EMOLITION I I WOODSTOVFJFRPL INSERT L7 BUIIDING RELOCATION <br /> _ ' ��QGC NANDPHON�NO.�� ��� ��S � <br /> CONTR4CT PRICE OF WORK ��/��)� � � <br /> OESGRIBE�50���7Ef00TAGEINVOLVED � <br /> ��/ <br /> rnovoseouseoreuamNc �r ��c'f'�/ .T�f"� I HERE6Y CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> 7,�J N�j�_ APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEGALOESCRIPTIONOFPROPEBTY�SHOWNBELOWORAilAC11FO�IPCOPIES� PROVISIONSOFLAWSANDOPOINANCESGUVERNINGTHISTYPEOF <br /> �r J WORK WILL BE COMPLETED YVITH WHETHER SPECIFIED HEREIN OR <br /> ior 7'�O BLOCK 763 uF ��q 7� NOT. THE GRPNTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �} � AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> �JY�'4`P �� Z GZ' 1t ❑ Q?"'�/�G OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CCN'�TRUCTION.THAT 1 AM AJTHORIZED BY TF7E <br /> � OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPL�CATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 236.200 WAC. <br /> SIGNATOREOFCONTR�C70I70PAUi RIZEUAGENT DATE <br /> X �ca...,( U <br /> 7,�sv � -c" �//'- <br /> PROJEGTADDf1E55 APPLICANTSCIT BUSINESSLIGENSENO.�NUBUSINESSNAML <br /> '��� S � ������ MECHANICAL — <br /> PLUMBING FEE <br /> N0. TYPE OP FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMEN7 <br /> WATER CLOSET(TOILET) � A/C—�1/HNDLG UN1TS—H.P. ' <br /> ��— FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> OATHTUB ; ' <br /> , UNIT HEATERS—B.T.U. M � <br /> LAVATORY(WASH BASIN)� CLOTHES DRYERS � <br /> � <br /> SHOWER � VENTI�ATION FAN <br /> KITCHEN SINK 8 DISF ' , <br /> � RANGEHOOD <br /> DISHWASHER � ' <br /> LAUNDRY TRAY WATER HEATER � <br /> �i WOOD STOVE ' <br /> CLOTHES WASHER �— <br /> � METAL FlREPGACE 8 CHI Y : <br /> URINAL — , ' <br /> DRINKING FO AIN = <br /> FIREPLACE iNSERT ' <br /> � � HEAT PUMP � <br /> FLOOR OR ' <br /> - BACKF W PREVENTERS ; GAS PIPING —� <br /> EXHIIU,`.T F � <br /> PO DRAINS—RAINLEADERS ' – <br /> K(SERVICE—BAR,ETCJ � ; <br /> � � <br /> � — <br /> . � <br /> � � <br /> � <br /> T � <br /> 1 <br /> SUB TOTAL $ ' SUB TOTAL $ � <br /> � PERMIT $ ' <br /> � <br /> TOTALIFEE $ ' TOTALFEE $ ' <br /> FOR OFFICE USE ONLY: neceirr r+o. <br /> FRONT SEiDACK REPR SElOACK SIOE SETO�CN <br /> PLAN GH CN NUMBEF7 FEE <br /> FEES VALUATION FEE <br /> USEZONE <br /> LOT�REA V�CANT SITE i <br /> PU'.�OING � — <br /> '--- i <br /> IYPFO(GOIIIS.ALLOWAOLF IYPfOfGUNSi.AC1UPL o[[urexCr xa.IXowWirvGUNnS � <br /> cnour PWMBING __�— � <br /> i <br /> SREOFOIOG. �NO.OFSTORIES DASF.MENT MECHANICAL ��— <br /> � <br /> ADDITION��PLAN CHECH ' <br /> OCCUPANCY LOAD FIRE SPRNNLEHS RE00 ��EIGHT LIA11iAlIGN i <br /> i <br /> _ OTHER � <br /> — <br /> REASON FOR SPRINKIERS STATE BUILDING SURCHA(7GE ' _ <br /> INt�NEBY PlANSAPPf10VED�Y CITYOfEVERETi PUBLIG�'10f7KS � <br /> LOCAL SALES ; <br /> -� TAX CODEIS 3105 TOTAL + <br />