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APPLICATIO.� FOR CONSTRUCT► )N PERMIT �"e�P�c <br /> theEveigrenn TO BE COMPLETED IN INK—PLEASE PRINT � <br /> CITY OF <br /> everett HEATING SYSTEM: `��GAS I,J ELECTRIC IJ <br /> BUILDING DEPARTMENT I ' ` � <br /> 259•8810 � <br /> I I DEMOUTION i � COMBINATION BUILDING �MECHANICAL I i PLUMBING I I SIGN <br /> W��."{�h t�• .1��-�.ry°L��L� _ `��f� ��Tv ��1���� , _z,l�- ����E3- ��� '�— <br /> 7 pNT,� Alnll �UDRBSS CIIY LN PIIONE <br /> ���, <br /> ARCIIIiECTOflOESIGNBR IdnII.ADDRG55 �ITV 211' PIIONE <br /> `�6 N B CO TRACTOR AIAI ADDC SS J C v 211' / 1'l10 F t _ .�LICE ' � <br /> S�Y� /\!�1--. ,— /) - ��I.��l��_ ��<<'� , „l'�C� t—l-�( c�)� � � — � <br /> MECIUNICALCONTRA R�� 1 C�7Y � _ I '� PIIONE IICENSEJ <br /> _ ��-111.�- ����,1�_�-�1_ _ r_ - �=�-��� <br /> PWMAINGCONIRRCTON MAII r1DORB55 CIIY 21P PIION@ IICENSEI <br /> CLASS OF WORK <br /> ; I NEW I I ADDITION�AL�ERATION � � REPAIR i I DEMOLITION : � WOOUSTOVE/FRPL INSERT I i BUILDING RELOCATION <br /> !� �,`/ CONTACT PtO50N ANO VIIONE NO <br /> CONTR�CT PRICE OF WORK ( ' , )�/1 ' �'� <br /> D[SLRI6E� .RK�OS�U-RE �TAf+[1%VOIVE� � C� _ I I� � �� <br /> l. 1 W � <br /> PPOPOSEDUSEOFBUILOINfi � �/ � I HEREBY CERTlFY THAT I HAVE READ AND EXAMINED THIS <br /> l ��-'�Y APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> LEG�LOESCRNTIONOPPROPEATY�SIIOWNAEIOWOiIATfAC11FOU000Pl[5� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTVPEOF <br />� WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> ioi BLOCN oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW RFGULATING CONSTRUCTION OR THE <br />� PERFOHMANCE OF CONSTRUCTION.THAT I AM AUTHORI2ED BY 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 AND 296200 WAC. <br /> SIGNAiUREOFCONTRALTONOH�lIT110HIZEDAGENT UATE � <br /> � <br /> PH0.1Ef.iADDflE55/'J —/)--- X / -' ` � ��—J.�l--�L3.1_l�' "/�� �I � <br /> �� I J � ���y,�' / APPI IChNiS CITY BUSINE UCENSE NO.FND BUSINE55 NFME <br /> � ! <br /> PLUMBING MECMIANICAL <br /> NO. TYPE OF FIICTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C-A/HNOLG UNITS-H.P. � <br /> BATHTUB ; FORCED AIR SYSTEMS-B.T.U.� E.A. � <br /> LAVATORY(WASH BASIN� � UNIT HEATEFiS-B.T.U. M � <br /> SHOWEF ; CLOTNESDRYERS � <br /> KITCHEN SINK 8 DISP ; VENTILATION FAN _T_ <br /> � DISHWASFIER RANGE HOOD <br /> LAUNDRYTRAY ; WATERHEATER <br /> CLOTHES WASHER � WOODSTOVE � <br /> URINAL ; METAL FIREPLACE 8 CHIMNEY ; <br /> DRINKING FOUNTAIN � FIREPLACE INSERT � <br /> � FLOOR ORAIN — �_ HEAT PUMP --� <br /> � BACKFLOW PREVENTeRS ; � GAS PIPING <br /> ROOF DRAINS-RAINLEADERS —� EXI IAUST FAN <br /> SINK(SERVICE-BAR.ETC.) ; <br /> - �— -- -- <br /> � � <br /> — ---------._._- <br /> ------ ----- _._,... - - --- ------- <br /> -- � �-- --- --�_ <br /> � <br /> � <br /> -' - ---- -----� -------------- — <br /> � � <br /> � � <br /> -__._--_ .-�-� ----� --- .,__ .-- �-�--� ---------- —r— <br /> _— __-___-_____...._ 1 <br /> SUB TOTAI. $ SUB TOTAL $ ; <br /> PERMIT $ �—r PERMIT S � <br /> TOTAL FEE $ TOTAL FEE $ ; <br /> FOR OFFICE USE ONLY: <br /> FqONiSETOACN f1GA05GT�ACR SNESETOACH PlFNC11Ef.NNIILN�9 FEE AECEIPTNO <br /> IISEIONE IOIAREA VACANiSRE FEES VALUATION FEE <br /> �UILDING � <br /> IYMO(CONISAl10WA(fl[ IVPIOVf.ONSIPf.IIIPI �w:rm'en r.�;�r�nvwnn:uvt,s — - -'-- i <br /> ce�ur�� PWM1IBWG � <br /> .�� <br /> SREofOInG NOOFStORiEs OR5E61ENi� h1ECHANICAL � <br /> � <br /> �� OGCOPANCY LOAD FINE SPflNKLERS REOD HEIGIIT lll.IIIATION A�DITIONAL PLAN CHC-CK � <br /> • OTIIER ' <br /> RERSON FOR SPRINNI.ERS — ——�— <br /> STATE BUILDING SURCHARGE i <br /> ' INiRNEBV PIANS�PPROVEOOY CITYOFEUERETT ruoucwonks ' <br /> � LOCAL SALES — � <br /> I TAX CODE IS 3105 rorn� � <br />