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_.; ._-- <br /> APPLICATION FOR CONSTRUCTIVN PERMIT <br /> everett <br /> ���„E„�,�,��„ � <br /> crtv or <br /> everett <br /> BUILDING DEPARTMENT TO BE COMPLETED IN INK—PLEASE PRINT <br /> 259-8810 <br /> ' DEMOLITION ' COMBINATION BUILDING ,/MECHANICAL PLUMBING SIGN <br /> UWNER AIAILA�DRE55 QiY ZiP �(�� PNONE <br /> �,,�5 u rT�Cy �'s��i X/' v i�� �u�t r h;�c�w���' <br /> r] H� TENANT MAILRDDNE 5 GITV 2P PHONE <br /> lti � h] <br /> 10 RI AfIC111TECtOROESiGNEP MAILAOORE55 LITY 21P PNONE <br /> Y H N <br /> N � � G[NERALGONTRACiOR MARAO�RE55 CITV ZIP PHONE LICENSE• <br /> « (� <br /> O � O R![CIIANILALCONTRACiOR MAILAO�RE55 CITY ZIP PHONE LICENSE� <br /> ro!] m " ����`���J�15�7c'S�/,ll9f.[�L �u�� �/n"� fUCt'r'1T GUf' l�'IU/ �Sr'.3//5� E[�655/Gl K7 <br /> F'i � � PLUAIEIINGCONiRPGTOR FIAILAOORE55 CITY ZIP PNONE LICENSE� <br /> [9 <br /> 'A f�7 pppp C�ASSOF WORN . - <br /> C �b � �/NEW � � ADDITION � ALTEflATION . . REPAIR �.� DEMOLITION . WOODSTOVE/FRPL INSERT .f� BUILDING RELOCATION <br /> ~ �"� i[NANTIMPROVEMENTOPINTER FREMODEIONLY CONiAGTPERSONANDPNONENO. <br /> � y � `- <br /> CONTR4CT PFICE OF WORK: <br /> q N M OESCRIBE WORK RNp SOURFE C O J T A G E I N V O L V E D <br /> ROptl1 <br /> � p1 � PROPOSEDl15E0FBUILDiNG I HEREBY CEFTIFY THAi I HAVE READ ANO EXAMINED THIS <br /> N y /?,S� �G�= APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> p PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEGALDESCFIPTIONOFPROPERTYISNOWNBELOWOHATTACHFOUHCOPiES� ypORK WILI BE COMPLETED WITH WHETHER SPECIFIED HEfiEIN OR <br /> �or oiocK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS CF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THF. <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFOFM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> — CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> SIGNATUR OFCONiFALTORORAUiMORIZEDAGENT DATE <br /> X / �,, ' <br /> �, � <br /> PRQIECTA�DPE55 �O pPPLIC.4Ni5 IT B Si SLIGENSENO ANDBUSiNE55NAh1E <br /> �� ��/h(/ C��t7j ��/� �S c 5 <br /> / � �'� PLUMBING MECHANICAL <br /> � ��` � Np, TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> � WATER CLOSET(TOII.ET) � !UC—NHNDLG UNITS—H.P. <br /> � BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> 1 IAVATORY(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> '�� SHOWER CLOTHES DRVERS <br /> '� ��' KITCHEN SINK 8 DISP VENTILATION FAN <br /> � ' DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> �� CLOTHES WASHER WOOD STOVE <br /> � I '�� " URINAL METAL FIREPLACE 8 CHIIdNEY <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR ORAIN HEAT PUMP <br /> '�� BACKFLOW PREVENTERS ; GAS PIPING <br /> �.. i, � ROOF ORAINS—RAINLEADERS � EXHAUST FAN <br /> �� SINK(SERVICE—BAR,ETC.) , <br /> i <br /> i <br /> r � <br /> �1�1 1 <br /> �'I � SUB TOTAL 5 SUB TOTAL 5 p J <br /> PERMIT 5 PERMIT 5 � � <br /> II�t_' TOTAL FEE 5 TOTAL FEE 5 <br /> \ FRONiSETBFCK REAFSET�RCN Si�ESETBRCN PLANCNECRNUMBER FEE RECEIPiNO. <br /> USEZONE LOTARE� Vr1GRNTSITE FEES VALUATION FEE <br /> �. 7 YES C NO BUi�DING <br /> i1PE0iCONSLAIIOWRBLE T"CEOfLONSCAL111RL ��°°��r rboibnSwNcuxns � <br /> 4P00� PLUM�ING � <br /> SREOFBLOG. NOAFSTORIES OASEMENT MECHANICAL � ' ✓D <br /> L 1 YES �'_�� NO ' <br /> OCGUPRNGY�oao � iIRE SPRNNIEPS REOD HEIGH7 LIIAITRTiON <br /> OTHER ' <br /> _-� J YES -� NO STATE BUILDING SUflCHARGE ' <br /> REASON LOR SPflINNLEFS <br /> STATEENERGYSUFCHARGE <br /> APPLICATIONRCC BV PLANSpPiROVEDBY CITY OF EVERETT PUBLIC WOflKS <br /> LOCALSALES <br /> TAX CODE IS 3105 rorn� <br />