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APPLICATIuN FOR CONSTRUCTION PERMIT <br /> everett <br /> Ihe Evergroon � <br /> CITY OF <br /> everett <br /> BUILDING DEPARTMENT <br /> 259-0810 ZU BE COMPLETED IN INK—PLEASE PRINT <br /> I I DEMOLITION I I COMBINA710N , : 3UILDING i i MECHANICAL i PLUMBING i I SIGN <br /> py�ry � MAllAO[1R[SS / CIIV 21P VIIONE <br /> �i.i �- � 32� - . 't��ttr�l" � �(/T Z f2^ /�G/J <br /> TEN�NI' MMLAO[1fiE55 CI1Y 211' P110NE <br /> �RCH'TECTOflDE51fNEf1 MAt1.A��RE55 CITY 21P PIIONC <br /> GEtIERRLCCNTRRCIOR MMLF��RES.`i GI�Y 211' PIIONf: LICENSF� <br /> N�MECHANICALC NTAACIOP MAILr1DOB';55 CITV ZIP PuONE LICENSEI <br /> ���11,�-J�t���Y_✓.c (� S�Z��—��y�S 3 3/ /�o>�u� 13 7 KJ <br /> PLUMBING W 7RACTOii A14LL P�JNESS CITY 21P PIIONE I ICGYSE 1 <br /> CLA55OF WOFK <br /> �'NEW I I ADDITION I I ALTERATION I i R[PAIR ! i DEMOLITION '. WOODS70Vc/FRPL INSERT i I BWLDING RELOCAT�ON <br /> � <br /> TEN�NT IMPROVEMENT OR MTF IOR REMOCE„LONLV CONiPCi PERSON ANO PIIONE NO <br /> CONTR�CTPRIGEOF WORN: ���OQ <br /> OE3CRIBE WORK AND SOl1APE fOOisGE INYGIVED <br /> �i�sfda. �s r2v.+ � /►kJl� <br /> PROPOSEOUSEOFBUIIDI�G '� I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> �'}� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEGAI�ES �PTIONOFPROPERP( '�IDWNBEIOWORIITTAGIIPOURCOPIES� PROVISIONSOFLAWSANDORDINANCESGOVERNINGiHISTYPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �or o�ocK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME 70 GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRl1CTI0N OR THE <br /> PERFOHMANCE OF CONSTRUCTION.TFIAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> �PPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONiRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> :iIGNAllllll'.OI CUNIINGIOIIOII�IIIIIOfi11CU�GFNI IIM[ <br /> "______"__".. . " _'__—_.__"_. <br /> I n <br /> PflQIECT�ODRE55 � � " �--~� �� — <br /> 3�� � � � / u� APrucnr�tscnvousiuess�CENSENOAND�l151NE5SNAIAE <br /> ..- <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET� A/C--A/HNDLG UNITS—H.P. � <br /> — — —•-- <br /> BATHTUB ' PORCED AIR SYSTEMS—B.T.II. M E.A. � <br /> LAVATORY(WASH BASIN) r / UNIT HEATERS—B.T.U. M � <br /> SHOWER ' CLOTtiES DRYERS _�__ <br /> KITCHEN SINK 8 DISP VENTILATION FAN ' <br /> —r--- —— —i�-- <br /> DISHWASHER RANGE HOOD <br /> '—— — <br /> LAUNDRYTRAY ; NlATERIIEATER <br /> i- - - - <br /> CLOTHES WASFIER � IVOOD STOVE _�_ <br /> UR�NAL �_ __ _METAL FIREPLACE 8 CHIMNEY ' <br /> DRINKING FOUNTAIN FIREPLACE INSERT � <br /> � _�_ <br /> FLOOR DRAIN __�_ __ HEAT PUMP �_ <br /> BACKFLOW PREVENTERS ' GAS PIPING ' <br /> _—_ - —___,'— _7G —_______— --r— <br /> ROOF DRAINS—R�\INLEADERS � EXHAl15T PAN � <br /> -- --------'— ---- --------.—'— _ ' <br /> SINK(SERVICE-9AR,ETC.) ' � <br /> — ---i— -'---- --------- � <br /> � <br /> -- ---- ------- --r <br /> — — --- � <br /> — --- ------�— -- - <br /> � —_�— --�--- --- <br /> SUB TOTAL $ ; SUB TOTAL $ <br /> PEFMIT $ � PERMIT $ �� <br /> TOTAL FEE $ ' TOTAL FEE $ S 'VO <br /> FNONTSETB�CN OEARSE704CK SIOESEIDAf.N YIAlIC11CLH1.UA10[R FEE REGEIPTNO. <br /> usezoNe iotnnen vncawtsre FEES VALUATION FEE <br /> I YES I I NO d����pING � <br /> i <br /> tYPE0FC0tlSInLLOWABIE 1YPf0iCONSfAfillAl aa�aNn unnrf�'xuuu6ww5 -- ---- — <br /> r,aouv PI.UMBING � <br /> SIZEOFBLOG. NOOFS70RIE5 OASEMENI MECIIANICAL � � <br /> I I YES I i NO <br /> OCCU7ANCYLOAO FIRESPRNKIERSPEO'U MEIGIRUMITRTION OTIIER i <br /> � <br /> I I YES I I NO STATE�UII�ING SUPCIIARGE � <br /> RUSON FOR SPRINNLERS <br /> STAIEENERGVSURCHARG[ i <br /> RPPLICATIONAGC.OY PLANSAPPROVEOOY CITYOFEVERETT PUBI.ICWORKS i <br /> � LOCAL SALES <br /> TAX CODE IS 310� TOTAL � � <br />