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.., <br /> APPLICATIbi�l FOR CONSTRUCTION PERMIT <br /> everett <br /> the Eve�green � <br /> CITY OF <br /> everett <br /> BUILDING DEPART��IENT TO BE COMPLETED IN INK—PLEASE PRINT <br /> 259-8010 <br /> I 1 DEMOLITION f! COMBINATION I 1 BUILDING I l MECHANICAI • xPLUMBING i_l SIGN <br /> o� r+en Mnanooness cnv zm PHONE <br /> �4 m�Gow�nJ�31aS�R�.ow� s!w�w+�m,sN„o,E4�90 s�82�71 <br /> TENANT MMLAD�f1E55 ���� <br /> ARCNItEGTOR0E31GNE0 MRILADO�[55 GITY ZIP PHONE <br /> y�� G[NF.ML CONTfl/.CiOR M�IL ADURE55 CIIV 21P PIIONE LICENiE• <br /> ��x ,- 9LE f�f_Or17F� �37�5 (3�ow� S�N�n1�l �3oY G �79c� <br /> MCCH��ONLMCTOR MIIL�DDRE55 CIIY 21P � PIIONE IICENSE� <br /> aH <br /> yv� - <br /> r i'LUMOINOCONIR�CiO� MPILADDII[55 CIIV ZIP PIIOIlE UCENS[� <br /> y �� -(JE( S'�4.� 'i�-V�M�.i�N f� <br /> l;1R5501 WORI( <br /> O� H� xNEW ❑ ADDITION ❑ ALTERATION LI REPAIR lJ DEMOLITION I 1 WOODSTOVE/FRPL INSERT I 1 BUILOING RELOCATION <br /> (n�y--1I tENRN1IMCROVEMENTORINtEO�OR�EMO�ELONLY CONiACtPE1150N�N04'110NCN0. <br /> ..y. �� CpNTMGTPHICEOfWOPN: <br /> l�'�l •� OESGR�BEWORKRNDSOU��EFOOI�GEINVOW[D <br /> ° � P�u ,�4, ��„ ,f�.� - <br /> H �grnor seouseoFemtom� I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> �� n APPLICATION AND KNOW THE S�ME TO BE TRUE AND CORRECT.ALL <br /> H ❑ PROVISIONS OF LAWS AND ORDINANCES GOVERNING�iHIS TYPE OF <br /> a y3 iecn�oescnirtior+oFrnovenTris��ovmoEiowonnrTnc�+rouncoriesi yyORK WILL BE COMPLETED NJI7H WHETHER SPECIFIED HEREIN OR <br /> ft� <br /> C x tot BLOCK oF NOT. THE GRANTING OF A PER.AIT DOES N0T PRESUME TO GIVE <br /> �y H H AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF �NY <br /> p y H VN��S _ OTHER STA?E OR IOCAL LP'N REGULATING CONSTRUCTION(1R THE <br /> n b y �O � PERFORMANCE OF CONSTRUCTION.THAT i AM AUTHORIZED BY 'HE <br /> C� OWNER OF TI115 PROPERTV TO PEfiFORM THE WORK FOR WHICH <br /> � �`�� APPLICATION IS MADE AND I COMPIY V:ITH THE STATE <br /> x y y CONTRACTOFS LAW 1827 RCW AND 296.200 WAC. <br /> ypy smi neortor+rnnctononnutHoe¢EoncENr on�e <br /> C <br /> PROJEGiPD�RE55 � — <br /> � 7405' E nrrucn+rscirr US 1ESSLILENSENO ANOOUSRICSSNR1dE — <br /> PLUMBING • MECHANICpL <br /> NO. TYPE OF FI%TUflE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> '�' �' WATER GLOSET(TOIIET) � NC—NHNDLG UNI?5—H.P. <br /> i- <br /> '�'� BATHTUB � FORCED AIR SYSTEMS—AS.U. M E.A. <br /> �;1� LAVATORV(WASH BASIN� � _ UNIT HEATERS—B.TU. M � <br /> '� .� � SHOWER '� ' CLOTHES DRYERS <br /> I KITCHEN SINK R DISP VENTILATION FAN �_ <br /> �'! a DISHWASHER � flANGE HOOD ' <br /> LAUNDRY TRAY WA7ER HEATER <br /> �� "' . CLOTHES WASHER � � WOOD SiOVE _;_ i <br /> "�! URINAL ' 1.1ETAL FIREPLACE 8 CHIMNEY ' <br /> DRINKING FOUNTAIN i FIREPLACE INSERT __T <br /> ' � FLOOR DRAIN 1 I1EAT PUMP <br /> �I I DACKFLOW PREVENTERS � GAS PIPING �_ <br /> ROOFDRAINS—RAINLEADERS E%HAUSTFAN <br /> SINK(SERVICE—BAR,ETC.) , ' <br /> --� I <br /> ... � — <br /> i <br /> � <br /> IT' � SUB TOTAL $ ci/�; SUB TOTAL $ � <br /> � PERMIT $ — PERMIT $ <br /> TOTALFEE 3 � `' TOTALFEE S ' �, <br /> , �. FRONi5ET0ACR �EA115[iOAIX SIDES[tOACN PIANCMECKNUMf1ER �[E �GCE�PtNO <br /> usexor+e IOTAREA vccnutsire FEES VALUATION FEE r �' <br /> ❑ YES LI NO OWLOING ' � <br /> fYPEO(LONSI.AIlOWA9lC lYPEOiLON4ALNA� oCCU��Ntt NOdOntwNGuvi15 i <br /> �P�P 1'LUh1BING <br /> i <br /> — � <br /> SRC OF OLDG. NOAF Si001E5 B45E1AENT �,�[CHANICAL �� . <br /> ❑ VES I 1 NO — ' <br /> oecurnuev�ono Finesrr+r+Kiensneo�u IIEiG11iLIMIt�iION oTnE� ' <br /> � <br /> ❑ YES ❑ NO STATE OUILDING SURCIIARGE � I <br /> — __—r— <br /> n�nsor+ron srnir�ni�ns � <br /> STAIE ENEfiGV SURCHARGE � _ i <br /> nrrucnnor.ncc.or PLANS�PPIIOVEDOY CITYOFEVERETT runucwonks ' I <br /> LOCAL SALES I <br /> TAX CODE 15 3105 TaTA� � ��5 ' <br /> I <br />