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\ <br /> i <br /> APPLICATEG.�1 FOR CONSTRUCT .JN PERMIT everett <br /> innEve�pioen TO BE COMPLETED IN INK—PLEASE PAINT � <br /> CITV OF ' <br /> � �" � everett HEATING SYSTEM: ,�GAS ❑ELECTRIC ❑ <br /> p � x BUILDING DEPARTMENT , <br /> y 259-8810 <br /> r �� � DEMOUTION 1�,COMBINATION �,BUILDING ❑MECHANICAL iJ PLUMBING � C7 �IGN <br /> OWNRu��'r-K Tau�uSD�ESS �. �lbZo n `�.�.� ��V 21P `;d/..[JV'nKONE /i�.�/ / ��� ��Y� <br /> 0 �Q iENANT �ILAOURE55 GIN 2iF� ('MO E <br /> � CA H <br /> � ,� � APLMTECTOH�ES�ER E AIAI�nIr�. /1 I rC' 1 LXnI� ��/// PMONE���^I /�7 <br /> � n'1� rY'd. <br /> y D131- , �.,1-. <br /> � �g �E��,ru��f�J ..�A,C/`/.,R-55 CITV � ZIP PNONE T�U�EISI��TI <br /> I <br /> ny n MELHANICALCONTRAGTOR MAILADORE55 CITY 2iP PNONE LICENSE� <br /> a F3� v�UUBiNGGONTRACTOP M4ilA00RE55 CITY ZIP PNONE 110ENSE• <br /> r� z <br /> �.yHH <br /> Yy C SOFWOPK <br /> O C y . NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOUTIG�d ❑ WOODSTOVFJFRPL INSERT ❑ BUILDING RELOCATION <br /> �� r[�J �ONTACT PERSON AND PHONE N0. /� <br /> y(� COHTRACTPRICEOFWORN � � C � Cd .��/�a`� Y <br /> H O V� /�r��1EW\�f7 �D�RE�G;INVqLVC.L�1C � �I ..dK_ �., _�.V�7 G/� / <br /> � - - �L�i 3S3-y � <br /> L � <br /> PROPOSEDWEOFBWl01 • I HEREBV CERTIFY THAT � HAVE READ AND EXAMINED THIS <br /> 7 • � . f? n J APPIICATION AND KNOW TI1E SAME TO BE TRUE AND CORRECT.ALL <br /> iecn�oe RIPT NOf PROPEFtt�SNO NBELOW OR necN FountoPiesl .. PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS NPE OF <br /> � � WORK WILL BE COMPLETED WITH 1VHETHER SPECIFIED HEREIN OR <br /> �oT e�ocK oc 4 4 V � 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 CONSTFUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZEO BY THE <br /> �j__ , �i �/%G� � � OWNER OF THIS PROPERTY TO PERFORM THE\VORK FOR WHICH <br /> � � � APPLICATION IS MADE AND I COMPLY WITH THE STAT"c <br /> CONTRACTOqS LAY!1827 RCW AND 296200 WAC. <br /> SiGNATU,PEOFCONiRACT�7�RORAtR{qN12E0AGENT pATE <br /> 1 / <br /> :-- _SSDa- �arkV�e�� �r - ,�'l `�:,�z.�..� <br /> '�' �ROJELTADDRE55� ��������' <br /> - � � LICANTSCIiYBU51M1E55LiCEH5EN0.u�DflUSIric55NaME <br /> PLUMBING MECHANICAL <br /> '�f NO. TYPE OF FI%TURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> ��' WATER CLOSET(TOILET) / NC—A/HNDLG UNITS—H.P. <br /> BATHTUB FORCEDAiFSYSTEAIS—B.T.U. h1 E.A. <br /> 1 ' _ LAVATORY(WASH BASIN�� r� UNIT HEATERS--B.T.U. A1 <br /> � SHOWER CLOTHES DRYERS <br /> f�' / KITCHEN SINK 8 DISP � ; �j VENTILATION FAN <br /> _L DISHWASHEF �� RANGE HOOD <br /> 1_' �LAUNDRYTRAY ; WATERHEATEfl <br /> CLOTHES\VASHER � WOOD STOVE <br /> '� URINAL / METAI FIREPLACE 8 CHIMNEY <br /> � DRINKING FOUNTAIN � FIREPLACE INSERT <br /> rFLOOR ORAIN � HEAT PUh1P <br /> � BACKFLOW PREVENTERS ; t( GAS PIPING <br /> � ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> 't SINK(SERVICE—BAR,ETC.) SI � " �fl � � <br /> � <br /> � � <br /> 'e' SUB TOTAL 5 � SUB TOTAL S �- <br /> PERMIT 5 PERMIT 5 <br /> TOTALFEE 5 TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> fRONTSETB�CN PEMSETOACK_t:j SI�ESE78l�CK PWILNECKNUMBER FEE RECEIPTNO. <br /> . 2�� o' Fli�•� �•i rC 5 " 7 �!/ `� �� ` /c� 6�J' <br /> useza+E LOTARE� _ VACANTSITE FEES VALUATION FEE <br /> �Z - z_ � ��S Yac S DUILDING �(7 -1 ��/ i -. <br /> iVVE0KGN75.FllOWA6lE iYPEOiCONSi.ACiUA Oca/ucr wqVaRuti4uxrts � <br /> 4AW� � <br /> ^�� _� / 3 � PLUh101NG � <br /> V <br /> S4EOFBLDG. NROFSTONiES B�SEMENT IAECNANICAL 9� � <br /> IS(jl }f t I, <br /> t • 'An 2 � <br /> OCCUPANCYLOAD FIPESPRNNLERSREO'D HEIGNT7LIMIT�TION ADDITIONALPLANCHECK � <br /> � NO L- b OTHEF <br /> AE�50� FORSpRiNKLERS <br /> STATE BUILDING SURLMAqGE ��' <br /> irvtAREOY PlAHSAPPROVEDBY CITY Of EVERETT PUOLIC WORKS <br /> LOCAL SALES � ; � <br /> ..JI'� ,�j/21 .�y TA:(CODEIS3105 Torn� 7�, ; <br />