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� <br /> APPLICATIV�1 FOR CONSTRUC7 rON PERMIT <br /> �' everett <br /> !ho Evo�grceo � <br /> CIN OF <br /> everett <br /> BUILDING DEPARTMENT i0 BE COMPLETED IN INK—PLEASE PRINT <br /> 259-8810 <br /> � ❑ DEMOLITION f_) COMBINATION i I BUILDING i I MECHANICAL �(PLUMBING Cl SIGN <br /> p NE� hUIL�DORE55 CIIY ZiP {'�iONE <br /> � � ��►� ��aS aR�o_�r S+w�am,sN ��90 s�&Bao�1 <br /> iEHAHi M41L�D�PE55 GiY ZIP PIIONE <br /> 4RCIUtECTORDE9GNER MnILno0RE55 CIIY Zi� PIIONF. <br /> GENEIIAICONTMCiOl1 M�IL�0011E55 GIIY ZIP PIIONE IILENSE� <br /> ��� ��� �omEs i37�� �3h�A�ow�4Y �n��_l►?oYA�N ��qc.A <br /> A�� MECN�NICLCONtilAC10f1 M�ILA��RE55 Glri ZIP r PRONE IIGENSEt <br /> H <br /> ay� PLNAOiNOCOMMC.I�OyIi�� �My�it�0011[55 GI1V l�l' PIIOIIF. LICCNS[/ <br /> H �3 —.h.[r i � �cTt I'�–W'nQ�N� <br /> K n anssoFwonK <br /> O "J]O ,xNEW ❑ ADDITION f 7 ALTERATION f l REPAIR I J DEMOI.ITION 1 J WOODSTOVE/FRPL INSERT I 1 BUIL�ING RELOCATION <br /> � L NH TENANTIMPROVEMENIORINiER108REM0�ElONLV GONTACTPEOSONANDP110NEN0. <br /> y �4 LONiRACT PRICE UF WO�N: <br /> �ij [] OESCRiO[WO�KANDSW4f1EFO0iRGE�NVOIV[D <br /> OHd �Uw�L� -�t�- �I1)IeX <br /> H �� rnoc SEDUSEOFBWIDING ' i HEREBY CERTIFV THAi I HHVE REA� AND ERAM�NED THIS <br /> �� � APPLICATION AND KNOW TIiE SAME TO BE TRUE AND CORRECT.ALL <br /> H <br /> LEGALUESCRiPiiONOFPiIOP[RiV�SNOWNOELOWOpRt1ALH�0UpC0�l[5� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEO` <br /> 9 y ^ r� �J WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> ipr,�('.]`7 otocK or NOT. THE GRANTING OF A PERMIT DOES NOT PRESU�AE TO GIVE <br /> r �..�y AUTIIORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> � �y OTHEF STATE OR LOCF._LAW REGUiATING CONSTRUCTION OR iHE <br /> N � PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHO�7IZED BY THE <br /> �+ � OWNER OF THIS PROPERTY TO PEHFORM TFiE WOFK FOR WHICH <br /> � [q� APPLICATION IS MADE AND I C7MPLY WITH THE STATE <br /> CONTRAC i ORS LAW 18.27 RCW AND 2962Uu WAC. <br /> y �N swr neoFr .�nncrononnunwmzeoacervr onie <br /> G <br /> raaectnooness nrvuc�+rscirr U5ICSSLICENS[NO.����BUS�N[SSNAME <br /> 7 J� E R . <br /> PLUI�IBING MECHANICAL <br /> I NO. TYPE OF FIXTURE OR ITEM FEE NO� TYPE OF EOUIPMENT FEE I <br /> '� � g i i NC—A�HNDLG UNITS—N.P. <br /> ' WATEF CLOSET(TOILET) �-Cl <br /> +�.� 4 BATHTUB ^_,f� ; FORCED AIR SYSTEMS—B.T.U. M �.A. � <br /> LAVATOflV(WASH DASIN)� -+ UNIi HEATERS—B.T,U. M � <br /> SHOWER "1 ' I. CLOTHE3 DRVERS —'— <br /> — _ . ' — <br /> I � KITCHEN SINK 8 DISP �_ VENTILATION FAN <br /> � + � � �_ RANGE HOOD <br /> DISHWASHER <br /> � LAUNDflY TRAY � i � WATEfl HEATER <br /> � + CLOTHES WASHER � WOO�STOVE <br /> ! ! UPINAL ' METAL FIREPLACE&CHIMNEY i <br /> ORINKING FOUNTAIN FIREPLACE INSERT �_ <br /> FLOOR ORAIN � _ HEAT PUMP <br /> I^' � BACKFLOW PREVENTERS ; GAS PIPING <br /> ROOF DRAINS—RAINLEADERS —�— EXfiAUSi FAN <br /> SINK(SERVICE—BAR,ETC.) ��__ — <br /> !� � — i <br /> — __�— <br /> i <br /> � SUBTOTAL $ I ; _ SUBTOTAL 5 � <br /> `'! — PERMIT $ � PERMIT S � <br /> TOTALFGE $ I ' TOTALFEE $ ° ) <br /> ,� Ff10Ni5ET0�CK �EAOSElO�CN Si0E5E104CN PIANC�ICCKNUM�E11 PEE 11ECEIPiNO. <br /> USE 20NE iot necn vncaNt sne FEES VALUATION FEE . <br /> ❑ YES ❑ NO BUILOING <br /> IYPEOfLONSCALIOW�BIE lYPEOiLON51.hL1URl �°w�� �a��������i15 c I, � <br /> cnav p�Uh1�ING �`1 1/ � <br /> SIZEOFOLD(i. NO.OFSTOf11E5 OnSEMENI h1ECHANICAL I�� � <br /> I 1 VES C1 NO � <br /> OCCUPANGYLOAp fIRE5PI1NNl[RSII[OD IIEiGNiUMIiA710N O71iE� ' <br /> � <br /> ❑ YES I I NO STATEOUILDINGSUPp1ARGE � � <br /> �t-- <br /> f1EA50N 1 OR SPNNNlEf15 � <br /> 57n7E ENERGV SMCHnRGE <br /> nrr��cnna+ncc or rinr+snrrnovcoor CITY OF EVERETT ruoucwonKs <br /> LOCALSALES � <br /> TAX CODE IS 3105 rorn� � 5 � <br /> I <br />