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�� APPLICATIO� FOR CONSTRUCT�N PERMlT <br /> , <br /> ,� everett. <br /> �,�E���� e <br /> CITV OF <br /> :, everett <br /> : BUILDING DEPARTMENT TO BE CO P IN INK—PLEASE PRINT <br /> 259-8810 <br /> � ❑ DEMOLITION ❑ COMBINATION �� BUILDING I J MECHANICAL 17 PLUMBING ❑ SIGN <br /> i <br /> pWNEq MAILAODHESS CITY Z�P PNONE <br /> bIKE Wq0.1�E�E 3c�3 kE e RD 6�ca7t �6'r]-4'164. 4115t '�/��I'� <br /> TEIUNT MAILAOORESS CITY Z�P PHONE <br /> SRME <br /> � <br /> �RCHRECTOpDE51GNER MAILADDRESS CITV 21P PHONE <br /> GENEflAICONTHACTOfl MAILAUDNE55 CITY Z�F PMONE LICENSER <br /> 1 G�M 'E sN L�� en�. 4,0, aex �1�� Maa��u.e �l�alD ac�-9k4W C�►M�sc�eaaK <br /> .j <br /> MECHAN�G�LCANiN�CTOR MAILADDRESS CI1Y LF FNONE UCENSEi <br /> ;! <br /> PLUMBINOCONTNACTOfl MAILAU�NE55 CITV ZIP PHONE LICENSE/ <br /> r <br /> e <br /> �] ClASSOFWORN ���w� <br /> " NEW � ADDITION I I ALTERATION I I REPAIR I I DEMOLITION I I WOODSTOVE/FRPL INSERT f .I BUILDING RELOCATION <br /> .4 TFiWNTIMPROVEMENTORINTER:ORREMOyDELONLY CONTqCTPER50NANOPHONENO. <br /> j C'JNTiL1CTPRICEOFWONM: �0.�� 6 m �S�"9,1 <br /> 1 DESCRIBEWOAIcnNDSOUAPEFOO GEINVdVED <br /> .� �, n <br /> PROPOSEDUSEOF6UILDINO I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> ; � APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> � Q. \S �'� S"MR�n�E_ <br /> LEOALDESCHIPTIONOFPROPERN(SHOWNBELOWOPATTACHFOURCOPIES� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHIS7YPEOF <br /> WORK WILL 2E COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �or��_ n�aK oF NO7. THE GRANTING OF A PERMIT QOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> �. OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> �; APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296.200 WAC. �y <br /> ; SIGNATUREOFCONTflACTOPOPAUTHOFg���TSHPE�FER CONSTRUCTIOI� <br /> :, ���MGse�¢��k P. 0. Box 1227 ' <br /> � `��`s�--��,� Marysuille, Washington 98270 <br /> I PROJECTADDRE6S <br /> �{ APPLICANTS CITY BUSINE55 LICENSE NO.AND BUSINE55 N <br /> ,' e��� NEM��Q Q11'f.n <br /> � PLUMBIN6 MECFIANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EUUIPMENT FEE <br /> " WATER CLOSET(TOILET) � A/C—AIHNDLG UNITS—H.P. � <br /> � BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. � <br /> I LAVATOflY(WASH BASIN) � UNIT HEATERS—B.T.U. M � <br /> � SHOWER ' CLOTHESDRYERS ' <br /> � KITCHEN SINK&DISP ; VEPiTILATION FAN ; <br /> DISHWASHER � RANGE HOOD � <br /> LAUNDRYTRAY ; WATER HEATER <br /> I CLOTHES WASH W000 STOVE i <br /> � <br /> � URINAL ' METAL FIREPLACE$�CHIMNEY ' <br /> DRINKIN UNTAIN i FIREPLACE INS � <br /> �' FLOO RAIN � HEAT PUMP � <br /> � BA FLOW PREVENI'EP,C ; GAS PIPI G ; <br /> 2 F DRAINS—RAINLEADC-RS � EXH b T FAN � <br /> : - SINK(SERVICE—BAR,ETCJ ; ' <br /> � � i <br /> i i � <br /> i � <br /> f i <br /> i <br /> � � i <br /> � SUB TOTAL $ ; SUB TOTAL $ ' <br /> PERMIT $ � PERMIT $ � <br /> TOTALFEE $ ' TOTALFEE $ ' <br /> jFRONTSETBACK REAPSET CK SIDESETBRCK PLANCHECKNUMBER FEE "� PEGEIPTNO <br /> ?,tr � $� S' .- /o�st. yd aya w iaP 7u 3 863t, <br /> USEZONE LOTpPEA VRCFNTSITE FEES VALUATION FEE <br /> �� 'L � L] YES . NO BUiLDwG s� � — <br /> TYPEOFCONST.ALLOWABIE iYPEOFCONSi.ACtUAL OCCuvANCr xoa0'MlliNnuxns � <br /> „ � � .^�,f ��� �,_, PLUMBING i <br /> � SIZEOFBLD(i. NO.OFST/IF.S BASEMENT MECHANICAL � <br /> � s� I I YES I-I NO � <br /> OCCUtPANCYLOAD FIflESPRNKLERSflE00 IIEIGNTLIMIiATION OTHER i <br /> 1 /\�. FJ. LI YES �NO � STATE BUILDING SURCHARGE ' � <br /> i <br /> PEASON FOfl SPRINNLERS <br /> � STATE ENERGV SURCHAFiGE � <br /> 1 APPLICATIONACC.BY PLANSAPPflOVEDBY CITYOFEYERE7T PUBLICWORHS �� <br /> LOCAL SALES , <br /> � /� TAX CODEIS 3105 70TAL <br /> l 3 �- so <br /> � _ _ <br /> ,,_; F.; . �. . . . . _ . .. _ <br />