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� R CONSTRUCT JN PERMIT �I <br /> APPLICAT10.1 FO <br /> everett <br /> tnc Evergrmn e . <br /> CITV OF <br /> everett <br /> BUILDING DEPARTMENT TO BE COMPLETED IN INK—PLEASE PRINT <br /> 259-8810 ' <br /> DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> OWNER MRILAOp ESS GTY ila PHONE <br /> �r 1 -t.:h, , - ' � -�l�l -. e�t ��2n� ,�,���-�l�//S <br /> IENAN�� /�� ���` �^ � CITY 21P PIIONE <br /> 7 lY �b <br /> AFCHILECTOPDESIGNER MAIIADDRE55 CITY 21P PMONE <br /> H \ I/IRILIO�TRACWR ^ MAILRD{�R[S��fAl� I I 1`ry " ` �`�1 Vllo�l `�1 —l_,CENSE� �,/}^ � <br /> H I \N' \\I 5�ri <br /> � <br /> y [CNANICALCONt GTOR MRIIR�ORE55 ���i� IP �N NE IICENSE <br /> A�H Un�c�l��d���, 1 �I��� ��� - <br /> sy y f'LUMBING CONTRACTOR MAII AD�PESS CITY 21P PHCNE LICENSE/ <br /> ~ �� CLASSOFWORH �/ <br /> K y� � � NEW . � ADDITION ^ALTERATION . REPAIR � DEMOLITION WOODSTOVE/FRPL INSERT �. . BUILDINCa RELOCATION <br /> � y� TENANiIMPfiOVEMENTORIYTERIORREM00EL(1 l�'(�) C01ltACTPER50NANDPNONENO <br /> CONTRACTPRICEOFWORK: �• �1.� <br /> ry�. �� OESCAIBE WOAN RNO"OURRE TRGE YOLVED <br /> � "4 �. �ZI/1'1.�,� <br /> � <br /> � �� PROPOSEDUSEOFDyu.elt+Cin I HEREBY CERTIFY ThIAT I HAVE READ AND E%AMINED THIS <br /> `�� - ��� � APPLICATION AND KNOW THE SAME TO 6E TRUE AND CORRECT.ALL <br /> �"�� C� PROVISIONS OF LAWS AN�ORDINANCES GOVERNING THIS NPE OF <br /> N" nCpp LE�AL�ESCRIPiIONOFPFOPERTVISMOWNBELOWORATfACHiOURLOPIES� ydORK WILL BE COMPLETED WI7H WHE7HER SPECIFIED HEREIN OR <br /> � y� ipr e�ocK oF NOT. THE GRANTING OF A PERMIT DOES �OT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> H y OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> t7 V1 H PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOR12ED BY THE <br /> n d y OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> q APPLICATION IS MADE AND I COMPIY WITH THE STATE <br /> 3, �� CONTRACTORS LAW 18.27 RCW AN�296200 WAC. <br /> C�1 SIGNA REOFCONTRACtOROBAUTHORREDAGENi DATE <br /> H O f�/� � � <br /> rnaecr nooaess � , / r � <br /> V RP ANiSC�TvpUSiN LICENSENO BUSINESSNnME <br /> PLUMBING MECHANICAL <br /> / NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> �� WATER CLOSET(TOILET) NC—NHNDLG UNITS—H.P. <br /> I � BATHTUB FORCED AIR SYSTEMS--B.T.U. M E.A. <br /> � LAVATORY(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> SHOWER CLOTHES DRYERS <br /> �� `� KITCHEN SINK 8 DISP VENTILATION FAN <br /> �' DISHWASHER RANGE HOO� <br /> LAUNDRY TRAY WATER HEATER <br /> '�, � _ CLOTHES WASHER WOOD STOVE <br /> �� URINAL METAL FIREPLACE 8 CHII.INEY <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> f� � BACKFLOW PREVENTERS GAS PIPING <br /> ��! ROOF DRAINS—RAINLEADERS E%11AUST FAN <br /> SINK(SERVICE—BAR,ETC.) <br /> � <br /> �0 � <br /> � � SUB TOTAL 5 SUB TOTAL 5 O � <br /> !I � PERMIT 5 PERMIT 5 S � <br /> TOTAL FEE 5 TOTAL FEE 5 ' S ' <br /> � 'i <br /> FPONT 5[TBACN REAR S[TfiACN SIDE SEtBFCN PIAN CHECK NUMBER FEE RECEIPt NO <br /> use za+e lOT RFER vncnr�r srce FEES VALUATION FEE <br /> . �. VES �. � NO BUILOING <br /> iYPFOiCONSiAlWWl9lE iYPEOfCONSi.ACNQ ttava�a noMmrLLr��cub6 <br /> c�o�v p�UMBING <br /> 511[OF BLDG. NO OF STORIES 13A5[MENL MECHANICAL �� <br /> YES NO <br /> OCCUPANCVLOAO FIRESPFNNlEPSRWD N[iGNTLiMITRTION OTHER <br /> � �. YES � NO STATEBUILDINGSURCHARGE <br /> PEA5011 GOR SPRINNI.ERS <br /> STATEENERGYSUHCHARGE <br /> nPPUCALO��ACCOY PUNSRPPROV[DOY CITYOFEVEflE1T Pl1pLICWOflK$ <br /> LOCAL SALES y r� ;, <br /> TAX CODE IS 3105 T�TA� <br />