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i <br /> APPLICAT14.d FOR CONSTRUCTrON PERMIT <br /> everett <br /> «E��,�� e <br /> CITV OF <br /> everett <br /> BUILDING DEPARTMENT <br /> 259-B810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> iI I DEMOLITION I I COMBINATION �( BUILDING i i MECHANICAL i i PLUMBING I i SIGN <br /> IQ�y Eq MRILApONE55 CITY ZIP PIIONE <br /> � // . C'ALLNrl�1N 3zLt� Ci�1�Es f�lE� Evc-e�r� 9£'2nl :2.�:L� c'lR�i <br /> TENANT MAILADDRESS CITV ZIP PMONE <br /> ARCMITEGTOi1DE51GNER M�ILADORE55 CITY ZIP PIIONE <br /> GEN,ERALCONTR�CTOR MAIL�DPRESS � CIIY ZIP PIIONE UCENSE� <br /> N C'At.l.A�lnu ,3•.12l0 �?A�'e> k�vc , �vEcerr' 9��d � 2�z � o���'t� <br /> MELMANICALCONTRALTOR MAILAODPE55 CITV ZIP PIIONE LIGENSE� <br /> PLUMBMGGONTRALiOR MMIA�DRE55 CITY ZIF PIIONE IICENSE� <br /> CUSS OF WORN <br /> ?Q NEW I I ADD�TION I I ALTERATION I I REPAIR I I DEMOLITION i I WOODSTOVEiFRPI INSERT I I BUILDING RELOCATION <br /> TEN�NT IMPROVEMENT OR INTEHIOR REMO�EI ONLY 7 (,Y� CONihCT PEfiSON NND PIIONE NO. <br /> LONTRALTPRICEOFWOH1c• LC�"/ �/� ' '— <br /> OESC IBEM/OHNANDSOII�REFOOTAGEINV019E0 <br /> �Ew CA�/ac:� — �l�� _ <br /> PflOPO5EDU5EOFB111101NG I fiEREBY CERTIFY THAT I HAVE READ ANU E%AMINED THIS <br /> CAe�C^E APPLtCATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEG�LDESCHIPTIONOFPROPENTY15110WNBEIOWORATir1C11FOlI11L01'IES� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> iot e�xK oF NOT. THE GRANiING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> /� AUTNORITV TO VI(ILATE OR CANCEL THE PROVISIONS OF ANV <br /> n p� ,LQ j �� � I'I LL. �D I �O OTHER STATC uFi LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BV THE <br /> p��k/ 7�;, k✓����'--���� G+`1 OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> �� APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> ' � ��II� SIGNPTUNEOFCONTRACTORORnOT110RRE0�GENT D�TE <br /> V <br /> PROJEGTADORE55/�^ C�{� ) � ' " ''��' �' � �� ����Y•� <br /> 3���'� [,/II�CS AI/L' �VEEcT7- /v �C�I A LIGANTSCITVBUSINE SLICENSENO.�N�BUSINESSNAME <br /> PLUMBIN(i MECHANICAL <br /> Np, TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMEHT FEE <br /> �, WATER CLOSET(TOILET) � A/C—A�HNDLG UNITS—H.P. � <br /> � BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> p IAVATORY(WASH BASIN) � UNiT HEATERS—B.T.U. M � <br /> SHOWER CLOTHES DRYERS ' <br /> KITCHEN SINK&DISP VENTILATION FAN � <br /> DISHWASHER � RANGE HOOD ' <br /> LAUNDRV TRAV _r_ WATER HEATER � <br /> CLOTHES WASHER WOOD STOVE � <br /> URINAL ' METAI FIIiEPLACE 8 CHIMNEY ' <br /> DHINKING FOUNTAIN FIREPLACE INSERT �_ <br /> FLOOR DRAIN I1EAT PUMP <br /> BACKFLOW PREVENTERS ' GAS PIPING <br /> � ROOF DRAINS—RAINLEFDERS �— EXIiAUST FAN — <br /> SINK(SERVICE—BAR.ETC.� ' ; <br /> � <br /> --�— � <br /> � <br /> � <br /> � <br /> � <br /> � <br /> SUB TOTAL $ ' SUB TOTAL S ' <br /> PERMIT $ PEiiA11T $ � <br /> TOTAL FEE $ TOTAL FEE $ ' <br /> FRONTSETBACK REARSETBAffc SI�ESETBACH PIANC IELNNl1MBER FEE J� �'�) REGEIP�_ <br /> i S 0 / '1 !�.'j . ! � <br /> , /; '. <br /> u or+E �ot�Ren y� VRC�NTSIiE FEES VALUATION FEE <br /> .�5�.D ^� �7F� I I YES I O pUILDING � C��� <br /> 1VPEOfCON51�lLOWA6lt 71 [OFf.ON)1�f.I11P1 �%[urencv xnamvtiuv6nxns ------ <br /> cnmir '/ PLGMOmG � <br /> _ /lL _ ---_'__ <br /> SIZEpFBULOCz/_ NOAFSTORIES ORS[M[NT MECHANICAL � <br /> y S •P i I VES � ' NO ' <br /> OTI IGR ' <br /> OCCUPANCV LOAO FIRE SPRNKLERS RBOD I�EIGHT I IMItA��ON �( �- — <br /> I I VES .�(j NO �S STATE�UILDING SURCHARGE 7 �7 Q <br /> PE�SONFORSPRINNlERS � ��� <br /> SiATE ENERGV SURCIiARGE � <br /> � I <br /> APPLIGATIONACG.BV PIANS RPPROV[DBY CITY OF EVERETT PUUL�C WORKS � ' I <br /> � LOCAL SALES <br /> TAI(CODE IS 3105 TOTAI <br /> / / �lSd �i <br />