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APPLICATI��rI FOR CONSTRUCT:��N PERMIT <br /> everett <br /> �„�E,e,9,��,� e <br /> CITY OF <br /> everett <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> DEMOLITION COMBINATION BUILDING ��IECHANICAL PLUMBING _SIGN <br /> �YNEfi MAILAD�RE CITY 2iP PHONE � <br /> � �v;s/rv y �-�r► - 4�a�� �m���-r P�- ��-r � S� -��3�5 <br /> TENANi 1.IAI�A pESS CITY 21Y PHONE <br /> �ca�ti� n n n . ��(,�j <br /> qRC111TECTOP�E5IGNER MRILAD�RE55 QTV IIP PNONE <br /> yC�H <br /> n`C � ENERALCONTRACTOR IdAIL D E55 Citt ZIP PHONE UCENSP �} <br /> >y - ) �'l�^ � c�J�/'" � 'l� <br /> �'bH AIECHAWCALCON iACTOR IAAILA E55 pTV ZiP �t PHOH�E l LCENSEP� �, <br /> aym �r�1 r ���('T�S�L I �--�� ! J��� <br /> H ��' PW�dBINGG09TRhCTOR IdAIIRD�RESS CiTV 2iP PHOt1E UCENSE♦ <br /> y L r-+ <br /> K C] <br /> H� CLASS OF WOPK <br /> .�i� Fx-1 h�j NEW �. � ADDITION A ERATION REPAIR DEMOLITION . � WOODSTOV6FRPl INSERT �. � BUILDWG RELOCATION <br /> y~ 1ENANTIMPROYE�AENTORINTE i ��G(�1j\3Q\\E JL7 C01liACTPEP50NANDPHONENO <br /> � Z CONTRaGT PPI.E OF WORK: � \U�j�/ <br /> y� OESCF18��RE i00i�pGES_ '�������I _� �+ � ��� ^,� I/ <br /> O H J-rr i 1 !1 �� /,'�(�i <br /> � ��y--t 1�1 L[ ! 11 <br /> H t7U PROPpSEDUSEOFBVILU�N I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> �i]V �] <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> 9 �,~,�, �' LEGALDESCRiPtiONOFPHOPERTV15NOWN8ELOWORRRRCHFWRCAPIES� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIEC HEREIN OR <br /> r H y ,or BLOCN __ OF NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br /> � AUTHORITY TO VIOLATE OR CANCEL THE PFOVISIONS OF ANY <br /> y H OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> nq d� PERFORMANCE OF CONSTRUCT10�.THAT I AM AUTHORIZED BY THE <br /> [�1 �[rsl � � APPLICAOTFONISISRMADET ANOPE COMF V WITOHKTHOER STATE <br /> y �� CONTRACTORS LAW 1827 fiCW AND 296.200 WAC. <br /> S..,NATURCO�COHiRACiOFO IiNOHIZ'DAGENT DATE <br /> PRW[CTADG�E' 3 � — - -- - ' — � T— <br /> 3 � I f ;A'J1;CI1vCU5 .E SLICEN NOAN�Bt151NE55NAME <br /> L/ <br /> PLUMBIN MECMANICAL <br /> '�� NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> � � _ WATER f,LOSET�101LET1 A�C—A�HNDLG UNITS—H.P. <br /> BA?HTUB FORCED AIR SVSTEMS-6.T.U. M E.A. <br /> LAVATORY�WASH BASIN� UNIT HEATERS—B.T.U. M i <br /> '"'`� SHOWEfi CLOTHES DRYEAS <br /> "`� � KITCHEN SINK 8 DISP V[NTILATION FAN � <br /> —T <br /> DISHWASNEF PANGE HOOD <br /> LAUNDRVTRAY WATER HEATER <br /> �— CLOTHES WASHER W00�STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEY ; _ <br /> DRINKING FOUNTAIN FIREPIACE INSERT � <br /> R E�' FLOOR DRAIN HEAT PU1AP i <br /> � BACKFLOWPf1EVENTERS � GASPIPWG <br /> —� <br /> ROOF DRAINS—RAINLEADERS E%IIAUST FAN <br /> SINK(SERVICE—BAfi.ETC.) f <br /> �`�s� — �_ <br /> !'� SUB TOTAL 5 ' SUB TOTAL $ �70 -?� <br /> PERMIT 5 �— PERNIT $ / f � <br /> TOTALFEE 5 TOT�LFEE 8 P( ' <br /> � fRONTSETUACN �Er1R5[iOPLh SIDES[LBAGK P1ANC�iECNFU1dOHi F[E �ECEIPiNO <br /> USEZONE �ornn�n VACANTSR[ FEES VALUATION FEE <br /> , �. VES �. NO OUILDING <br /> ttPEOFtONS?ALIOWABLE IYP[OfCCN57AC1URL O[cuwMr HnMn�v[wvcuxrts — <br /> enav p�UMBING <br /> S2E OF OLDG. NO.JF STOAIES BASEMENT MECf/ANICAL �J � � <br /> I ! YES '. '. NO � <br /> OCCUPANGYlOAO FlRESPPNKL[PSNEO'0 NEIGMiUMITAiION <br /> OTHER � <br /> �� YES i.! NO STATE�UILDING SURCHARGE ' <br /> R[ASON FOR SPRINNLENS <br /> 5TATEENERGVSUflCHARGE <br /> aarucnnonacc.ov rur+snrrnoveoov CITYOFEVEREIT puoucwoRKs <br /> LOCAL SALES , — � <br /> TR%COOE IS 3105 TOTAL f S'' � ` <br />