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• �. 1�'� � ,,.. <br /> , ;�;� APPLICATI�N FOR CONSTRUCti �ON PERMIT <br /> • everett <br /> ,�E���� e <br /> cirv oF <br /> everett <br /> BUILDING DEPARTNENT TO BE COMPLETED IN INK—PLEASE PRINT <br /> 259•8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING � SIGN <br /> pyyryEp M4ILADDRESS CITV ZIP PHONE <br /> ���GP Q�t" 11-2b �raN� q-L �fBi2E'Ir `PSlU l _ <br /> 7ENNIT MAILADDItE55 CILY 21P 'PHONE <br /> , AflCNITECTOR�E516NER MAILADORESS CITV 21P PNONE <br /> ' OENERALCANTMCTOR MAhA0DRE5S CItY ZIP PIIONE LIGENSE/ <br /> '��W�oaR� l3�'i Cor�.li�90 A�v rw�� `�m\ a-<8 4y 1 S ��c cmmc�z.zvn.L <br /> � MEpNANICALCONTflnCTOH M�ILAODRE55 CITV ZIP PHONE LICENSE� <br /> PLUMBINOCONTMCTOq MAILAOORE55 CITY ZIP PHONE LIGENSE� <br /> �— <br /> QASSOF WOi1K <br /> � <br /> - ❑ NEW �DDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVFJFRPL INSERT ❑ BUILDING HELOCATION <br /> ,� 7ENANTMPIqVEMENTORIN7EPqRREMOOELOMLY CONTRCTPERSONANDVHONENO. <br /> ' CONTIIACTPRICEOFIVONYfi o. �..�� �S '-1� 1 S <br /> !�.pESCRIBE YNi1K ANO SOUARE FOOTAOE INVOlVEO <br /> � � -S�'- -TC7 � <br /> ' � praroseousEOFeuaon+a IC�71 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> 'R K APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> � ' �Etu� scq¢ NvtprrOFPROPER]Jf.��/Q�ELOWORATTACNFWRCOPES) PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> � � /�,� ,��] �j� WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> ��ipT���_1_ e�oc�c oF 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 LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> '�_, PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> ,.� OWNER OF THIS PROPERTY TO PEPFORM THE WORK FOR WHICH <br /> '` qPPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> :�;'r: CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. / 0. <br /> � 'ii+� . SIGN�iUflEOFCONTR�IGTONORAUTHORIZEOAGENT OATE //����Y � <br /> , �'�:;� X�'_ - �I ri�;�2._ �/ 9�/�� <br /> � ',a�iMIQIECTl1DOHE6S � : I _(�����—,y <br /> i i �i�� . l1 �__ �Q /�t ` / APPLICANTSGITY6USMESSUCENSENO.MlDBUSINESSNAME <br /> : � ��F 1 lpyL.li H'� v <br /> ���i•� PLUMBINO MECHANICAL <br /> �:, <br /> � f!f:NO, TYPE OF Fl%TURE OH ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> � � • � AI�AIHNDLG UNITS—H.P. —�— <br /> ..l.� WATER CLOSET(TOILET) <br /> � ' '�'hs•' BATHTUB ' ' ' FORCEDAIRSYSTEMS—B.T.U. ME.A. ' <br /> �'.�i^ LAVATORY(WASHBASIN) � UNITHEATERS—B.LU. M � <br /> � . n��%i•�' � �SHOWER � ' ' CLOTHESDRYERS ! <br /> � �'��Si. KITCHEN SINK 8 DISP i VENTILATION FAN i <br /> � i I'- DISHWASHER � RANGE HOOD � <br /> � i �r `.: �LAUNDRY TRAV � � � WATER HEATER � ' <br /> � �. �+�f ' CLOTHES WASHER � WOOD S70VE � <br /> � � � r�' Uq��� � � METAL FIREPG4CE 8 CHIMNEY ' <br /> � i +f a:;'�- DRINKINO FOUNTAW � � FIREPLACE INSERT � <br /> 1 � �(V. FLOOR DMIN � HEAT PUMP ' <br /> I, i �? �" BACKFLOW PREVENTERS ; GAS PIPING � <br /> i ' ;��i' ROOF DRAINS—RAINLEADERS � EXHAUST FAN � <br /> I '`•+'� � SINK(SERVICE—BAR,ETC.) ; � <br /> � <br /> �i � i <br /> .•N., � � <br /> � , i <br /> � � <br /> i � <br /> SUB TOTAL S ; SIIB TOTAL S ' <br /> � PERMIT 5 r PERMIT $ i <br /> � - TOTAL FEE S TOTAL FEE E ' <br /> � ;I FFqN/SEiBACK �RE�pSETBALN SIDESETBACK PWlCHECKNUMBER FEE � NECEIPiNO. <br /> U'� <br /> � usezorie �oi�n� VACANTuITE FEES VALUATION FEE <br /> � � � ❑ YES ❑ NO BUILDING . � <br /> ; '� ryPEOfCONSt.ALLOWABIF TYPEOiCONSI.FLiVA� ��T �aanwxolmin <br /> � <br /> i <br /> �• �a� PLUMBINO i <br /> ' BIZEOFBLDO. NO.OFSTORIES BASEMEN7 MECHANICAL 1 <br /> i <br /> �'"� ' ❑ YES ❑ NO � <br /> � � , OTHER i <br /> ,�OCCUPANCYLOA� FIHESPIiNKlEB5flE0'D NEIGNTlIM1iA71011 <br /> � � ❑ YES ❑ NO STATE BUIL�ING SURCHARGE ' <br /> REASON FOP 5PRINNLENS <br /> STATEENEflGYSUFCHARGE � <br />