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APPLICATIGrd FOR CONSTRUCT_. �N PERMIT <br /> MoC-vargrecn ,i everett <br /> CITV OF � <br /> everett <br /> ' BUILDING DEPARTMENT <br /> 259•B810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> I I DEMOLITION i i COMBINATION � : BUILDING i i MECHANICAL ! i PLUMBING I I SIGN <br /> OWNEfl / MAILA�OP655 CI7Y ZIP PIIONE <br /> t{` 'I� � /y• /1,�� e�ll�l_G1_L��_ <br /> TENANT I.IRILAODRE55 CII� ZIP PIION@ <br /> r � <br /> RRCIIITECiORDESIGNER AIRILA�Of1E55 CITY 21P PIIONE <br /> GENER�LCONTRACTOfl AIMLA�DfiE55 CIIY ZIP PIIONE LIf.ENSE� <br /> MEGM/J1ICALLONTR�GTOfl M�II.AODRE55 CIIV ZIP pMONE LICENSEt <br /> iv.w. w4fwJ��..��ro-fl,« .�� `:i �y�,, ;s , s3�� ti��-/t,�l, iT� KT <br /> PLUMBINGL(NJippCTOfl MAIIAI`^f1E55 CITY 21P PIIOtlE LIGENSE� <br /> � <br /> CLA55 GF WORK � <br /> I I NEW f 1 ADDITION I I ALTERATION I I REPAIR � I DEMOUTION � • WOODSTOVE/FRPL INSERT I I BUILDING RELOCATION <br /> 1 EN�NT IMPROVEMENT OR INTERIOfl REEIOOEL ONI Y, COIRAC I P[R501!AND P1101lG HO <br /> CONTR�CTPflICEOFWORN: /�`,�r � <br /> DESGRI E K AN SOUARE FOOTT�GE INVOLVED — '. <br /> F,�N �n�,� � <br /> ROPOSEDUSEOFBUILUI G I HEFEBY CER7IFY TNAT I HAVE READ AND EXAMINED THIS <br /> � APPLICATION AND KNOW THE SAME TO BE TFUE AN�CORflECT.ALL <br /> iew�oe IP'IONOF ROPEFlTV SIIOWN6EIOWOIIFIIM:IIIOUIIG014L5� PROVISIONS OF LAWS AND ORDINP.NCES GOVERNING THIS TYPE OF <br /> IVORK Wlt.l. BE COMPLETED WITIi WHETHER SPECIFIED HEHEiN OR ' <br /> �or aiocn or _ _ _ NOT. THB GRANTING OF A PERMIT DOES NOT PRES�ME TO GIVE I <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY �� <br /> OTH[R Sl"A1 E OR I.00AL LAW pEGULATING CONSTRUCTION OR THE � <br /> � — PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE � <br /> OWNER OP TFIIS PROPERTV TO PERFORM THE WORK FOH WHICH � <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE I <br /> CONTRACTORS LAW 1B 27 RCW AND 296.200 WAC. i <br /> SIGN�IIIN[OF LUNI RACION p(1 A1I1110HIZL0 PfiENI O�IE � <br /> /J, i <br /> FRQIEGT ADURESS � /�����'�/f I Slr `� //'C Q <br /> RPPI.ICANiSGTYBIISMES�IICEN5EN0 FNDUUSINESSNAME <br /> PLUAABING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM PEE NO. TVPE OF EOUIPMENT FEE <br /> WATER CLOSET(701LET) —r A/C—A/IiNDLG UNITS—H.P. � <br /> BATHTUB ; , FORCED AIR SYSTEMS—B.T.U. M E.A. ; <br /> � LAVATORV(WASH BASIN� ��— UNIT IIEATERS—B.T.U. M ; <br /> SHOWER �_ _ CLOTIIES DRYERS T <br /> KITCHEN SINK 8 DISP ; VENTILATION FAN ' <br /> DISHWASHER —� P.ANGE rI00D �— <br /> J <br /> LAUNGRYTFAY ; � WATERHEATER <br /> CLOTHES WASHER � WOOD STOVE ; <br /> � — ----- -- -- —�— <br /> URINAL ; MET41.FIREPLACE 8:,FIIMNEY � <br /> DRINKING FG INTAIN � FIAEPLACF iNSERT ; <br /> FLOOR DRAIN � HEAT PUMP — —�— <br /> — � <br /> BACKFLOW PREVENTERS ; �G GAS PIPING � <br /> ROOF DRAINS—RAWLEADERS —�r— EXHAUSI�FAN �— <br /> SINK(SERVICE—BAR,ETC.) ; <br /> _ — � -- _ <br /> i i <br /> _ _ _ __ �_ <br /> ___"'_ '--_'—"1__ '_ _� <br /> — _ _ —_ _ 1 <br /> 1 I <br /> . _ ___ ��� <br /> sus rorn� � sue rorn� s ; <br /> PERMIT $ —T PERMIT $ � <br /> --'r— <br /> TOTAL FEE $ TOTAL FEE $ �[JU <br /> FqONT5ET9ACR REAli5ET8ALH SIOES6iUACh VIANp1ECKNt1�l0ER FF.E f1ECEIPiNO. <br /> 1 <br /> usezoNe ioranen Vr1CFNT5ITE FEES VALUATION FEE <br /> I I YES I i NO OUi�owc �--r <br /> iYPEOFCJNSiAILOWABIE TVPEOFCOflSI.PC7UAL ����P�'��r xoLllm;uMGuxnS � <br /> GPOOP <br /> PLUAfAMG ' <br /> o2E OF 9LOG. �'O OP S10RIE5 BASEMENT �AECI IANICAL � <br /> I I YES I I NO ----- � <br /> OCCUPANCYLO�D FIR[SPRNeLERSREOD IIEIGIITLIM17NION ������ � <br /> � <br /> I i vEs I I NO yrm�ouu.niNc;suncimnr,e � <br /> PEASONFOflSPRINNLCRS -----'--------- -- ---�— <br /> STATEENEHGYSUG:HARGE i � <br /> APPLIC�TIONACC.OV PL�NSAPPBOVEDAY CITYOFEVERE7T PU[3LICWORNS � � <br /> LOCAL SAI.ES ' <br /> TAX COOE IS 3105 TOTAL I � <br />