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f <br /> APPLICATI(..� FOR �CONSTRUCT.JN PERMIT <br /> everett <br /> .hoE�a.e.�� e <br /> CITV OF <br /> ��� everett <br /> y BUILDING DEPARTMENT <br /> � H ' 259-8810 TO BE COMPLETED IN INK—PLEA E PRINT <br /> .�., y y I] DEMOLITION Cl COMBINATION I I BUILDING 'I ECHANICAL I 1 PLUMBING ❑ SIGN <br /> y� � OWNEO AIAILADDftE55 CItY 21P PIWNE <br /> Qo �1'�a o 0 2°►�o P�+ma;�tQ.� g( vd �uen��- q`�2o3 3u�.2.31`I <br /> p T N4N7 M�ILPDDi1E55 CIiY ZIP P110NF <br /> '�tl H� <br /> �Z� MCII�IECTOR�ESIGNER MRILP�DRESS CITV 21P PHONE <br /> F] rJ GENER4LCONiMCiOR MAR�DOqE55 GIIY ZIP PNONE UCENSEI <br /> O H <br /> f] <br /> � M[CI�ANICALCONIROCiOIi MAI�AODRE55 LIfY, ZiP PIIONE LICENS � <br /> �H� �um I..o K I Iq 15 . � 24 R� Nti W�r�.kland q$a3H 82l •N5y SUNLowSl4b7�) <br /> y PLUMOINOCONiN�C70R MRILpDDNE55 CILV ZiP PNONE LICENS • <br /> r ai y <br /> cuss oF wonK <br /> ��y I 1 NEW I_I ADDITION �XALTERATION I I REPAIfi I l DEMOLITION I l WOODSTOVE�FRPLINSERT CI BWL�ING RELOCATION <br /> � r TENANi IMPROVEMENT 0�IMERIOfI FEMODEL ONLY CONiRCi P[PSOI!�ND 1'HONE NO. <br /> [�J CONTRnCi Pf110E 0i WOfiK: � • O� <br /> yOy OESCGIB[WORK�NOSWROE�OOIDGEINVOLVEO <br /> �'�� h`"�,ria,c°. � — <br /> PROI'OSEDUSEOfBUi DINO I IIEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> �� � �PPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> IEGRL0E5CRIPiIONIFPR -ITV�SY, ettowonn cnFouncoriEs� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> WOFK WILL BE COMPLETED WITH WHETHEfi SPECIFIED HEFEIN OR <br /> �ot e�ocK_ or NOT. THE GRANTING OF A PERMIT OOES NOT FRESUME TO GIVE <br /> AUTHORIiV TO V�OLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR THE <br /> — — PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORRED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPL�CAiION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> SIGNRNREOFCONLMCTORORAUi110RIZED�GENT D,1TE <br /> (�.i.c� O Z-0 3—I�-+ . (� _,,,y� � f� nI�yy-y� <br /> rnaecr�ooness X SL(�W k Y! 1C • �"M.� + � �'�"`� ' • � <br /> �Aiv�nA /�/� ��� pPPLIC4Ni5GI1Y0U5iNE5SUCENSENOANO8U51NE55NRME <br /> '�' W 11 Yf.� WlJ <br /> PLUMBINO MECHANICAL <br /> ' � NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> � WATER CLOSET(TOILET) NC—AIHNDLG UNITS—H.P. __ <br /> '�1 _ BATHTUB � _ FORCEDAIRSYSTEMS—B.T.U. M E.A. ; <br /> LAVATORY(WASH Bl�SIN) � UNIT HEATERS—B.T.U. M i <br /> 1 ' SIiOWER _ ' _ CLOTHES DHVERS ' <br /> KITCHEN SINK 8 DISP VENTILATION FAN � <br /> '�1 DISHWASHER _ 1 _ RANGEHOOD � <br /> LAUNDRYTFAY � WATEI3HEATER ' <br /> 1 ' CLOTHES WASHER —� WOODSTOVE � <br /> UHINAL ' METAI FIFEPLACE 8 CHIMNEY ' <br /> � DRINKING FOUNTAIN i FIREPLACE INSERT i <br /> �1 FLOOR DR�IN HEAT PUMP ' <br /> I� BACKFLOVJ PREVENTERS � GAS PIPING � <br /> FOOF DRAINS—RAINLEADERS <br /> � E%HAUST FAN --� <br /> ' ' SINK(SERVICE—BAR,ETC.) � � — <br /> ' ' �— : <br /> � <br /> � <br /> i <br /> — �__ T <br /> i i SUO TOTAL $ i SUB TOTAL g 'C�U <br /> � PERMIT $ � PERMIT $ � �_ _ <br /> � TOTAL FEE $ TCTAL FEE $ 'D <br /> FPONi5ET0ACN REARSET�ACN Si0E5E1BACN PLANCHEGNNUMOEfl fEE PEGEIPTNO. <br /> usexor+e IOTPREA VAC�NTSIiE FEES VA!UATION FEE " <br /> I I VES I�l NO pu��c�N, � <br /> � <br /> IYVCOfCON51.�llOWPBIE TYI`EOFG@�S1.�CiUnl rccurarmr xaavntuiucm.ns � <br /> fP0°� — PLUMCING � <br /> i <br /> SIZEOfBLDO. NO.OFSIDNES D�SEIAENT MECHANICAL � <br /> I I VES I I NO -- � <br /> � <br /> OCqIPANCYLOAO FIIlESPRNKLEPSREOD NEIGIRLIMIT�TION OTHER � <br /> I <br /> I� ��ES (.I NO STNE DUILDING SUf7CH�RGE � <br /> r <br /> IIEnSONiORSi'RINkLERS � —_i— <br /> STATEENERGVSURCHARGE � <br /> i <br /> errucenor�ncc or PUNSAPPROVEOBY CITY OF EVERETT ruoucwonKs ; <br /> LOCAL SALES �— <br /> TAX CODEIS 31U5 �oTA� _ <br />