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APPLICATIC� FOR CONSTRUC7 .dN PERMIT everett <br /> rnoe�eiq.ee� TO BE COMPLETED IN INK—PLEASE PRINT � <br /> cirv or <br /> everett <br /> BUILDING DEPARTMENT �EATING SYSTEM: ❑GAR ❑ELECTRIC ❑ �lp� <br /> 259-8810 <br /> DEMOLITION COMBINATION J( BUILDING MECHANICAL PLUMBING <br /> OWtlER MAllA0DRE55 SIGN <br /> CRY 21P P��ONE <br /> P�i. csTE� /83iRu.ck�� �vE ��ERETT 9x�oi zs2 �9�8 <br /> TENqNi IdAI�qDDRE55 ��ry Z�� <br /> PHONE <br /> 4RCHIiECTORDESIGNER MAILADORE55 <br /> PIIONE <br /> G/���.r4�lE //'S2OT1�C.9R 1GirY /LIA�'(sl�/L��P 98��'� �5.7— 9/DS� <br /> GeNEqq��pNTFACTOR MAILADORE55 <br /> PNONE IICENSEY <br /> -5'��itl��.V� C'a�vsT7" �� hlA,c�l�,Vi�,CE Z9�z7 G 5Q�-//_�'/ so�P�'�vC//6/t�, <br /> M1tEGMANICALGONiqp�TOR MAILADDNE55 ��iy Z�P <br /> — J� ^r�.^��/� PMONE LICENSE• <br /> T!U V <br /> PWM8INGCONiRACTOR hUILApDRESS CITV Z�p <br /> PMONE LICENSE• <br /> CLA55 OF WORK <br /> X NEW . - ADDITION � ALTERATION . � REPAIR �EMOLITION � WOODSTOVBFRPL INSERT - , BUILDING RELOCATION <br /> �R-�Jrs✓ C rTt, c � . <br /> ��7J /�y �ONTACiPER50NANDPMONEI.O <br /> CONTRRCi PRICE Of WORN <br /> 0[SCRIBE WORH ANO SOUARE FJO7AGE MVOLVED ' <br /> � ST ff�� <br /> PROPOSED USE Of�UILDIN6 <br /> I HEREBY CeRTIFY THAT I HAVE READ AND EXAMINED THI£ <br /> --�L O GE APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALI. <br /> LEGALOFSCRIP710NOFPROPERTV�SNOWNDELOWOqATfACMFOUiiCOPIES) PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHIS7YPEOF <br /> ior��$l� B�aK �/l oF Ol �c � � WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> H NOT. THE GRANTING OF q pERMIT DOES NOT PRESUME TO GIVE <br /> �D������ EUE OTHER S ATE ORVLOCAL L W EGULATING CONSTRUCOTION OR THE <br /> PERFORMANCE Or 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 296.200 WAC. <br /> SiGNANREOFCONTqACTORORqUTHORIZEDAGENT OA7E y��p/�'j� <br /> /S'a u � /s-..., X � � � /vC � �� <br /> PROJECTADORESS � <br /> ��� �����• f�� APPLIGANi5CI7YBU.' ESSLICENSENORN�BUSI SSNAME <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TVPE OF E�UIPMENT FEE <br /> WATEFi CLOSET(TOILET) A/C—NHNDLG UNITS--H.P. <br /> L'414TU0 FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> _ LAVATORV(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> SHOWER I CLOTHES DFYERS <br /> _ KITCHEN SINK 8 DISP ' VENTILATION FAN � ' <br /> DISHWASHER , RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER � WOODSTOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEY , <br /> DRINKING FOUNTAIN � FIREPLACE INSERT <br /> FLOOR DRAIN � HEAT PUMP --r— <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> SINK(SERVICE—BAR,ETC.) — <br /> � <br /> � <br /> � <br /> SUB TOTAL S SUB TOTAL 5 <br /> PERMIT 5 PERMIT g <br /> TOTAI FEE $ TOTAL FEE $ <br /> FOR OFFICE USE ONLY: <br /> 5 9>-4 <br /> FRONTSETBACK PEARSETBaCK SIDESETBFCK PIANLME KNUMOER FEE <br /> RECEIPT NO <br /> Gv� .o ' .o ' �1/ .:26 9�/ � YSl�• G l �/ 9G S"� <br /> USEZONE LOTAREA VACANTSITE / FEES VALUATION <br /> Y� FEE <br /> imEo�coHisauowneiF BUILDING. , �1. 9�� _ � � D <br /> ttPE Oi CONSi.AC111AL cc[cr�n:v xa or oxnmc u'.rts 1J. <br /> �1/ t=eur <br /> '�' .y�M1�- �2 PLUMBING ' <br /> i <br /> SIZEOFOL�G NOOFSi0PlE5 BFSEM[NT <br /> IO SY � �U u� MECHANICAL � <br /> OCCUFANCYLOAO FIRESPRNKLERSREO'D HEIGHTLIMITATION ADDITIONALPLANCHECK / /JG �,./ <br /> �'� �� 3 � <br /> OTHER � <br /> REASON FOR SPRiNKLERS i <br /> STATE BUILDING SURCHARGE . �S� <br /> iNiqKEBY, PlANSaPPROVE00V CITYOFEVEREI"f � <br /> LOCALSALES PueucwoaKs , <br /> %��'e- TAX COOE IS 3105 TOTAL <br /> .S`Si !as'✓ <br />