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pppLICATIC""7 FOR CONSTRUCT:Y'�N PERMIT eV� � <br /> �n.•Eve�grren TO BE COMPLETED IN INK—P�EASE PRINT � <br /> f� CI�V OF <br /> ��� everett HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ I <br /> y BUILDING DEPARTMENT <br /> 259-8810 �./ <br /> .�. y�C!y DEMOLITION COMBINATION /� BUILDING MECHANICAL 1 PLUMBING SIGN <br /> y C �' OWNER MRILADDRESS �Gltt ZIP PHONE <br /> K y � � ,� �o /9i� ,t�o��o�,� C��r� 9i°zoy 3 S"3 - 8 � f � <br /> ^H� TENRNT MRILADDRE55 Cltt ZIP PHONE � <br /> � y��--ii No .✓ <br /> � �� THCHITECi0R0E51GNER MRILPDDRESS CITY ZIP PNONE <br /> �ty /Y�.� <br /> GENEAALCONTRACTOR AIAILAOORE55 CITV ZIP PNONE UCENSE� <br /> �° � �J mQ r o�oS'vRo,�. /� :n�a�%�' C nR��r �S'2o3 �3�-s�z zz /�I rf7/IC.0 � 3 Y D3 <br /> �� � MECHANIC LGONTRAC70R MAILADOPE55 CITY 21P PHONE LICENSE• <br /> IS��N� <br /> 9 f]� PLUMBINGGONTRAGTOR MAILAO�FE55 Cltt IIP PHONE LICENSE <br /> r� x <br /> riH o �v <br /> gy H CLF55OF WORK <br /> (] q b! � � NEW � � ADDITION �� � ALTERATION XEPAIR ' �. DEMOLITION � WOODSTOVE/FRPL INSERT :_, BUILOWG RELOCATION <br /> CONtACTPER50NANDPHONENO. _�� ^ y I <br /> H� CONTRAGTPRICEOFWORK C ' ` � U /� D� � <br /> Ij O y DESGRIBE WORN�ND SOUARE FOOTNGE INVOLVED <br /> Q SS�o�iw /'ao�/.✓ dP,nli P� <br /> PfiOVDSEDUSEOF9UIlDING /S� ,ry,pe I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> . pPS i dPN C P � APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> '� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEGAL�ESCFIPiION OF PROPEPN ISMOWN BEIOW OR ATfALN FOUR COPIESI <br /> WORK WILL BE COMPLETED WITH WNETHER SPECIFIED HEREIN OR , <br /> �or BLOCIc _ OF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> � PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY 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 /> SIGNTTUREOFCOMTRAC10ROflFUTHOR2EDRGENT DAT � <br /> X � �4 <br /> FBQIECTRODRESS <br /> '�t /� � �`hV�/ APPLICRNTSCIttBUSM[SSLI NSE .AN09115ME5SNPM <br /> PLUMBING MECHANICAL <br /> '�I NO. TVPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) NC—AIHNDLG UNITS—H P. <br /> ' ' BATHTUB FORCED AIR 5`.'STEMS—B.T.U. M E.A. <br /> LAVATORY(WASH BASIN) � UNIT HEATERS—B.T.U. M <br /> CLOTHESDRVERS <br /> '�' SHOWER VENTILATION FAN <br /> , KITCHEN SINK&DISP <br /> DISHWASHER RANGE H00� <br /> ' LAUNDRY TRAV WATEF HEATER i <br /> CLOTHES\VASHER � WOOD STOVE <br /> ' URINAL ' METAL FIREPLACE 8 CHIMNEY i <br /> DRINKING FOUNTAIN FIREPLACEINSERT <br /> ' FLOOR DRAIN HEAT PUMP ' . <br /> BACKFLOW PREVENTERS GAS PIPING •, :-;1f:,-V <br /> ROOF DRAINS—RAINLEADEflS EXHAUST FAN ' <br /> i <br /> ''' SINK(SERVICE—BAR,ETC.) � <br /> i <br /> 1 � <br /> ' SUB TOT�L S ' SUB TOTAL S � <br /> PEFMIT $ PERMIT 5 � <br /> TOTALFEE 5 TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> FqONT SETBRCN FERP SETBACN SiDE SET9PCK PUN GMECN NUMBEF FEE BECEIPT NO. � <br /> USEIONE IOTRREA VACANTSITE FEES VALUATION cFEE <br /> BUILDING J ' d � <br /> iVPEOitONIS.AIlOWABIC tYPEOiGONS1.AtTUAI oLCp�Nb NOWw�nux4ua�5 � � <br /> PLUMBING � <br /> SIZEOFBLDO. NO.OPSTORIES BRSEMENT MECHANICAL <br /> OCCUPANCY LORO FIRE SPRNNLERS R[OD HEIGHT LIMITAiION ADDITIONAL PLAN CHECK <br /> OTHEF � T <br /> fiEA50N FOR SPRiNNLERS i��/ <br /> S1ATE BUILDING SURCHARGE <br /> INT�NE�Y PlANSAPPROYFDOY CITYOFEVERE7T PUBLICWORKS <br /> LOCRLSALES 5� i�� <br /> TAX COUE IS 3105 rorn� <br />