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APPLICA'� .ON FOR CONSTRUL iT10R1 PERMIT everett <br />TO BE COMPLETED IN INK—PLEASE PRINT � <br />tl�o Everpreen <br />CITV OF <br />everett HE/1TING SYSTEM: U GAS U ELECTRIC U <br />BUILDING DEPARTMENT <br />259-8810 <br />i.l DEMOLITION I_I COMBINATION <br />owNen Mmin�oness <br />� v�. P� r� N�us ��� ,�«�i4 <br />ARCNIIECiOIiDE51GNER MAILAOOf1E55 <br />i I BUILDING I✓1NECHANICAL f.I PLUMBING ❑ SIGN <br />citt nr P110NE <br />/�(o/ Po��uln� l-�c�' iPz��i <br />cirv zm PIIONE <br />cirr <br />r�+or+e <br />zS � gZaZ <br />GENER�LCON7AACTOf1 M�ILAOOIlE55 CIiV ZIP PIIONE LICENSEt <br />AIEGINNIC4LCONTRACiOR MAILADDPESS CITY 21P PIIONE ULENSE� ,1.�.(— <br />��✓�: � F�Lt�.c�di�✓s !��f'a�� //.37L.� STL•v�u�s iti�,c�9.�zs� ,`3_?yl3vj 3?�S�zs�-�z_ <br />PLUMOINOCONiR�CTOR MAI� DDRE55 CITY ZIP PIIONE UCENSE� <br />I I NEW I I ADDITION I I ALTERATION I I REPAIR <br />eRice oF vronK <br />�� z 5� <br />YORK /.ND SOUARE FOOTAGE INVOIVEU <br />i Qr S � r P� �.t � <br />PIlOPO5E0 USE OF <br />tot <br />C� <br />� vnorenn is��o� �u ee�ow on nr.aa� <br />OLOCN OF <br />Pnaecr nooness <br />/� Z 3 ��n � <br />PLUMBING <br />NO. TVPE OF FD(TURE <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATOflV (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS—RAINLEAC <br />SINK (SERVICE—BAR, ETC <br />FOR OFFICE USE ONLY: <br />FOONTSEIBRCK REM: <br />lOT npEA <br />IYP( Of COIIIS All01YABlE <br />OR ITEM <br />PERMIT $ <br />TOTAI FEE $ <br />VACANT SIIE <br />I I DEMOLITION I I WOOi.dTOVE/FRPL INSERT Cl BUIIDING RELOCATION <br />CONIACIPERSON�NDPHONE1l0. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPIICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETNER SPECIFIED HEfiEIN OR <br />NOT. THE GRANTING UF A PERMIT DCES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR �ANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOC�L LAW REGUTATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />sicr+nruneorcor+tnnctononnun�onizeoncervr DATE <br />/x , ����-- �/ `��� <br />AP L�C�N75CITY SINESSUCENSENO.�NDBUSINESSNAME <br />MECMANICAL <br />FEE NO. TYPE OF EOUIPMENT FEE <br />� A/C—A/HNDLG UNITS—H.P. � <br />; FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br />� UNIT HEATERS—B.T.U. M � <br />� CLOTHESORYERS � <br />; VENTILATION FAN ; <br />� RANGEHOOD � <br />; WATER HEATER ' <br />i WOOD STOVE � <br />� METAL FIREP4ACE 8 CHIIdNEY � <br />; FIREPLACE INSERT i <br />~— HEAT PUMP � <br />; GAS P�PING ; <br />�— EXHAUST FAN � <br />aarurcr I xo a mrrw�r unns <br />cnam <br />S�ZE OF BLDG. I �� OF STO(11E5 I OASEMEµ� <br />OCCUVANCYLOAD FIRESPRNNLEf1511@OD HGGHTIIAlI1�710N <br />f1E�50N FOR SPiiWNLERS <br />INI�N@ BV PU11lS ArpqOVED�Y CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS 3105 <br />PLAN LHECK NUMOER <br />BUILDING <br />PLUMDING <br />MECH�NICAL <br />ADDITIONAL PLAN CIIECN <br />OTI{Eli <br />STATE OUILDING SUfiCII�RGG <br />rueuc wonKs <br />TOTAL <br />FEE <br />PEFiM1T <br />TOTAL FEE <br />