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APPLI�ATlON FOR CONSTRUCTION PERMIT <br /> ����«« <br /> r�n,r,r,ymrn � <br /> CI11'OF <br /> everett <br /> BUILDING DEPARTMENT TO BE COMPLETED IN INK—PLEASE PRINT <br /> 259-8810 <br /> DEMOLITION COMBINATION f' BUILDING MECHANICAL PLUMBING SIGN <br /> i-���E� L MAR��nD�[-�5 CITY ,/ ZIP �/ ��i��ti( /� , n <br /> "1U� /G 11 (�c�`r/�}+7 /.�JG� .G�� �//�i?✓ .�Apl L(/l�t{�t.f �b�U��O G — <br /> iINANi M4ILAODRE55 CIiY 2�P FIIONE <br /> N M <br /> � � �aHL <br /> H ARC��RFGTOROLSIGNER MRIL4DDRE55 GITY IIP PNONE <br /> b � <br /> c y tio-� c <br /> � � � G[N[RALCONTqAGTOR MRILADDPESS Gltt ZIP PHONE LICENSE� <br /> (� O G�H <br /> O 61 O A�.FCnANiCAICONIRACTOR MRiLqDDRE55 GITV ZIP PHONE LICENSE� <br /> � f~!1 M <br /> � � PLUAIBINGCONTRAGTOF MRILP��RE55 CiTV ZIP PMON[ UGENSE� <br /> 2 <br /> IC O <br /> H <br /> � �"� CUSSOPWORR <br /> H n7 � NEW �. ADDITION ALTERATION 7C REPAIR DEMOLITION WOODSTOVE/FAPL INSERT �' BUILOING RELOCATION <br /> Gf • rrr��� <br /> � y � T[NANTIAIPROVEMENTORINTERIORREIAO�ELONIV CONTACTP[RSONANOPMONENO. <br /> i <br /> CONiRAGi PRICE OF WOPN: (S O• <br /> g y y D[SCqi0E1Y0FNANO500AREF00TAGEMVOLV[D <br /> 75 o in �r a cr'�'-7 ."2�0 1. �" p � ' Z w <br /> � � ro PRO OSEOUSEO ouaoir+c � I HEREBY CERTIFY THAT I HAVE READ AND ExAMINED THIS <br /> y y �`N� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> O tn LEGALDESCRIPTIO�oFPnoPen*v�sHowrveeiowoan*tncNFouacovi�s� PROVISIONSOFLAWSANDORDMANCESGOVERNINGTHISTYPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> ioT BiaK 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 LOCAL LAW REGUL�TING CONSTFUCTION OR THE <br /> PERFOfiMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 236200 WAC. <br /> SiGHAIUREOFCONBIACTORO�iAIITHOPiZ[DAGENI �AIE <br /> PROJ[CTrI��RE55 T � ` •r-� <br /> � �� j'�_ �j ��y APPLICAtITSCIiYOU. �ESSLICENSENO ANOOIISullaS�....._ <br /> �Q'��1�'�� <br /> ��� -��.: PLUMBING MECHANICA <br /> i���^ NO. TVPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSFT(TOILET) A�C—NHNDLG UNITS—H.P. <br /> � BATHTUB FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> 1 LAVATORY(WASN BASIN) UNIT HEATERS—B.T.U. M <br /> ��� SHOWER CLOTHES DRYERS <br /> i ��I KITCHEK SINK&DISP VENTILATION FAN <br /> i DISHN.'ASHER _ RANGE HOOD . <br /> LAUNDRY TRAV WATEFi HEATER <br /> I�� CLOTHES WASHER WOOD STOVE i <br /> I �w URINAL METAL FIREPLACE 8 CHIMNEY <br /> DRINKING FOUNTAIN FIREPLACE INSERT _� <br /> FLOOR DRAIN NEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING � <br /> I 1 ' ROOF DPAINS—RAINLEADERS EXHAUST FAN <br /> � SINK�SERVICE—BAR,ETC.) �, <br /> --� <br /> a '_.1_ — — ' �� <br /> _►—' ��_ <br /> �I SUBTOTAL 5 — pERMIOTTnL 5 <br /> I PERMIT 5 <br /> I � TOTALFEE 5 TOTALFEE S <br /> l r1�� �RONTSETOACK REMSETB/•LK Si0E5[TBAGN PIANCN[CNNVMBER �EE FECEIPiNO <br /> � <br /> USE ZONE lOT AREA VPGANT SITE FEES VALUATION FEE <br /> � �. YES NO BUi�UING �� '�0 <br /> iYPEOfGONStALLOWABLE n'PEOFLONSfAL1UAL actur�vn r:omoxuururrs i � <br /> caou� p�UMBING � ' <br /> ---�— <br /> _ � <br /> SiZEOFBLDG. NOAFSTORiES OASEMENT MECHANICAL � �� <br /> �. � YES NO � �, <br /> OTHEF � <br /> OCCUPANCY LORD FIRE SPPNNLERS PEOD HEIGHT UMIT�TION �,l 'i <br /> ��. YES �. NO V � <br /> � � STATE BUILGING SURCHARGE <br /> --�—r— <br /> � REASONFORSPRINKLERS ' <br /> STATEENER�3V SURCHARGE <br /> ^PPLIGATIONALC.OY PLANSPPPf10VE�BY CITYOFEVEflETT puoucwo�KS '�, <br /> LOCAL SALES ,\ <br /> TAX CODE IS 3105 TOTA� �' �' S V <br />