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r <br /> � , <br /> APPLICATION FOR CONSTRUCTIt�N PERMIT <br /> everett <br /> Ihe Evcrgrren � <br /> ,.. � � GTVOF <br /> w � everett <br /> i3 BUILDING DEPARTMENT <br /> C H 259-8810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> � H rn DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> �~-7 �� cirv zia P�ior�e <br /> OWNER MAILAJDRESS <br /> FvF��tT Sc.�foaL l.tisT '� �f"]3o �— C"�ez�fl' `t8zo3 33`�'`{z�-� <br /> �y O TENPNi h1AiLADOPE55 CITY ZiP PNONE <br /> �tl v�+,�tl M�aso�J 6�t`t�Y (01� f�cx ��z E�Iz�[T t �t8Zb3 <br /> y ARLNRECTOROESIGNER MAILAODRE GITY 21P PMONE <br /> o�d Fi�,c,e��u4 i�-r�c-7-s zqrr a� sr, Evev�rr , aezo / Z.s�3-��t� l <br /> GENERALCO T�A�TOP MARADDRESS CITY 21P PNONE LIGENSE� <br /> 'H° �,g mw�se�. <br /> L�� (7 M[CNRNICALGONiFAGTOR MAIL0.pDRE5S GITY 21P PNONE LiLENSE� <br /> � y� PWMBINGCONTPACiOH MnRADDRESS CITY ZIP PNONE LICENSEM <br /> T <br /> HH <br /> y anssoFwoRK <br /> ��y NEW . . ADDITION �. � ALTERATION REPAIR . DEMOLITION WOODSTOVEIFRPL INSERT �( BUILDING RELOCATION <br /> � 1ENNNTiMPPOVEMENTORINT�ORREMOOELONLY CONLqCTCPER50NANDP110NEN0 ���^��� 1 <br /> y �� OESCA BETWORNERND SOVAPE FOOTAGE�HV�OIV[D �` G �QASS / <br /> PPOPOSEOUSEO�OINGo oKT'iBLG G� I HEREBY CERTIFV THAT I HAVE FiEAD AND E%AMINED THIS <br /> . 5��� APPLICATION AND KNOW THE SAME TO BE TRUE AND COR�iECT.ALL <br /> LEGAL�ESCRIPiIONOFPROPERiV�SMOWNOELOWOFATTRCNFOURCOPIES� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTF:ISTVPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �or etocK oF 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 FiEGULATING CONSTRUCTION OH THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED OY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AN� I COMPLV WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW ANO 296200 WAC. <br /> SiuNAtUB[OF�ONTii�Ci OHAUTMORR[�4GENT OAi[ <br /> � PAQ/[CTPDOfiESS APp�i�ANTSCIiV USINESSL_�AN� 'NRtdE <br /> �—� �t � P �vEx� <br /> 1 ' PLUMBING MECHANICAL <br /> � NO. TVPE OF FI%TURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATEF CLOSET�TOILET) !vC—A�HNDLG UNITS—H.P. <br /> ' ' BATHTUB FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> 1_' LAVATORY(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> SHOWEP / / CLOTHESDRYERS <br /> '�1 KITCHEN SINK 8 DISP VENTILATION FAN <br /> OISHWASHER RANGE HOOD <br /> 1 ' LAUNDRY TRAY WATER HEATER <br /> � CLOTHES WASHER WOOD STOVE <br /> '=' URINAL METAL FIREPLACE 8 CHIMNEI'� _ <br /> DRINKING FOUNTAIN FIREPLACE INSERT j <br /> 1 ' FLOOR DRAIN HEAY PUMP � <br /> BACKFLOW PRE ENTEFiS GAS PIPING <br /> �' _ ROOF DRAIN RAINLEADERS � EXHAUST FAN <br /> SINK(SER fCE—BAR.ETC.) � � � <br /> ' i i <br /> i <br /> �' / <br /> SUbTOTAL S SUBTOTAL 5 <br /> � <br /> 1 PERMIT 5 PERMIT S <br /> TOTALFEE 5 TOTALFEE 5 <br /> PLAN CHECN NOA1pER FEE� RECEIPT NO. <br /> FPONiSEiBRCN REARSETOACN � SIDESET� � ,�G .� Y C�t-G��� <br /> � ZS <br /> usaou LOTPR[A VRCRNTSITE / FEES VALUATION FEE <br /> �� '. ��, YES /rvu BUILDING s Oy7 - 7c� ' D � <br /> i "C Of COIISi.PLIOWABIE TVPE Of CONSt.ACipAL �uMnn xo or pr.[uirFu•::�; <br /> 49pp° PLUMBING ' <br /> �- /`� E- z , <br /> SR[OP BL�G. NO OP STORIES BASEM[NT MECHANICPL p <br /> C�u � I �. YES �NO � I��O;Uv <br /> OCCLIPANCYLOAp FIRESPPNNlER5RE0'D HEIGHTLIMpIiA�TiN OiHER �y� (�,� I� ' <br /> 3 �, . ! YES 4�N0 Z�/ STNEBl11LDINGSURCHARGE _� Y �� <br /> PEASONFORSPflINNLERS � <br /> STATEENERGYSUflCHARGE <br /> pPPIICAT10NA'�:C.BY PLANSAPPROVE��BY CITYOFEVERETT PUBLICWORN$ � <br /> LOCAL SALES �--}�6 <br /> —� '--^-' TAX CODE IS 31U5 TOTA� <br /> 1.-'��U <br />