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APPLICAT101. FOFi CONSTRIlCTl��Iti �PERMIT everett <br /> ��E�,�,�„ TO BE COMPLETED IN INK—PLEASE PRINT � <br /> cin oF <br /> everett HEATING SYSTEM: AS O ELECTRIC ❑ <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> ❑ CEMOLITION ❑ COMBINATION ❑ BUILDIMG MECHANICaL ❑ PLUMBING L SIGN <br /> o�� �,�`�Esin � . �����r��'P z°9��— �Z �,� <br /> TE AN� M�ILADDPESS �CIN ZIP PHONE � � <br /> ARCHRECTOfl0E51GNER MAILADORESS CITV 21P PHONE � )"� <br /> GENERALCONTR�CiOR MAILAUORESS CITY ZIP pHONE LICENSE• <br /> MECH ICr1LCONiRCOR �IL�Szz,r,�./�-�.sry. �i�b�G. /.�._4&�7l �SI�N(nCrf� //j(n'}j��1�/ �' /// <br /> PLUMBINUCONTq�CTOR IAAILAUDflESS / GI1Y ZIP PMONE LICENSEI <br /> ClA55OF WORK <br /> ❑ NEW ❑ ADDITION ALTERAi,ON ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL INSEFT ❑ EUILCING RELOCATION <br /> rAl CAIJTACTPERSONANDPHOHENO. \ <br /> w �/� ! <br /> GONTRACTPflICEOFWORK ` � �' {,LiS l�S� <br /> DESCR�BE WOHK AND'iOUA�F TAGE�NVIXVED <br /> S r� 5���-�38�j <br /> ' P/ROPOSEDUSEOF uiiow ` / I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> /(F'��C£ �i�Q�}g £ 7Zj(01�� //ivi APPLICAT'GN AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEGALDESCNIPTIONOFPROPERTY�SHOWNBELOWORATfAGHFOURCOPIES) PROVISIOP.�OFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIF�ED HEREIN OR <br /> LOT BLOCN oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> � � �980Z �I —D OTHER SfATE UR LOCAL LAW REGULATING CONSTRIUCOTON OR THE <br /> � �� PERFOFMANCE OF CONSTRUCTION.THAT I AM AUTHOFI2ED BY THE <br /> OW�ER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. �7 �J � <br /> � SIGNANREOFCONTHACTOROR�UTNORIZEDAGENT DATE f�J�/�/f ' <br /> PRQIECT�DDR€SS �L' •' " !/�� . '�_i <br /> U . � 1C_ 1 II �� �PPLICANTS CITV BUSINE UCEN:iE NC.AND BUSMERS N�ME <br /> PLUMBIN6 MECHANICAL <br /> NO. TYPE OF FIl(TURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOIIET) � A/C—A/HNDLG UNITS--H.P. , <br /> � BATHTUB ; FORCED AIR SYSTEAIS--B.T.U. M E.A. � <br /> LAVATORY(WASH BASM)� � UNIT HEATERS—B.T.U. M ; <br /> SHOWER � CLOTHES DRYERS � <br /> KITCHEN SINK 8 DISP i VENTIlATION FAN ' <br /> DISHWASHER � RANGE HOOD � <br /> LAUNDRY TRAY ; WATER HEATER <br /> CLOTHES WASHER � WOODSTOVE � <br /> . URINAL ' METAL FIREPLACE 8 CHIMNEY —� <br /> � <br /> � DRINKING FOUNTAIN ; FI EPLACE INSERT ' <br /> � <br /> � FLOOR DRAW � EAT PUMP � <br /> � BACKFLOW PREVENTERS ; GAS PIPING ' ; �"��';is; <br /> ROOF DRAINS—RAINLEADERS � EXHAUST FAN — � �'J� <br /> FiINK(SERVICE—BAR,ET0.) ; � .- � `� <br /> i ; <br /> � , `;i <br /> i � j) <br /> -� <br /> �i <br /> � ' S'H <br /> SUB TOTAL $ ; S'JB TOTAL $ ' — � <br /> PERMIT $ � PERMIT $ � � `•'� <br /> TOTAL FEE $ ' TOTAI.FEE $ � � � �.� <br /> FOR OFFICE USE ONL.Y: <br /> FRONTSETBACK REAFSETBACK SIDESETOACN PV@CNF.GNNUM�EP FEE RECEIPTNO. <br /> usezor+e I.OTAflEA VACANTSITE FEES VALUATION FEE <br /> BUILDING i <br /> 7YPEOFCONTS.AIlOWA9lE 7YPEOFLONSi.ACiUAI acuvsMv xnor�w(llixcuxit; � <br /> LPWP pLUMBING <br /> t <br /> � <br /> dIZEOFBLDG NO.OFSTORIES BRSEMENT MECHANICAL jU � � <br /> OCCUPRNCY LOAO FlRc SPANNLEAS REO'0 HEIGHT LIMITATION ADDITIONAL PLAN CHECK � � :�;�� <br /> i <br /> CTHER � <br /> REASON FOR SPRINKLERS <br /> STATE BUILDING SURCHAfiGE ; <br /> INfAKGBV PLANS�PPHOVEDBV CITYOFEVERE7T PUBLICWORKS � <br /> LOCAL SALES <br /> TAX CODE IS 3105 rorn� 3 a ' � G <br />