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APPLICAT:�.�N FOR COpISTRUG.''ION PERMIT E`'eft1 <br /> �,��E„�9�� 'J BE COMPLETED IN INK—PLEASE PRINT � <br /> CITV OF <br /> H f�� everett HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> �y� BUILDING DEPARTMENT — <br /> p x 259-8810 <br /> y y y DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> p�yry MARAO�RESS GTY ZIP PHONE <br /> y�� �� g,� � ���� � r,�5 ���P����. 9Q�� � ZS� - �� 6� <br /> �y� iEN�N AIAIL R��RESS CITV ZIP PMONE <br /> �tlH� <br /> VJ ARLHrt@�iORDES�GNER RIAIIRD�t1E5S CITY 21P PNOM1E <br /> !{��+ z <br /> �'•Q� GENERALCONTRACTOR hIFILADDRE55 GITV Z�F PHONE LIGENSE• <br /> r� <br /> OH x O�r .uE.L <br /> � �g AIEGH4NICALCO1�TRlGTOF MM�AODRE55 CiTY ZIP PHONE UCENSE• <br /> �r n5 • <br /> �I.y� PIUMBINGCONiRACTON RUILAOORESS GTY ZIP PNONE UGENSE/ <br /> r� <br /> �y H y CIFSSOF`YORN <br /> Q y H � NEW ��. � ADDITIO� � ALTERATION � � REPAIR � DEMOLITION . WOODSTOVE/FRPL INSERT . . BUILDWG RELOCATION <br /> C]C�VJ <br /> �C //� O CONTAGT PEFSON RNO PHONE NO. <br /> ��� CONTPALT PRiCE OF WOPF �(i�D � <br /> F3(/! DLSCPiBE WOBK ANO SOU�N[FOOTAGE INVOlVEO <br /> HOtn � <br /> PROPOSEDUSEOFOII DtNG I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> �'^ �Q, APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> IEGAL�ESCPiP110NOFPROPERTVISNOWNBELOWOPFTtACNFOURCOPIES! PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISNPEOF <br /> WORK WILL BE COMPLETED l'lITH WHETHEF SPECIFIED HEREIN OR <br /> LOT_ __ __ BIOCK ov 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 REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PEFFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> SiGNRTUFEOFCONTR4GTORORAUtNORIZEDAGENT DA7E <br /> X � <br /> PRQIECiRDDRESS <br /> 'r1 �3� 7 Q��•ES qPPUGRNTSCITYB SLI �NSE1lO.NNDOUSME.LNAME <br /> '_' PLUMBING MECMANIC <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CIOSET(TOILET) A/C—NHNDLG UNITS--H.P. <br /> ' , BATHTUB FORCED A{R SYSTEMS—B.T.U. M E.A. _ <br /> LAVATORY(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> '�I SHOWER CLOTHESDRYERS <br /> KITCHEN SINK 8 DISP VENTILATION FAN <br /> 1 DISHWASHER RANGE HOOD <br /> f LAUNDRYTRAV WATERIiEATER <br /> CLOTHES WASHER WOOD STOVE <br /> '_' URINAL METAL FIREPLACE 8 CHIM1INEY <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> ' FLOOR DRAIN HEAT PUMP <br /> 84CKFLOW PPEVENTERS GAS PIPING <br /> ��' ROOF DRAINS—RAINLEA�ERS E%HAUST FAN <br /> � SINK(SERVICE—BAR,ETC.) ' <br /> '�' i <br /> ' i� SUB TOTAL 5 SUB TOTAL S �— <br /> PERMIT $ PERMIT 5 <br /> ''�--" TOTALFEE 5 TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> FRONiSETBRCN REAqSETBACN SIOESETBRCK PLANCMECKNUMBEq FEE RECEIPTNO <br /> usezoNe totaaen YACANTSITE FEES VALUATION FEE <br /> BUILDWG __L� O O <br /> LYPEOftOMSAtIOWABIE tYPE0iG0�15tALtUAI oCcuvaxCr nocrm�mn;4br�,5 <br /> °Ppp° PLUMBING <br /> SREOFOIDG tlo.OFSTORIES Bn5E�1ENT F�ECHANICAL <br /> OCCUPRNCYLOAD FIRESPRNKlER5RE00 NEIGNTLIMIiRTION ADDITIONALPLANCHECK <br /> OTIIER <br /> P[ASON FOR SPqINKlERS <br /> STATE BUI�DING SURCHARG[ y � ,f—a <br /> R1LnHE[1v PlANSAPPflOV[DBY CITY OF EVERETT Pl1BLIC WORN$ <br /> LOCALSALES <br /> TAX COOE IS 3105 TOTAL � � � � <br />