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� <br /> ' APPd.ICATI4VJ FOR CONSTRUCTl�Ld PERMIT everett <br /> �he Ewigreen TO BE COMPLETED IN INK—PLEASE PRINT � <br /> GTV OF <br /> everett HEATING SYSTEM: 0 GAS ❑ ELECTRIC ❑ <br /> dUILDING DEPARTMENT <br /> 259-8810 <br /> ❑ DEMOLITION Li COMBINATION I�UILDING I I MECHANICAL I i PLUMBING CI SIGN <br /> � O�YYI'..\� `�Or\QA`I^L�OORESS\�� / 1i7\\� LI7�SC.'`�' 11 21P l�)Ku1 PHONEa� a-s�ys <br /> C�. R -�.� <br /> TENANT MAILADD 55 ` CiTY 2iF Pl10NE <br /> Sc�,w�e. (}S c:.� o J c. <br /> ��p� RflCHITEGTORDESiGNER IA4ILADORE55 CIIY ZIP PIIONE <br /> gyi ' <br /> !-�� — <br /> - GENEPALCONTRRCTOR MAILApi]RE55 C�TY ZIP �HONE UCENSE/ <br /> ,� n � � -lE� .� <br /> � MEGMFNICRLCONiRACtOR MRRR�ORESS CIiY 21P P��ONE LILENFEI <br /> �i�l � PLUTABINGCONTRACIOR M4ILROORE55 CITY 21P PHONE L'CENSE• <br /> fy.p " <br /> „�� CU6 F WORH <br /> Y " NEW L1 A�DITION I I ALTERATION f I REPNR I I DEMOLITION I ! WOODSTOVE/FFPLINSERT f i BUILDINGRELOCATION <br /> : /t �_ �3l ` yU CONiACt PERSON RNO PMONE NO. O � <br /> ' CONTRACTPRICEOFWOflK / 6w�.JE'� wK Z5��4614 <br /> ' I' DE:'GRIBE�(ORN ANO SpUARE FOOTAGE INVOLVED n'� 1 ` <br /> ��:` `�ov�s�Fr�'t��u��o� 6r�rc�t; D�'1S�t.� `' T�ESP47 aa F�oAk D�a���e.�- <br /> PHOPOSEDUSEOFBUILDING \ I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> ��;y . � Car c�C�,Y G.� Z "4'bU�..� S TOr...c,� L„ APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECt ALL <br /> ��'� LEGAL DESCRIPiIOIN1OF P ERTv�SNO ELOW OAAiTALHFOUR LOPIES� �] PROVISIONS OF LAWS AND ORDINANCES GOVEflNIk3 THIS NPE OF <br /> �� � I3'�I'I etocn u�1S oF J � � �"'�3 T7S �'�'ORK WIIL BE COMPLETED WITH WHETHER SPECIFIED HEFEIN OR <br /> � tor NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> '. � AUTHORItY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> ' OTHER STATE OR LOCAI LAW REGULATING CONSTRUCTION OR THE <br /> ' PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOFiIZED BY THE <br /> � OWNER OF THIS PROPEflTY TO PERFORM THE WORK FOR WHICH <br /> �� _ APPLICATION IS MADE I1ND I COMPLY WITH THE STATE <br /> � CONiFACTO(75 LAW 1827 RCW AND 296200 WAC. <br /> � � SIGNAlUREOFCONiRRCTOROHAUTMOHIZEUPGENT ORTE <br /> � PRQIEGTAODRESS ^--� _–-__� °I I�II`I/ <br /> j /�a � /�a y r RPPLICANTSCITY6USWESSLICENSENO.ANDBUSINESSNRME <br /> .� PLUM8ING MECHANICAL <br /> I NO. TYPE OF FI%7URE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> � WATER CLOSET(TOILET) A/C–AIHNDLG UNIT�H.P. � . <br /> ��� � BATHTUB FOP.CED AIR SYSTEMS–B.T.U. M E.A. ' <br /> ' LAVATORY(WASH EASIN) UNIT HEATERS–B.T.U. M � <br /> . SHOWER � CLOTHESDRYERS ' <br /> • KITCHEN SINK 8 DISP VENTILATION FAh � <br /> --�- <br /> ' DISHWASHER RANGE HOOD <br /> ' LAUNDRYTRAY ; WATER HEATER ' <br /> CLOTHES WASHER WOOD STOVE <br /> ' URINAL METAL FIREPLACE 8 CH A EY <br /> DRINKING FOUNTAIN i FIREPLACE INSERT �_ <br /> FLOOR DRAIN HEAT PU1AP <br /> � BACKFLOW PRE NTERS GAS PIPING � <br /> rlOOF DRAIN RAINLEADERS -r- EXHAUST N <br /> SINK(SE ICE–BAR,ETC.) <br /> � <br /> �— <br /> — � <br /> — � <br /> SUB TOTAL $ ; SUB TOTAL $ ' <br /> f'EfiM1T $ —� PERMIT $ i <br /> � TOiAL FEE $ TOTAL FEE 5 ' <br /> FOR OFFICE USE ONLY: _ <br /> � FRONiSZ/I.,CN, AEnRSETBAG� SI�ESEID�C �p FIPNCII CNNUM6ER FEE AELEIPTNO. — <br /> YJ Z C � 9/ 1 �� 3 s� 99. �r� v 9 s� i <br /> � IISEZONE LOTAfiEA VRCANi'SIT/E FEES VALUATION PEE <br /> � O� � �✓� BUILDING �iJ �i�� /'3�� i/`j <br /> TYPE Of f,ON15 AILOWABIE IYPE Oi G�NSi ALIUAL o:[ur�Nt+ Xo Dr nxmmGUNuS �"'I i <br /> tnouv � p�UMBIHIi i <br /> � ' —d_ _�r—_' <br /> 512EOF L�G. NO.OFSWBIES UASEMENt i <br /> MECHANICAL <br /> D 5 � � <br /> OCLUPANCY OAD FIqESPPNNL[RSRE00 NEIGNTLII/ITATION ADDITIONALPLANCHECK � <br /> �`�J �S O7HER � <br /> i <br /> REASONF PSPRINNlERS -- <br /> ` STATE BWLDING SURCHARGE i <br /> i <br /> INTANEBY PLANSPPPROVED . CITY OF EVEREIT PUBLIC WORNS i <br /> 9 LOCAL SALES <br /> TAX COOE IS 3105 TOTAL ���j.,�� <br />