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. , �� ," ,-�: <br /> APPLICATIOK'�OR CONSTRUCTIr`�1 PERMIT �r <br /> everett <br /> �E��� e <br /> �,�� <br /> everet� <br /> BUILDING DEPARTMENT TO BE COMPLETED IN INK—PLEASE PRINT <br /> 259-8810 <br /> I I DEMOLITION I I COMBINATION [X BUILDIN(3 CI h7ECHANICAL I I PLUMBING CI SIGN <br /> ONMEH IMR�DDRE55 CIIY ZIP PIIONE . <br /> Gverett Ilousin Authority 1401 Poular Everett WA 98201 25A-9222 i <br /> IEN/JIT MMlMDf1ESS CIfY IIP ��E <br /> Same as Owncr <br /> ,wcNnEcronoesar�n r.un�ooness cnv nr r�oe+E <br /> The DYkeman Arcliitects 1G02 Ilewitt Ave. , Everett , IVA 98201 259-3161 M011577 <br /> p��p�y,GONTp/�CTpp IMRADMIESS CITV 21P PIIONE IICENSE/ <br /> Not et selected <br /> MECNNIIGLL CUNTRACTOR M�R AODRESS CITY 21P PIIONE IICENSE� . <br /> Not yet selected . <br /> pUJMBN6f.OHTMCTp1 WtiA0DflE55 ���� Z�P PMONE ��N�� <br /> Not et selected <br /> � GIASSOFW�NK <br /> I ❑ NEW ❑ ADDITION Ij(I ALTERATION �(I REPAIR ❑ DEMOUTION I I WOODS70VE/FRPL INSERT ❑ BUILDIN6 RELOCATION <br /> ' TEW�NTMAPRWF.MENTORRITEfl10RREM00ELONLY cor+r�crrenww�r+orr+or�no. 259-31fi1 <br /> CON7MCTFRILEOFWORNt G D kemart AI'chiteCt�_ <br /> ���,�� A��T�E�,r«�o6 ,368 . <br /> SF - <br /> vnonor�ouseoFeu�aHa 1 HEREBV CERTIFV THAT I HAVE ANO %AMINED THIS <br /> Re s ident i a 1 APPLICATION AND KNOW THE SAME TO BE TRUE AND CONRECL ALL <br /> � �Ep�ypEg�q�p7qNpFppppEpry�$IqWNBELOW IXI�iTACN FWAGOP�ES� PROVISIONS OF LAWS AND ORDINANCES(iOVERNINO THIS TVPE OF <br /> WORK WILL BE COMPLETED WI1H WHETHER SPECIFIED HEREIN OH <br /> �or xocK oF NOT. THE aRANTINO OF A PERMIT DOES NOT PqESUME TO aIV: <br /> — AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> �f AYY8CIl8d ' OTHER�STATF OR LOCAL LAW RE6UUTINO CONSTRUCTION OR TH[ <br /> � PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> � OWNER OF THIS PROPERTV TO PERFORM THE WORK fOR WHICH <br /> ' APPLICATION IS MADE ANO I COMPLY WITH THE STATE <br /> � CONTRACTORS lAW 18.27 RCW AN 298.200 WAC��/Z I i <br /> ' S OFCON7 CT MMITIIORIZE OENT D�IE � <br /> The Dykeman <br /> ' Architects <br /> wa�c,�ooaeas <br /> �Hemlock 5t : Everett WA "��""�scirrausmessi N NID es� <br /> � ���� MECHANICAL <br /> i Np. TYPE OF Fl%TURE OR REM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) � NC—IVHNDL6 UNIT3—H.P. � <br /> � BATHTUB ' FORCEO AIR SYSTEMS—B.T.U. M E.A. ! <br /> � LAVATORV(WASH BASIN) � UNIT HEATERS—B.T.U. M �__ <br /> i — S�ER � CLOTHES DfiYEHS ' , <br /> KITCHEN SINK 8 DISP ,�_ VENTILAiION FAN 1 <br /> DISNWASHER � RANGE HOOD � <br /> LAUNDf1V TRAY ' WATER HEATER � . <br /> � CLOTHES WASHER —� W�OD STOVE T_ <br /> . URINAL _� _ MEiAL FIREPLACE 8 CHIMNEV ' <br /> DRINKINp FWNTAIN � FIREPUCE INSERT <br /> FLOOR DMIN � HEAT PUMP ' <br /> � BACKFLOW PREVENTERS � GAS PIPINO � <br /> � ROOF OMINS—MINLEADERS � EXFIAUST FAN � <br /> SINK�SERVICE—BAR.ETC.) _� , - <br /> � � <br /> � ' <br /> � ' <br /> � ' <br /> � � <br /> SUB TOTAL S ; SU8 TOTAL S ' <br /> PERMIT S �— PERMIT S � <br /> TOTALFEE S ' TOTALFEE f ' <br /> f110NT5[IBACK PEMSE7BIIGK S10ESET&1CK . PlANC11ECKNUM0Ef1 FEE pECEPTNO. <br /> a P a98. �P .8�r5 <br /> usEzprt lO1MEA vecurrsne FEES VALUATION FEE � <br /> 1 1 VES U NO gU�LO�N(3 �50 � <br /> IYPFOiCdISf�IIOWMLF 1�PE01C ./�Gt1Ml ar�� �.a�!'rttwatMts � <br /> � � � V! PLUMBING i <br /> SIZE OF&DO NO.OF STd11E5 B�SEMENT MECHANICAL ' <br /> � � � VE$ � � <br /> OCCUU.�D (IFlESP11N1tlENS11EOD NEIGIITLMIT�7qN OTNEfi � <br /> I_I VES �NO �x�sr � G STATE BI11lDiNG SURCHARGE �5A <br /> f1EA50N fOR SPRINMlERS � <br /> STAiE ENERGY SUf1CH�R0E i ' <br /> �erri�c�rrow�ccor rur+serrn oar CITYOFEVERETf PUBLICMIORKS ' <br /> LOCAL SALES <br /> TAX CODE IS 3105 TOT�L �o Q-�"— <br />