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i�J/'��: <br /> i.:Y.:r.�. .. ._.. �1 <br /> APPLICATIOQFOR CONS'TRUCTIvi�l PERII�IT everett <br /> 1he EverDreen TO BE COMPLETED IN INK—PLEASE PRINT � <br /> CITY OF <br /> everett ' <br /> HEATING SYSTEM: GAS ❑ELECTRIC ❑ �� <br /> BUILDING DEPARTMENT L, <br /> 259-88t0 �; <br /> ❑ DEMOLITION ❑ COMBINATION (� BUILDING � �MECHANICAL ❑PLU�dBING ❑ SIGN � <br /> °-rF� no��, Ci�e���s - 3�01 �/� "�►mhZUh� �"MONF 11-I- �`d`� �''-�3 �; <br /> TENANT MAILA 55 CI1V ZIP FNONE ���. <br /> Q��� -- � <br /> MCHITECTOHDESIGNEFi MAI�PDOflE55 CITV ZIP PMONE <br /> I. <br /> VALLEY NATURAL GAS INC. ; <br /> GENEAALC CTOB269•549'1"��95�30-7424944 . c�n P P NE —�� ICE EI . ,r <br /> 2605 Mc'D`o"u all ��� <br /> MECHANICALCONTRACTOR EvrrYtli��Fn�,O� Y�1 �� ZIP P NE i : SE� <br /> I, <br /> 7� <br /> PLUMBINOCONTMCTON MNLADOflE55 CITY ZIP NHONE ��CENSEM i; <br /> r. <br /> j;. <br /> CLASS OF WOflK ;' <br /> ❑ NEW ❑ ADDITION ��TERATION 17 REPAIR ❑ DEMOLiTION ❑ WOODSTOVFJFRPL INSERT ❑ BUILDING RELQCATION . <br /> �. <br /> '— CONTACT PERSON AND PNONE NO. " <br /> GONTRACT PRILE OF WOHK O�� <br /> OESCRIBE WON✓ANO UARE FOOiAGE lr+y VED �� <br /> �v��+�.e.� u��e.� �— �-� � � <br /> pq(7POSEDUSEOPBUILDING � 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS �:; <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LE(iALDESGRIPTIONOFPflOPERTY�SHOWNBELOWORATfFCNFOURCOPIES) PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> WORK WILL BE COMPLETED WITH WHeTHER SPECIFIED HEREIN OR <br /> �pT BLOCK oF NOT. THE GRANTING OF A PERIdIT DOES NOT PRESUME TO GIVE ' <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAYJ R[GULA7ING CONSTRUCTION OR THE � <br /> -� PERFORMANCE OF CONS'fRUCT10N.THAT I AM AUTHORIZED BY THE I�: <br /> OWNER OF THIS PROPERTY TO PERFOflM THE WOFiK FOR WHICH ?� <br /> APPLICAT�ON IS MADE AND I COMPLY WITH THE STpTE �� <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> SIGNATUNEOFCONTRACTOFORAl1THORREDAGF.NT DATE �• <br /> �` <br /> \: <br /> X � <br /> PqOJECT/�00FE55 „ < <br /> . � \• I �IM APPLICANTSCINBUSIHE55 CENS .AN�BUSINESSNAME' <br /> a� ��r o i <br /> �', <br /> ALUMBIN6 MECHANICAL f'. <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> � WATER CLOSET(TOILET) � A/�AIHNDLG UNITS—H.P. � <br /> BATHTUB ; FORCED A�R SYSTEMS—B.T.U. M E.A. ' �� <br /> i' <br /> LAVATORY(WASH BASIN). i UNIT HEATERS—B.T.U. M � ' � <br /> SHOWER ' CIOTHES DRYERS ! ' <br /> I' <br /> KITCHEN SINK&DISP � VENTIIATION FAN � �' <br /> � �' <br /> DISHWASHER � RP.NGE HOOD <br /> LAUNDRYTAAY � WATEhHEATER ' ", <br /> i WOO�STOVE � �� <br /> � CLOTHES WASHER � �� <br /> URINAL ' METAL FIREPLACE 8 CHIMNEY ' j <br /> DRINKING FOUNTAIN � FIREPLACE INSERT � '' <br /> FLOORDRAIN � HEATPUMP ' <br /> BACKFLOW PREVENTERS i GAS PIPING � <br /> HOOF DRAINS—RAINL�ADERS � EXHAUST FAN ' �.� <br /> SINK(SERVICE—BAR,ET�.) ' � '�' <br /> � , <br /> � i i <br /> I," <br /> i � <br /> i � <br /> i � <br /> 1 � � <br /> SUB TOTAL $ ; SUB TOTAL $ 0 7 �'�' <br /> PERMIT $ � PERMIT S S � <br /> TOTAL FEE $ ' TOTAL FEE S C � OD <br /> i! <br /> FOR OFFICE USE ONLY: <br /> FflONiSETeACK �tAflSEi�ACK SIUESETBACN PIANCHECKNUMO[fl FEE flECEIPTNO. <br /> USEZONE LOTAREA VACANTSITE FEES VALUATION FEE <br /> BUILDING ' <br /> lYPEOFCONiS.AIIOWABIE 7VPEOFCONSi.RC1UAL ttG�L�'�p:Y No.a4AEluxGUNnS � <br /> PLUMBING i <br /> SIZEOF0L00. � NO.OFSTORIES BnSEMElIT MECHANICAL J ��� <br /> i <br /> OCCUPANGYLORO FIRESPflNNLER5PE0'D HEIGNTLIAl1::iT10Y ADDITIONALPLANCHECK i <br /> i <br /> OTHER � <br /> pEA$ON FDii SPflINNLERS -.--� <br /> STATE BUILDING SU(iCHAqGE ' � <br /> i <br /> IN7A1(EBY PLANSAPPPOVEDBV CITY OF EVEREiT PUBLIC WORKS i <br /> LOCAL SALES • �— <br /> TAX CODE IS 3105 TOTAL ; <br /> vr.^.':-- � <br /> ,. ._... . , .. ., _ . _._r _ ._ . ;..... „ . . .. . , . . <br />