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, ..�.. r�-n <br /> ' APPLiCAT�O.J FOR CONSTRUCT.JN PERMIT �,'���'� <br /> rnee�ergrem TO BE�:nMPLETED IN INK—PLEASE PRINT � <br /> CITV OF <br /> everett HEATINGSISTEM: ❑GAS �ELECTRIC ❑ <br /> y�n � BUILDING DEPAFITMENT . �� � <br /> � 259-8810 ri <br /> p y�yp+ DEMOLITION COMBINATION k BUILDING '�MECHANICAL KPLUI.IBING SIGN <br /> � ^ OWNER h1ARADOPE55 CITV ZiP PMGNE <br /> y � � ,ELcoNA Dnwsoa�laDpRE223Q Mo�.1�0EAvE �JFC'�ZTCI�1��PNOE33f�E�� <br /> Ky� I <br /> Q� �� MClIITECtOR�E51GNEfi MAILAOONE55 CITY ZIP PMONE <br /> y <br /> x GENERALGONTRACTOF MFILADDRESS CITY llP PHONE UCENSE� <br /> o� d ��E�t�T 3v��DEes 1Nc. 7�:0(� kVEZC'Yt�J �W4 F�1FC'ET� `i�2�3 353-71b I �;E�E3�ol PFI <br /> MECMANiCA�CONTPAGTOR MARA��PESS CITY ZiP PMONE IICENSE• <br /> ��g <br /> �� (] PLUh101NGCONTRACTOR h1��LAppRE55 CIiY ZiP VIIONE UCENSE� <br /> G y� ClAS50F WORK <br /> ` y y NEW �ADDITION . ' ALTERATION � REPAIR DGMOLITION �. . WOODS VBFRPL INSERT .. . BUILDING RELOCATION <br /> �f CONiACTPER50NANOPHO E 0 <br /> ��y CONiRACT PRICE O�WORK ����✓ � - '� - �� <br /> DESCRIBE WORK AND$�OUAR[FOOTAGE INVqyVE <br /> �y � I i� '�Q _ 3crll ArT+��.IC,J Cn�GC F[[' �S�Of6F't� M p Fi iN �A�'� <br /> o N �' an E -u+L�u , AAeJC- <br /> H O V1 PROPOS[OUSEOFBUiIDING ;.;�i�i� I HEREBY CEHTIFY THAT I HAVE READ AND EXAMINED THIS <br /> ptc��f-F•w�UL�w APAPGM7 � 3c� G•4CiV5E �p auZc �',^'b"y APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> e��t� <br /> �eca�oescairrioNo;-aaoaEatt�SaowNae�owoannnceFovacovies� ROVISIONSOFLAWSAN�OROINANCESGOVERNINGTHISNPEOF <br /> iot�b w�2`�3eiocK D �o oc NENI.Q`JT. Q�V. NOT THELGRAN NG OF AD ERMITJDOES NOT PRIESUMEETO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <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 /> CONT CTORS LAW 1827 RCW AND 296.200 WAG � <br /> SIGNAi OFCONTflACTORORr1UT110R12EDAGENi OATE � �a��7 <br /> X c�r,i V���wc'� [_ <br /> veaecr nooAess /�,� n r <br /> �J2�jQ 1r`ONICOC AVE _ APPLICANTSCItY0U5iNES5LICENSENORND0U51NE55NRME � � <br /> '�1 PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET� 7� NC—NHNDLG UNITS—H.P. <br /> '�' BATHTUB � FORCED AIR S`.'STEMS—B.T.U. M E.A. <br /> '�1 � LAVATORY(WASH BASINI I UNIT HEATERS—B.T.U. M <br /> SHOWER CLOTHES DRYERS <br /> 1 ' KITCHEN SINK� I VENTILATION FAN 8AT1+ �'H1 <br /> � DISHWASHER RANGE HOOD <br /> '�1 LAUNDRV TRAY � �_ WATER HEATER <br /> CLOTHES WASHER WOODSTOVE <br /> 1 ' URINAL METAL FIREPLACE 8 CHIMNEY <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> i� FLOOR DRAIN HEAT PUMP <br /> �' BACKFLOW PREVENTERS GAS PIPING ; <br /> � ROOF DRAINS—RAINLE�DERS E%HAUST FAN <br /> SINK(SERVICE—BAR,ETC.) <br /> '� — - � � U � <br /> � , � <br /> ��' I <br /> ' SUB TOTAL $ SUB TOTAL $ � � <br /> ' PERMIT 5 PERMIT 5 <br /> TOTALFEC 5 TOTALFEE S <br /> ' FOR OFFICE USE ONLY: <br /> fROHTSET�ACK R[ARS[TBACN S��ESET�N PLANCMECHNUTAD[R FEE 0 AECEiPTNO <br /> � � � 0 52 7d22 <br /> usezor+e iotaaea VACANi51TE FEES VALUATION FEE <br /> �— a���o�N�C'C. �', � 3s 28/ � 2� <br /> 1vPE04CP'IISALLOWABIf IVPEOf[OtiSiALipAI acNrr.vv FomRn¢u�.cu�nrs — <br /> can�r PLUMBING 8'�5 '� <br /> �- - Z-3 Zg� - <br /> SIZ[OF BI�G �js NO.OF STORiES BASEMENT MECHANICAL��� y_ <br /> 4l �� Z �J <br /> OCCUPANCYLOAO FlPESPRNKlERSREOD HEIGMTIikrtq71QN ADDITIONALPLANCHECK <br /> / <br /> /��" OTHER <br /> PEr150N FOR SPPiNKIERS �� <br /> STATE�UIL�ING SURCHARGE G <br /> WTANEBY PLANSAPPROVEDOY CITYOFEVERE7T PUBLICWORK$ � <br /> LOCAL SALES � <br /> �� �J Z TAX COUE IS 3105 rorn� 3 3��� <br />