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APPLICATIt�N FOR CONSTRUCI ��ON PERMIT <br /> Ihc EreigrCen everett <br /> y � ��T�oF e <br /> � everett <br /> '3 SUILDING DEPARTMENT <br /> q H 259•8810 TO BE COMPLE i ED IN INK—PLEASE PkINT <br /> � �� I � DEMOLITION ! COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> OIVNER MAIL�pORE55 GLY ZN PHON[ <br /> �H� 1 6C� "IZ�i- F�� I ^7 Iq- i�i N� rJ��_Cr �L�Zo� Z'�Z �8.�¢. <br /> � H� iENANT MAILAD�PE55 CilV ZIP PHONE <br /> y <br /> y � ARCHITECTOPDESIGNER I.IAILADORE55 CITV 21P PHONE <br /> o�i � <br /> Q �..� � GENERALCONTRACTOR MAIIADORE55 '/ CIiV ZIP PHONE LICENSE� <br /> N �g /��N�n� C�t�`-,—. ZCo �'� V , ec,i,J�r-a EtlE.zBr `T�2r�� �45 ��CnCo� <br /> H� C� MECHRNICFICONiRACTOR MAILpODRE55 C IiP PNONE LIGENSE/ <br /> � y� TJ�I ��r}-1C�� 123}� <br /> PWMBINGCONTRAGTOR M1IAILAODPESS dTY ZiP PHONE IICENSE� <br /> gHy o�/,.��,� <br /> � <br /> �,y LLASSOF\VOFK <br /> � �7 V� . . NEW . �: ADDITION �ALTERATION . REPAIR ._. DEMOLITION . �. WOODSTOVBFRPL INSE T i-�� BUILDING RELOCATION <br /> �Ll�yy TENANT IMPPOVEMENT OF INTERtOR REMOOELONl4 CON7�T�G,T,PER�SON PNO P E NO ''') <br /> y F]fA CONTRACi PRICEOF WORN: ��.- ) � �,/I\'V�— ��SE ��L"-.� �SS <br /> � DESCRI9E WORK AND SOU�RE FOO7AG-INVOLVED <br /> - I 9� � ,.�A _ ,� <br /> PROPOSEDUSEOFBUIIDING �c.-..J I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIC <br /> � - S f J2 ' APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> LEGALOESCRIPTIONOFPqOPERiVI5110WNBCLOLYORATTPCHFOURCOP1E51 PROVISIONSOFLAWSANDORDINANCESGOVERNING7HISNPEOF <br /> WORK WILL BE COMPLETED WITH WHETIiER SPECIFIED HEREIN OR <br /> �or��_ oiocrc _� or _ NOT. 7HE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITI' TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> (L.��(L, —�7-p OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> � PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> �'�- _ __- OWNER OF THIS PROPE(iTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MA�E AND I COMPLY WITH THE STATE <br /> CONTRi1CTOR5 LAW 18.27 RCW AND 296.200 WAC. <br /> SIGNATJREOPCONTRACTOHOFAIIiNORi2EDAGENT OATE <br /> X �////� <br /> PRQIEGTA�-O�RJE55 � lXi if-{—_ <br /> ' 1 I 1 I ) .�. •�PP�ICINiSCiTVBUSME55LiCENENORNDBUSiNES5NR1,lE <br /> 1 ' PLUMBING MECHANICAL <br /> � NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> '�• WATER CLOSET(TOILET) S'� N�lvHNDLG UNITS—H.P. <br /> � BATHTUB ,�; FORCEDAIRSVSTEMS—B.T.U. M E.A. <br /> ' ' LAVATORY(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> � SHOWER CLOTHESDRYERS <br /> 1 KITCHEN SINK 8 OISP VENTILl�TION FAN <br /> DISHWASHER RANGE HOOD <br /> ' LAUNDRY TRAY ; \NATER HEATER <br /> CLOTHES WASHER WOODSTOVE <br /> '�' URINAL _ METAL FIREPLACE 8 CHIMNEY <br /> ' DRINKING FOUNTAIN FIREPLACE INSERT <br /> ' FLOOF DRAIN HEAT PUMP <br /> � <br /> BACKFLOW PREVENTERS GAS PIPIN� <br /> '�' ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> �_� SINK(SEFVICE—BAR,ETC.) <br /> 1 � <br /> ISUB TOTAL S r; — SUB TOTAL 5 <br /> __ PERMIT S PERh11T S <br /> TOTAL FEE 5 ,�5'; — TOTAL FEE S <br /> FRONTSEIDACN qEAB5ET0ACK SiDES[TOACB PLANCHECNNIII.�BER PEE RECEIPTNO. <br /> usezosE IOTARE� vncnNrsire FEES VALUATION FEE <br /> �,.� VES . � NO BUiLUiNG n <br /> ttPE Of LONSI AIlOWABLE iYFE Of CONSL ACiURL o[c�v�ncv i,u m onu�'�xc uvu5 �f � <br /> s5ouv p�UMBING J-�� � <br /> SREOFBLDG. NOAFSTORIES OASGAENT AIECHANICAL <br /> i VES � NO <br /> OGCUPANCYLOA� FIRESPRNNLENSREO'D HEIGHTLiAIITAiION OThIER <br /> '��. YES : NO STATE BUILDING SURCHqRGE <br /> RERSONFORSPRINNLEFS � j� <br /> STATEENERGVSURCHARGE <br /> �PPLICATIONACC BY PLANSRPP�BY CITY OF EVERETT PUBUC WORK$ <br /> LOCALSALES <br /> TAX CODE IS 3105 roTa� J � ' T!i <br />