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APPLICd�'ION FOR COMSTR4..:TION <br /> PERMIT <br /> fM Ewryrosn evPrelt <br /> CITV OF � <br /> � everett <br /> BUILDING DEPARTMENT <br /> 259•88t0 TO BE COMPLETED IN INK— PLEA5E PRINT <br /> OWNER JI� MMLnUU�ILtiti UIY !�I' 1`IIUM�. <br /> � ' ' �� 4 �1 �c� 1 l . 1 :�' �: � ( � �z � i �l r1�'i ���( � I.c +l ��f^�v1C�l <br /> TENIUIT MPRAOORESS �—�—_—���IV Zi� � PNONE ��� �/��� <br /> �;Ir�t" <br /> ARCHITEGTOpOESIGNER M�I1�001iE55 l:iiv 21P PHONE <br /> A�II�Lll3(=L- llO/'l_ <br /> GENERILCONTR�GiOH MAILADDRE55 CIIY ZIP VNONE � IIGENSE• <br /> pp��9� EG:IPM1I�I�T CA. Itl�. /C'�9_�_ <br /> MECH�NIC�LCONTRACTOR 1625 E. MeiPne�Pe�t�D�. """ _�� N��ONE LICENSE• <br /> O1 <br /> PLUM&N6GONTR�CiOR " i �[55 CI�Y lIP PIIONE LiGENSE• <br /> 258' <br /> � <br /> --- — _._.._... — <br /> ------- ------ <br /> CU19S OF WOPI( <br /> � ❑ NEW ❑ ADDITION � AITER�TION ❑ PEPAIR _❑ UEMOIJiION ❑ �YOOUSIOVC/fliPL INSCfif ❑_OUILDING f1ECOC�IION <br /> i TEH�NTIMPROVEMENi0111NtERIORREMODELONLV CONI�CIPffISUNANU191UNfNU 1 <br /> GONTfUCTPRICEOFWORK� �'��•� •�Cl� —_I � ��) '��Y� '\I� 'J <br /> L <br /> i OESGRIBEWORKAND90U�REi00T�GEINVOlVEO <br /> . „:. .� ��,., <br /> nn�� ���r��� l�-` ''� ���<< < <-� - - --_-< , ,�_t—J — <br /> �� prro ED,V4EOf8UIL ina iJ`V� � -_I ���..I • IHEREBVCERTIFY?HATIH�VEREADANDEXAMINEDTHISAPPIICATIONAN� <br /> ! � KNOW THE SAME 70 BE TAUE AND CORRECT.ALL PROVISIONS OF LAWS AND <br /> i ��E J I�-=���C C. ORDINANCES GOVEFNINu iHIS TYPE OF WORK WILL BE COMPLETED WI7H <br /> � LE(MLDESGNiPTIONO�PROPERIY�511pWNBELOWORATTAGHfOUfIGOPiE51 WHETHERSPECIFIEOHEREINORNOT.THEGRANTINGOFAPERMITDOESNOT <br /> + PRESUME 10 GIVE AU7HORIN i0 VIOLAiE OR CANCEI TME PROVISIONS OF <br /> � �or BIOCN or -- — pNYOiHERS1NEORLOCALLAWREGULATINGCONSTRUCTIONURTHEPER• <br /> FORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV 1HE OWNER OF <br /> iHIS PROPERIY i0 PERPORM iHE WORK FOR WHICH APPLICATION IS MADE <br /> AND 1 COMPLY WI1H TIIE STATE CONTRACTORS LAW 18.21 RCW AND <br /> 296200 WAC. <br /> sianmm�eorcomm�cwnnnnunwmzeoncer+r oere <br /> X ��-�;`,-.�I� ti � JII��(Ii <br /> P110JECT�DURE35 qPpUCAMSCIIYBU M[SSIiCENSENO.�NOBU51NE55N�ME <br /> 3o Z � c'- �- Ti� <br /> PLUMe1N0 MECHANICAL <br /> NO, TYPEOFFIXTUAEORITEM FEE NO. IYPEOFEOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C-A/HNDLG UNITS-H.P. <br /> BATHTUB �1 FORCED AIR SYSTEMS-B.T.U.`.-'C`M�E � ? <br /> LAVATORV(WASH BASIN) — � ---. — <br /> UNIT HEAtERS-B.T.U. M <br /> BHOWER CLOTHESDRYERS _ _ _ <br /> KITCHENSINK6DISP. VENiILATION_FAN __ _ _ <br /> ; DIS'IWASHER FANC�EHOOD <br /> LAUNDRY TRAY WAiER HEAIER <br /> �� CLOTHES WASHER � WOOD STOVE _ <br /> � _ __ _ _— <br /> 5 URINAI METAL FIREPLACE 8 C��IMNEY <br /> DRINKIN6 FOUNTAIN FIPEPLACE INSERT _ _____ <br /> —._ ___- -___.___.. <br /> �� FLOOR DRAIN HEAT PUMP .__ __.________ _ <br /> - '.__ .___ ___ _._.. <br /> BACKFLOW PREVENiERS � GAS PIPING _� , q�� c �.)_______ _ <br /> —_ . ._ _ ____ ....__. . <br /> i RGOF�RAINS-RAINlEAOERS E%HdUSTFAN <br /> ___ . ._.____-- __ <br /> � _ _ .__- ___--___ _ <br /> � SINK(SERVICE-BAF,ETC) ._. _..._. — — <br /> SUB TOTAL S - --- _ --�—����—_ SUB TOTAI____ E � _ <br /> — __. __ _.__ _ ____ ._ . . -� - <br /> PERMIT S PERt.11T S � <br /> —._. —_ .__ _-___ _.___- -. __ - .._ .___-____._-- _ <br /> TOTAL FEE E TOIAL FEE 5 .�.� <br /> iRONTSETBACK (1E4RSEIPPCK SIpFSE�P�f,N PIANCHECNNUMBEfI fEE PECEIPTNO. <br /> usczowE iotnn[e ����+�s��F FEES VALUATION FEE <br /> 11 YFA �1 YO <br /> I _ BUILDING <br /> TYPEOFCONST. OGGIIP�NGYGIIOIIP NUUfON[LI.IN6UNII5 ---�-------- --- --- <br /> •LlOW�OLE/�CIU�I PLUM�ING <br /> 512EOFBlOG NOOfStON[S OSMI. OCCI.OAD <br /> ' __ .._ " ____ _ _ _ ___ __ ___. ___ <br /> — ______ <br /> ��r MECII�NICAL �- <br /> -- - ----- ---30 — <br /> ______,n N --- OTHER .. <br /> — ❑[�(ill�LIMIIn110N <br /> RNE SPRINRlEf1511E0U18Ep ❑YES ❑NO _ $IATE BUILOING SURCHARCE <br /> STAIE ENERC�Y SURG��MGE <br /> �PPLIC���ON�CCOY PIANS�PPRO'! — � / <br /> rueucwor�Ks <br /> rora� 3u <br />