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APi�LICAT10�i FOR CONSTRUCT�JN PERMIT <br /> everett <br /> . ,.�.�:,-�.�,� e <br /> CITV OF <br /> everett <br /> BUILDiNG DEPARTMENT TO BE COMPLETED IN INK—PLE SE PRINT <br /> 259-6810 <br /> DEMOLITION COMBINATION BUILDING ECHANICAL PLUMBING SIGN <br /> cnrJ �(1 �}- zm L viior�e ' / ,/ <br /> �YNER IA�iLRDD�'S � �.'LI _� �� -C C'I.���1,I "�/ `I I �^�� �� <br /> .. C e�`L`�l ,�' <br /> IENANT piV ZiP NE <br /> ro `�°�5,��e� <br /> p � ! ��� Q� GITV 21P PNONE <br /> y y pRC1UiEGTOR0E51GN[R h1AILA0�PE55 <br /> K � ~ GEN RALCONTRRCTOR MAILADOR�S CIT ZIP PN LICENS � /i /'� <br /> yy� � � G U-r�,c:��c-rt�. �` —J����,,F'�� �1«'' <br /> b y proj MCCHf.NIC/LGONTRACiOP MAILAD�RESS � CiTY � �� P P-NONE I � JICEN Et � ` <br /> .�� L — 3—Ci�� i <br /> � � � — i <br /> PLPMBINGGONTRAGTOR MAILADDRESS f,ITV ZIP PMONE UCENSE� <br /> O N — <br /> ~ � � CLASSOFWORK ' <br /> � � � �C��Tcacrinu � ' REPAIR . � DEMOLITION � � WOODSTOVE�FRPL INSERT .-� 9UILDING RELG.^.ATION <br /> y NEW � ADDITION L �•- <br /> r � *ENRNTIMPROVEMENTOfiINTER10f{AEMO EL� GCNTTCiPER50N4NDPHONENO — <br /> � N M CONTNPCTPRICEOPWUPN: � <br /> j d y OESCFIB 1VORNANDS UFREFOOTAGEINVOIVED <br /> � o�a r ���Clli� --�LLL�ILZ(�0; �' l,U �,1�1 —�C�/11.� <br /> [tl I HEREBY CERTIFY THAT I HAVE REAG A`!� �i(AMINED THIS <br /> PROPOSED USE OF 0 ROING <br /> d y � APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEtiAL�ESCRiPTIONOFPPOPERTYISNOWNOELOWORATTACHPOURCOPIES) PROVISIONSOFUIWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> 1OT eL�N °F AU�THORI YRTO V OLA�TE OR CANCEL THE PROVESIONS OF AINY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTPUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUiFiORIZED BY THE <br /> OWNER OF THIS PROPEFN TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> SIGNATUBE OF GONTFACTOR OP AUTMURI2ED AGENT OATE <br /> X � � � ��� G��� <br /> PPOJEGiA�ORE55 APPLICANTS IYBUSINE55IENSENO.AND 5 ESSNAME <br /> ,... � N�� n � <br /> PLUMBING MECHANICAL <br /> I C�� ryp, TYPE OF FI%TURE OR ITEM FEE NO. TYFE OF E�UIPMENT FEE <br /> � WATER CLOSET(TOILET) NC—A/HNDLG UNITS—H.P. _ <br /> 1 BATHTUB FORCED AIR SVSTEMS—B.T.U. A1 E.A. <br /> ��► LAVAIORV(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> '�i1 SHOWER CLOTHES DRYERS <br /> - KITCHEN SINK 8 DISP VENTILhT10N FAN <br /> DISHWASHER RANGE HOOD � <br /> '�� LAUNDRY TRAY WATER HEATER 1 <br /> I �� CLOTHES WASHEF7 WOOD STOVE _,— <br /> � URINAL METAL FIREPLACE 8 CHIMNEY <br /> DRINKING FOUNTAIN FIREPLACE INSERT T_ <br /> FLOOR DRAIN � HEAT PUMP <br /> r'�' GAS PIPING <br /> � BACKFLOW PREVENTERS � � <br /> � ROOF ORAINS—RAINLEADERS � _ EXHAUST FAN <br /> SINK(SERVICE—BAR,ETC.) <br /> , � <br /> w�� <br /> I — SU�TOTAL 5 SUB TOTAL 5 ' � <br /> I � '�' —1 PERMIT 5 _ PERMIT S S�T_— <br /> � TOTAL FEE 5 TOTAL FEE S .S� ' '� <br /> � p�qNCN[CNNUM�ER FEE RECEIPTNO. <br /> - FRONT SETBACR REAR SETBALK SIOE SETIIFCH <br /> uSEzonE LOTRRE� VRLRNTSITE FEES VALUATION FEE <br /> i-1 YES �. � NO BUILDING <br /> LYPEOiCONSiALLOWABLE TVPEOfGON51.AC1UAt ��vWtr M�o�PxwwGuwiS <br /> �"a° pLUM81NG <br /> 512EOFOLDG. NO.OFSTOPIES OASEMENT MECHANICAL <br /> �, ! YES �'. ! NO <br /> OTHER � <br /> OCCOPANCV LORD FIRE SPRNKLERS PEO'D HEIGMT LiN1iATI0N i <br /> � iJ. YES .-I NO STATE BUILDING SURCHARGE ' <br /> �— <br /> REASON FOR SPRINNL[RS <br /> STATE ENERGY SURCHAfiGE <br /> i <br /> pPPLICATIONACC.OY PLANSAPPROVEDOY CITYOFEVERETT PUBLICWORK$ <br /> LOCAL SALES <br /> TAX CO�EIS 3105 TOTAL <br />