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J <br /> ` <br /> APPLICATIG.+7 l��DR COPI5TI�UCT�JN PERMIT <br /> everett <br /> hhP E�2:Jp�'n � <br /> yC] H cirvor <br /> � � �_' everett <br /> C M BUILDINu DEPARTMENT TO BE COMPLETED IN INK—�LEASE PRINT <br /> y y �; 259-8810 <br /> ✓DEMOLITION COMHINATION BUILDING MtCHANICAL PLUMBING SIGN <br /> y � � 01VN[R MARADCR[55 CItY LiF PMONE <br /> �y .�ro J /-1rnE5 C• I�Y« 35� 1- 1/6T.�{ ST- ti!-E. SP. �9. �'1'li9,PY<Vi� c � �8��0 <br /> �H� TENRHi MA!LADORESS CITY � Pn0(iE 6 53 -S y � 1 <br /> y y — <br /> � "�.' �RCNIT[CTOROESIGNER AIAILAppPESS CITY 21P PHONE <br /> Q <br /> Hl7 <br /> � �"� G[NERRLCONiRRC10li MAiLA00RESS CITV IIP PNONE LICENS[• <br /> ��g � aaD � r,,,,,sr.��crio J �v. 6ox ast rrlA,�Ysvr��e 98z�o CGCok��11606 <br /> MECHANICRLWNIFACTOR MAiLADDRE55 CITY ZiP PMONE LICENSE• <br /> �y� 6sa - �3 � o <br /> PLUhIFIN6CONTRACTOF M�IIA�DRE55 GTY ZIP PHONE UCENSE� <br /> Hy <br /> y <br /> �"� CLASSOFWORN <br /> � p y NEW � . AODITION � ALTERATION REPAIF �DEMOLITION . WOODSTOVEiFRPL INSERT �. � BUILDING RELOCATION <br /> L�7 t" <br /> yy 1[NRNiIMPROVEMENTORMTER10RREMODELONLY CONLAGTPER5011ANDPHONENO <br /> y p y CpNiRACTPRILEOF WORN: <br /> DE`_CRIB[WORN RND SOURRE FOOTAGE MVOIVED <br /> ; ads E � s,{�� - P� . ao o s.�-r. <br /> �ROPOSE�USEOF9Uil01NG I HEREDV CEFITIFV THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AIID KNOW THE SAME l0 BE TRUF AND CORREGT.ALl <br /> =_caioescamrior+oFaaorentv�sNowNne�owoanrrnc��rouncoaiesi PROVISIONSOFLAWSANDORDINANCESGOVBRNINGTHISNPEO° <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> iot pLOCK oF NOT. THE G�ANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL TNE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OH THE <br /> - "— PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTV TO FEFFORM THE WORK FOR VJHICH <br /> APPLICATI(�N IS MADE ANO I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 7P27 RCW AND 296200 WAC. <br /> SiGNATIJREOFCONiRACiOPOPRUIMOF2E0AGENT D�iE <br /> X <br /> '�' PROJECiApDRE55 <br /> O � /�/E ��' �V r�� � PPPLICAN'SGiY�U51NE55UCEN5EhP ANOPUSMESSNAME <br /> G // <br /> ' ' PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEA1 FEE NO. TYPE OF EOUIPMENT FEE <br /> f�' _ WATER CLOSET(TOILET) __ _ A�C—A�HNDLG UNITS—H.P. _ <br /> BATHTUB FORCED AIR SVSTEM.�',—d.T.U. M E.A. <br /> '�' LAVATOPY(WASH B�SIN� UMIT HEAI�ERS—B.T.U. M <br /> SHOWER CLOTHES DRYEFS <br /> ' KITCHtN SINK 8 DISP VENTILATION FAN <br /> ' DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATEH HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> � METAL FIREPLACE 8 CHIMNEV ' <br /> URINAL <br /> '1 _ DRINKING FOUNTAIN FIRFPI ACE INSERT � <br /> —� <br /> .� FLOOR�RAIN HEAI�PUA1P <br /> BACKFIOW PREVENTERS GAS PIPING __ ' <br /> 1 ROOF ORAINS—RAINLEADERS EXHAUST FAN _T— <br /> ' _ SINK(SERVICE—BAR,ETC.) — — i <br /> ---� <br /> _ � <br /> ' — � � <br /> i <br /> 1�' _ —T– <br /> � SUBTOTAL 5 SUBTOTAL 5 <br /> '- PERMIT S PERMIT S <br /> TOTAIFEE $ TOTAIFEE 5 � <br /> FRONi5Ei0ACK �[Al15ETBNCK SIDESETBALK �LANQIECKNUM�ER FEC rIEL[IP1N0. <br /> USE 20NE :0T NREA Vr1CRNT SITE FEES V�LUATION FEE <br /> I �. YES -I NO BUILDING <br /> TYPEOFCONS1AllOWPBIE iYYEOFrONSi.AC1UPL oGarw�.cr xoIXDw[uix�un��ts — <br /> °PO��c PLUId01NG <br /> S2EOFBLDG. NOAFSTORIES DASEMENT MECHANICAL <br /> YES NO <br /> i <br /> OGCUPANCYLOAD FIRESPRNKLERS(iE0'� HEIG��TLIMIIDiION OTHEfl i <br /> - �. YES � � NO � <br /> � � STATE BUI�DING SURCHARGE <br /> RERSON FOR SPPINNLERS <br /> STATEENERGVSURCHARGF <br /> �PPIICATION RCC DY Pinrvs�rrnoveo ov CITY OF EVERETT PU9LIC WOHKS <br /> LOCALSALES T <br /> TAX CO�E IS 3105 rorn� <br />