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,. a �+-, <br /> APPLICATI�.N FOR CONSTRUCI �ON PERMIT `� ' , <br /> everett <br /> the E�rergreen � <br /> CITY OF <br /> everett <br /> BU�LDING DEPARTMENT � <br /> 259-8810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> DEMOLITION COMBINATION �BUILDING MECHANICAL PLUMBING SIGN I <br /> � CITV ZIP PMONE � <br /> ORNEfi� MAiLA0DRE55 ,/ �� <br /> � �51�Bl����' 7�i�illn�r /5'/S fi,�ilN/'� fJi/�� f l��''L�/T ��f/f� Sy<'cl/ �1Jri-Gd J—�� <br /> 1[��ANT MA��ApDRE55 GTv Z�P PNONE <br /> ARCNITECtONDE5IGNER 6�ALLAODRE55 GITY 21P PNONE I <br /> GENENRLGONTRPGTOP MPiLA�DRE55 QTY Z�P PNONE I�CENSEt <br /> ��� <br /> �y MECHRNICAL CONTPRCTOR MAIL ADDRESS CITY IiP PHONE UCENSE• <br /> `o H ���l l '��i�� <br /> aH](/J PWM�MGCONTRACTOR MARRD�RE55 CIiV 21P PbONC UCENSE <br /> N �T. <br /> H H c�nssoFwenK � � I <br /> K y�,�y NEW . � ADDITION � � ALTERATION REPAIR OEMOLITION ."WOO�STOVEIFRPL INSERT � BUILDING RELOCATION <br /> � H� iGNANTIMPROVEMENiONINTEPiORREAlO�ELONLY LONtACiPER50NRNDPHONENO <br /> cnH .� � f ��i110�t� <br /> LONTRRGt FRILE OF WORK: � <br /> � 'j�'� DF�SCRIBE WOR �NDSOUFRE TAGE����OWE� <br /> �� s9-G�'S <br /> O 1-i PFOPOSEDUSEOFOVil01NG I NEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> H �g c�-- ? APPUCATION AND KNOW THE SAME TO BE TRUE AND CORFECT.ALL <br /> �` n �ecn�oSCRIPtIONOFPPOPERiY15MOWN0ELOWORPTTPLNFOURCOPIES) PROVISIONSOFLAWSANDORDINANCESGOVEFiNINGTHISTVPEOF <br /> x H C. WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> � y� 1O1 oiaK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUTAE TO GIVE <br /> x AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> H H OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> � y H PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED OV THE <br /> n d y OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> ❑ �,^� APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> 3 L�1 CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> a <br /> .� yy SiGNA1pR[OFCONiRACTOiiORPUiH0Ai2EDAGENT OATE <br /> HOV� <br /> � � � ��� <br /> X � r�'i�f",'_�_, <br /> r.,. , . <br /> PROJECTAD�FESS , <br /> / ppp�lrq� �IiYBI15R1E55UCEN5EN0. DB�SINESSNAME <br /> PLUMBING MECHANICAL <br /> � NO. TYPE OF FIXI'URE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> A�C—A�HNDLG UNITS—H.P. <br /> � � WATER CLOSET(TOILET) FORCED AIR SVSTEMS—B.T.U. M E.A. <br /> �I BATHTUB UNIT HEATERS—B.T.U. M � <br /> LAVATORY(WASH BASIN) �-- <br /> SHOWER CLOTHES DRVERS <br /> '� �' KITCHEN SINK 8 DISP VENTILATION FAN <br /> ! ! DISHWASHER RANGE HOOD <br /> LAUNORV TRAY WATER HEATER <br /> '.�. � � CLOTHES WASHER WOOD STOVE <br /> �� URINAL _ METAI FIREPLACE 8 CHIMNEY <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> �1 i BACKFLOW PREVENTERS GAS PIPING <br /> ' ROOF DRAINS—RAINLEADERS E%HAUST FAN <br /> SINK(SERVICE—BAR,ETC.) <br /> �'—� <br /> T <br /> �� PERMOTAL S _�_ PERMOTAL S <br /> TOTALFEE S TOTALFEE 5 <br /> FRONTSET�4CK �EARSET6ACN SIDESETOACK PUNCHEGKNNdBEq iEE RECEiPiMO <br /> �' USEZONE IOT�RER VACANTSIiE FEES VALUATION FEE <br /> . YES �. NO BUIL�ING <br /> tVPEOiCONS1ALL01YABlE IYPEO�LCNStAL1UR Ou�rer¢r xaorpqp�ir����.,is _ <br /> 4P0u° PLUM�ING <br /> 512[OFBIDG NOOFSTORIES BASFM[NL MECNANICAL �=,j /� <br /> VES NO <br /> OGCUPANCYIO�D FIRESPRNKIERSREO'D NEH'iMTUMITi �LIOIJ OTHEfl i <br /> YES � � NO STATEOUILOINGSURCMAPGE ' <br /> � <br /> n[ASON FOR SPRiNnLERS <br /> STATE ENERGY SURCIIARGE <br /> nvrucniioNncc nv n�m+snrr�novcnov CITY OF EVERE7T PUDLIC WOfiKS <br /> LOCALSALES <br /> TAR COUE IS 3105 rota� <br />