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APPLICATIGrN FOR CON�TRUCTION PERMIT <br /> ����«�c� <br /> rnc e,o,qar„ � <br /> CI7\'OF <br /> everett <br /> BUILDING DEPARTMENT TO BE COMPLETED IN INK—PLEASE PRINT <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> c�v�v,eQa /1 r.inanooness /� crtv '/ z�r ri�or.� <br /> PJaGc � C-�c /M 2/.32 �A/� c �G sTT l�2riJ ��� J���c� <br /> � � ~ iENANT NqILAD�R[55 GTV ZiP PIONE <br /> �O <br /> C M <br /> AnCHIt[CTORDESIGNER MRILA�DRE55 CITY ZIP PHONE <br /> N <br /> y rxi <br /> GENEPRICONTRALTOR MAILFU�RESS CITY 21P PIIONE ��CENSE� <br /> " H � O � <br /> b M �C <br /> MECHANiCRLCONTR/.CTOR IAAiLA0DPE55 Gltt 21P PNONE UCENSE� <br /> N H <br /> � � � PWMBINGCONTMGTOR 41AILA�ORE55 CITY DP PHOYE LIGENSE� <br /> lV O <br /> H <br /> O M <br /> � CLASSOFWORK <br /> M `� " ' NEW ��..��: ADDITION �. � ALTERATION x REPAIR . . DEMOLITION . WOO�STOVEiFRPL INSERT � BUILDING RELOCATION <br /> ~ TEN�NTIMPROVEIAENTORMtEFIORFEMODEIONLY LONTAC PERSONANDPN NENO. <br /> y i6.,.,� :.. ,( z 3 5�. . <br /> �y CONiRACTPRICEOFWORK' ��dU <br /> y 0 SC ELVOPNAt�SpUAREFOOTAGEiNVOLVED <br /> �"� •�.•J MIJ <br /> C N �� . � �.� �. I � �A <br /> � � � ano SEDUSEOF6UILOING ��Pin��. c�.l:� ; � ��y�' �^'�' I HEREBY CERTIFY TNA7 I HAVE READ AND EXAMINED THIS <br /> y y ���^"•-�i APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> � PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE Of <br /> L[GALDESCRiPTIONOFPROPERTVISHOWNOELOWORATtACMFOURCOPiES� yyORK WILL BE COMPLETED WITH WHFTHER SPECIFIED HEREIN OF <br /> iot atxK oF 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 IOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THl1T I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTV TO PERFOFi�.1 THE WORK FOR WHICH <br /> APPLICATION IS MAOE ANO I COMPLV WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 29�200 WAC. <br /> SIGNATUREOfCONiRACTOROFA NORI2EDAGENT �ATE <br /> X/ � �� 3 � <br /> PROJECTA�DHE55 APPIiC�NTSCITV SINESSIiCEN5EN0AND0U5iNE551.4N <br /> Z/.32- UfY.�lw �v�.� <br /> / �\ PLUMBING MECHANIC L <br /> I C, NO. TYPE OF FIYTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> � WATER CLOSET(TOIIET) lv�P.,'HNDIG UNITS—H P. <br /> � � BATHTUB FORCED A'R SYSTEMS—B.T.U. M E.A. <br /> I _ LAVATORY(WASH BASIN) UNIT HEATERS—B T.U. M __� � <br /> !� SHOWER CLOTHES DRVERS <br /> �1 KITCHEN SINK 8 DISP VENTILATION FAN � <br /> � DISHWASHER _ RANGE HOOD <br /> ' LAUNDRYTRAV WATER HEATER I, <br /> �� WOOD STOVE j <br /> � ��1 UflIONAL S WASHER METAL FIREPLACE 8 CHIMNEY �i <br /> DRINKING FOUNTAIN PIREPLAGE INSERT _� il <br /> FLOG�DRAIN HEAT PUMP ' <br /> � !� BAGKFLOW PREVENTERS GAS PIPING _� <br /> , I ROOF DRAINS—RAINLEADERS EBHAUST FAN I <br /> SINK(SERVICE—BAR.ETC.) <br /> � <br /> . _■ 1 <br /> ' SUBTOTAL S SUBTOTAL 5 <br /> ( ' � PERMiT 5 PERMIT S _� <br /> �I I. TOTAL FEE 5 TOTAL FEE 5 <br /> � FRONTSETBACK REARSET�ACN SIOESETOACN PLANCNECNNUM!lE❑ FEE REC[iPTNO. <br /> usezoNe �oTnaen vncnNtsne FEES VALUATION FEE I <br /> I YES NO BUILDING I <br /> iVPEOiLONSt.AlLOW0.8lE n'PEOFCONSL.AG7UAl MCc�eMr xoqP�uufcuans i <br /> eeouv pLUM81NG � <br /> 9ZEOFBLDG. NOAFSTORIES BRSEMENT MECHANICAL � <br /> � <br /> �� ' YES . �. NO <br /> OCCUPANCY LORO FIRE SPPNNlERS R[Q'D MEIGMT LIMIi4TION OTHEfl <br /> '�`, VES ' � NO STATE BUILDING SUFCHARGE ' <br /> i <br /> ��— <br /> REASON FOR SPRINKlERS <br /> STATEENERGVSURCHARGE <br /> nFPLICAT10NPCG.DY PLANSPPPl10VED�Y CITYOFEVERETT PU�LICWORN$ I <br /> LOCALSALES <br /> TAX COUEIS 3105 TOTAL <br />