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_�,.=.- � '----; ,�- <br /> � ,� <br /> � �c ��1 F1 v,:� in-� <br /> APPLICATIO� F�OR CONSTRUCT�c�N PERMIT �� <br /> everett <br /> me e��o,q,�e.� � <br /> an oF <br /> everett <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK—PLEASE PR'NT <br /> k'DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> OWNER MAILPDDRF.SS qiY LF PNO4[ <br /> M �:T tNVeS�'m¢v�S ��3-S �55� L�,n..w��d We • -/`�S-Y49Q�_ <br /> TEHAM MAILRDDRE55 CI1V ZiP PMONE <br /> ARCNiTECT OF DESIGNER M�IL AODRE55 GTY 21f PHONE <br /> GENER4LLONTH�CiOR 1A�IlADORE55 CITY 21P PMONE LICENSEY <br /> Hry o 1^t�SL �o.�e�- 1`ES 1 � os3''� S'� Sw EveMc-4� �9zo� n'1��Ftea � �3-r��F <br /> p �� MEGN�NiGALGONTPICTOP M�IL�DDRE55 dTY 21P PHONE LICENSE/ <br /> tv <br /> C �� PLUMBINOCONiRPf,TOR MAIL�DOflE55 CItY 2iP PIqNE I.IGENSE� <br /> � Htn <br /> y ��iR CLASSOF WORN <br /> � � NEW ADDITION � ALTERA710N . RFPAIR DEMOLITION 1VOODSTOVE/FRPL INSERT . BUILDING RELOCATION <br /> K O <br /> y '� TENANT IMPROVEIAENT OF MTERIOR REMOOft ON�Y GON1AGt PE�RJSO'N�fRNO PHONE NO$� �A <br /> � ~ � CONTRnCT PPIGE�i WORK: •� ` 1 � �I `�� ' _` ��e— <br /> V]N <br /> � � � DESCRIBE WORK RND&OURRE FOOIRGE INYOlVEO — <br /> O M � �'AoroScouseovem�oiNc I HEREC�V CERTIPY THAT I HAVE READ AND E%AfdINED THIS <br /> APPLIC�TION AND HNOW THE SAME TO PE TRUE AND CORPECT.ALL <br /> �"� � � ic�a�oesca�atroNcuvaoacnrvisHowrveE�owaa�tucHFouaeoaiEsi PROVISIONS OF LAWS AND OFDINANCES GOVERNING THIS TVPE CF <br /> p" n WORK WILL BE COMPLETE[1 INITH WHETHER SPECIFIED HEREIN Of: <br /> ,�, N � �oT I� � �Zti e�ocK Z ov�� ��- �` �� S� NOT. THE GRAIJTING OF A PERMIT DOES NOT PRESUME TO GIVF <br /> y J AUTHORITV TO V!OLATE OR CANCEL THE PROVISIONS OF ANY <br /> �y y ��ey �Z� r Q,CtGr Ct¢ `, l r1 OTHEF STATE ON LOCAL LAW FEGUTATING CONSTRUCTION OR THE <br /> PERFORIdANCE OF GONSTHUCTION.THAT 1 AM AUTHORIZED BV THE <br /> M p OWNER OF THIS PROPERTY TO P[RPORId THE WORK FOR WHICH <br /> � ��.�l 5 <br /> � y lI0 � ' CJ �� e- � APPLICATION IS MADE AND I COMPLY WITH THE ST�TF <br /> � 1 CONTRA(,TORS LAW 1827 RCW A'JD 296,200 WAG. <br /> y 51�0 �U7HlQ�n OVY"�+ SiGNPipREOPCONTi�AC10�0�Au1�OR?[DqGEtrt pniF. <br /> O fn <br /> �� <br /> �, rn�uc,nuoaess yyj — X `-" ���—f- — <br /> i9oa /'l��V� �'LA✓Q" n��ncn�,sorvousi�css�i�o:sn+on��oeusiHessr+nMe <br /> PLUMBING MECHANICAL <br /> � N0. TYPE OF FIXTURG OR ITE`I PEE NO. TYPE OF EOUIPMENT FEE <br /> I �� WATER CLCSET(TOILLT) - - _ A'C-A1IIJDLG UNI':S-N.P. _ <br /> BATHTU�i FORCED HIR SVSTEMS-B.T.U. M E.A. <br /> ��, LAVATORV(WASH BASINI UNIT NEATEFS-B.T.U. M <br /> SHON'EP, CLOTHES DRVEiiS <br /> � KITCHEN SINK 8 DISP VENTII ATION FAN <br /> + __ DISHWASHEfl RANGEl100D <br /> � LAUNDRVTRAV WATER HEATER _ <br /> ' CLOTHES WASHER WOOD STOV[ <br /> URINAL METAL FIREPLACE 8 CHIMNEY <br /> _ DRINKING FOUNTAIN FIREPLACE INSERT i <br /> � � FLOOR DRAIN NEAT PUIdP �- <br /> BACKFLOVJ PREVENTERS GAS PIPING _ <br /> --�- <br /> POOF DRAINS-FAINLEADERS EXHAUST FAN <br /> � t ' SINK ISERVICE-BAR,ETC.) <br /> � <br /> ' <br /> � <br /> i <br /> �� SUB TOTAL S SUBTOTAL $ _ <br /> � PERMIT $ PERMIT $ <br /> TOTAI FEE $ TOTAL FEE $ <br /> fRONT SETBPCK flEAR 5[TBRCN SiDE SETBPGN PIhN CNELK NUMEiFR �EE PECFPi NO <br /> z� �J Z CJ S <br /> useia+e ioTaeEn v�ac�/nr�sire fECS VALUATION FEE <br /> (�UU x VES NO BU�LDItJG <br /> 1vPE0iCON5i�lL0V/ABIE 1YPEOFCONSL.�Gi00. a'[uouKr eommvm�nsuq.is ----- -- <br /> GNOJf <br /> � PWMBING <br /> SiZ[OF BLDG. NO OF STDRIES BASEMENt ` / MECHpNICAL ' <br /> � ��. i YES x NO — "� <br /> OCCUPANCYLOAD FlRESPPNKLERSPEO'0 HE�GMTUMIipTION OTHER _ <br /> � -I YES . NO STATE BWLOING SURCNAPGE <br /> REASONFORSPRINKlERS <br /> STATEENERGYSUFCNAflGE <br /> nrrucnnoHnr.cer PlqHSRPPROVEDBV CITYOFEVERETT PUoucwoaHs <br /> `^1'`� LOCAL SALES <br /> TAX COUE IS 3105 TOTAL <br />