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APPLICATION FOR CONSTRUCTION PERMIT eVi°��" <br /> ,t�p1g,�� TO BE COMPLETED IN INK—PLEASE PRINT � <br /> CIiY OF <br /> everett HEATING SYSTEM: � GAS O ELECTRIC U <br /> BUILDING DEPARTMENT <br /> 259•8810 <br /> DEMOLITION COMBINATION BUILDING ;�MECHANICAL ��(PLUMBING SIGN <br /> 1-� ��'��qNER MAILRDDRE55 LITV ZIP PNONE 1 <br /> �L � I '1 '� A - �li'_V) � � 1: ' 1 ^I )' ( �. � <br /> � 1� 1[ 1�. I'1f�.11J �t'�� I�>C_ � ' Il����il � � {��� 1 � f}� � l � .,(� Y _� _ l�) I� <br /> p� {Z 'ENANi MAIIPDOFE55 Cl� ZIC P��04E <br /> C M <br /> Y N N <br /> y. <br /> M �i:CNITECTORDE5IGNEP IA�ILRODPE55 GTY ZIP GNONE <br /> � H � <br /> O W O GENERALCONTR/.GTOq MAIL�DORE55 GtV 2iP PNONE LICENSE/ <br /> � N N <br /> � � � (i�v�N�C���/Vl^CI pl��,���jII� �IfE�� Il.f ��'�I�_� f �� � ) CI`i11:( • �.l�llP� \ 11 1�")�)I�I E ���'�� LICENSEI���I� lILr��� <br /> � � 1 , , , i ���� �;. � � � •°:� 1�i i <br /> M � p "'LUMBR�GGOHiPPCTOA �AAILADDRE55 UTV ZIP GNGNE UCE45E• <br /> c • R �— <br /> H CUSSOF WORK <br /> M <br /> � y �.�NEW _ ADDITION _ ALTERATION REPAIR _ DEMOUTION � WOODSTOVE'FRPL INSERT � . BUILDING FELOCATION <br /> oQ y � ' � 7� 1 .l COHT�CTPEASONANDPNONENO <br /> f� O N ;,pNTRAGi FqiCE OF WOPN �� � .� , ) I , ,L' <br /> � � r J[SCRiBE WOAN 6ND SOV/AE FOp1AGE iNVOLVED <br /> � � ^ �, � .1 ..- � � <br /> rn�,aosEouseOc aaNc � I HEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> � �' � aPPLICAT10N AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> .ecn�oESt:AiPrqNOFraorea �swovm eElowoR. .�ACNFouaeOv�Esi PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> - � WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �.o* e�ccK or NOT. THE GRANTING OF A PEFMIT DOES N07 PRESUMF TO GNE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONa OF ANV <br /> OTHER STATE OR LOCAL LAW HEGULATING CONSTRUCTION OR THE <br /> � J� ?ERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> C �,1, �OD �OO � OWNER OF THIS PROPEFTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> SIGN�TUFEOFWNTRACTOROAAUTnORiZEDAGENT D�TE <br /> n ] <br /> �.. PAaecreooAess X ���1��' .� . ���,��Lt� Lt�"_ �/ ''1��� �� <br /> � \ _ � I ) , " J( _ � /� / 1 Y� 1 �'(�� AOP�ipANiSGiYBU5ME55UGEN5EN0 �Np8U5� SSNRME <br /> �� C r i <br /> PLUMBING MECHANICAL <br /> � NO. TYPE OF FIXTURE OR ITEM FEE N0. TVPE OF EOUIPMENT FEE <br /> 1 WATER CLOSET�TOILET) A,C—AHNDLG UNITS—H.P <br /> '��► BATHTUB FORCED A:R SYSTE�dS—B.T.U. M E.A. <br /> � ��, LAVATORYIWASHBASIN) UNITHEATERS—B.T.U. M <br /> �� � SHOWER ' CLO7HE5 DRYERS <br /> . KITCHEN SINK 8 D�SP VENTILATION FAN <br /> � I ��� DISHWASHER RANGE NOOD <br /> �' LAUNDRV TR�V ' � WATER HEATER <br /> � CLOTHES WASHER WOODSTOVE <br /> � URINAL IdETAL FIREPLACE 8 CHIMNEV <br /> ' � DRINKING FOUNTAIN FIREPLACE INSERT <br /> , �Ii FLOOR URAIN HEAT PUMP <br /> BACKFLOW PREVENTERS � GAS PIPING <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> + �� SINK(SERVICE—BAR.ETC.) <br /> '� <br /> � <br /> � '✓ <br /> I ! _ _.— __ . � . <br /> � SUB TOTAL 5 SUB TOTAL 5 � i l �'� <br /> � ��, <br /> l� PER1d1T $ � PERMIT $ <br /> - TOTALFEE $ _�_ _ ^ TOTALFEE S l <br /> FOR OFFICE USE ONLY: <br /> r.,�,�.��.ef�., , <br /> FRONTSETBAGK REARSETpqCN SiDE5ET8ACN PLANGMECNNUMBER FEE PEGEIPiNO <br /> � � uSEzoNe IOTRRER v�car�Tsrte FEES VALUATION FEE <br /> BUILDING <br /> . fYGE�iCONiSAIIOWABIE LVPEO�CONSi.ACiURI Mcuopp qoD�Cntua,uv*S <br /> cnouv PLUMBING <br /> ' SREOFBL00. NO.OFSTORIES B�SEMENT MECHANICAI <br /> OCGUP4NCY LOPD FIRE$PRNRLERS REO� HEIGNT LIMITAiION ADDITIONAL PLAN CHECK <br /> OTHER <br /> REASON FOR SPRINxLERS <br /> STATE BUILDING SURCHARGE <br /> MiArc[f3v PLqNSAPPPOVEOBY CITY OF EVEflETT PUBUC WORK$ <br /> LOCALSALES <br /> TAX CODE IS 3105 rotn� <br />