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z 't•� �;; <br /> , APPLICA���bN FOR CONSTRU�.-�'ION PERMIT <br /> everett <br /> �.E� �� � <br /> ' citr o. <br /> everett <br /> � BUILDING DEPARTMENT TO BE COMPIETED IN INK—PLEASE PRINT <br /> 259-8810 <br /> � ❑ DEMOLITION ❑ COMBINATION I I BUILDING �ECHANICAL I 1 PLUMBING ❑ SION <br /> ��q MAIUDORE55 CITV 21P PNONE <br /> �µT •� M�IUDDRE55 QfY 21P PNONE <br /> �,..�� T... �.� zB�l Hewi•ttAU� Eve.�cdY- -- <br /> i <br /> IIRCMfECTORDESIOMEN M�RA ORESS CITV 21P PIIONE <br /> p[NEq�LfpNTR11CT0f1 MAILADO�E55 CITY i1P PIIOqE LICENSE� <br /> � <br /> , �(',q�7pA�7q1 MIIILAODNESS GITY 21P PNONE LICENSE� <br /> ' a:�rn�.,N /./edf►yc ��rs- 50 96Ki f? �lr �!J/os 3-3�2'J--�S6��RT <br /> ; <br /> �OpNTRACTOR AILADDRE55 —,�TY .�P PIqNE LICENSE� <br /> � <br /> ' p/\930FYIORI( -� <br /> ' ❑ NEW ❑ ADDITION M ALTERATION ❑ REPAIR �1 DEMOLITION 17 WOODSTOVE/FRPL INSERT ❑ BUILDIN6 RELOCATION <br /> T[WWTMPIqVEMENTORM Rq11REM0UFLONLV CONT�CTPERSON OPHOHENO. � <br /> � �,���„�:�1. /b0 <br /> � pElCqlEWd11(N10501111REF T�OEMVOLVED <br /> � / <br /> ! n�oroeeouseaeutimno I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> �/�,�� � ' APPLICATION AND KNOW THE SAME TO BE TRUE AND Ct�RRECL AlL <br /> {EQµpEN,q�ptqqpFPpOPERTY�SHOWNBELOWORATi�rN�WRCAAlES� PROVISIONSOFlAWSANDOR�INANCESGOVERNINGTHISTVPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �pt e�ocK � NOT. THE 6RANTING OF A PERMIT DOES NOT PRESUME TO 61VE <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 BY THE <br /> I OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> � APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTORS lAW 18.27 RCW AND 296.200 WAC. <br /> SIONATUREOFCONiR�CTOROR�U7110RIZE0�6ENT D�TE <br /> I <br /> i <br /> 1 <br /> 1�.� - <br /> � ��QIECTMORE64 APPLIGMlTSCITYB SMESSIICEN5EN0.�NDBU51NE55N�ME <br /> I ��� MECHANICAL <br /> � ►q, TYPE OF fl7RUNE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLO�ET(TOILEn � NC—AMNDLG UNITS—H.P. � <br /> BATMTU6 ; FORCEO AIR SYSTEMS—B.T.U. M E.A. ' <br /> UVATORY(WASH BASIN) � UNIT HEATERS—B.T.U. M � <br /> SHOWEp � CLOTHES ORYERS ' <br /> • KITCHEN SINK 8 DISP � VENTILATION FAN � <br /> 'i DISHWASHER � RANGE HOOD ' <br /> LAUNDFiY TRAY ; WATER HEATER ' <br /> CLOTHES WASHER � W000 STOVE � <br /> UflINAL ' METAL FIREPLACE 8 CHIMNEY ' <br /> DRINKIN6 FOUNTAIN � FIREPLACE INSERT �_ <br /> FLOOR DRAIN � HEAT PUMP _,i_ <br /> ? BACKFLOW PRFYENTERS ; GAS PIPING � <br /> 1 _ ROOF DRAINS—RAINLEADERS � EXHAUST FAN �_ <br /> SI��K(SERVICE—BAR,ETCJ � � <br /> � ' <br /> � � � <br /> � � � <br /> � T <br /> � � <br /> 1 � SUB TOTAL E 4b '�' <br /> � SUB TOTAL S � � ; <br /> I PERMIT S � PERMIT S i3 �` <br /> � � TOTAI FEE E TOTAL FEE E �S�y' _ <br /> � F110NTSEi&1CK RFARSETB�CN SIOESETBACK PIANGHECNNUMBEN FEE RECEIPTNO. <br /> � USE24NE LOTAREA VACRNTSI�E FEES VALUATION FEt <br /> I ❑ YES C1 NO BUiLOiNG ' <br /> ? ryPFpiLONSf.ALLOWABLE lYPEOftON51.�CIWI aNrerp �aaVwtwxeuxns — � <br /> � GR0°° PLUMBING � <br /> �--r <br /> 5�ppg�pp. NO.OFSTONES BASEMEN7 MECHANICAL S �� <br /> !� ❑ VES LI NO � <br /> ? OTFiER ' <br /> � OCCUPNlCYlMO FIOESPRNNLERSPEO'D HEIGNTIIMIt�T10N <br /> � ❑ YES ❑ NO STATE BUILOING SURCHpqGE ' <br /> A '�— <br /> PEASON FON SPRINNLERS <br /> � STATEENERGYSURLHARGE � <br /> � i <br /> , APPLIC�TIONACC.BY PlANS�PPROVEDOV CITYOFEVEHETT PUOLICWORKS i <br /> � LOCAL SALES � <br /> , TAX CODE IS 3105 rora� SS �� <br /> � <br />