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i <br /> APPLICATIG.� FOR CONSTRUCT.JN PERMIT <br /> u.a C�rrgrsren everett <br /> CITV OF � <br /> � everett <br /> BUILDING DEPARTMENT <br /> 259•8810 TO BE COMPLETED IN INK—PLEA�E PRINT <br /> I I DEMOLITION I I COMBINATION i I BUILDING ���CHANICAL I I PLUMBING I I SIGN <br /> �ER M�ILAOOOESS C17Y 21P PIIONE <br /> '�,yam �?.�oCKmam 2'lo�j (�.ii�nvt� f,�l�c1 �v2a_et4• H�2o3 35 •343 I <br /> IEN�N MRILAODRESS CIIV TIP PIIONE <br /> �RLNITECTOflDE51GNER M�IIADOflE55 LI7Y 21P PHONE <br /> 1 <br /> GENERALCONTR�CTON MrILA0DRE55 QTY 21P PIIONE LICENSE� <br /> MECIIANICALGONiBALTOR MqI�ODfl[55 CIfY ZiP ppONE LICENS I <br /> ��'1 � '� I I�IIg • t 2y A � (�s� �,I�Clamd 9`bc�3H 82l •H5y SUNLOW7�4b'J�1� <br /> PLUE'ARqCOqiR�CTOR M�IL�OORESS CIIY ZIP PIIONE (ICENS I <br /> CLASS O�WONN <br /> I I NEW f�.I ADDITION IxqLTERATION I 1 REPAIR I I DEMOLITION I I WOODSTOVE/FRPL INSERT I I BUILDINO RELOCATION <br /> TENANT IMPROVEMENT OR IN7EPIOR IiEMOUEI nN19 COIIIACI PFOSON��ll)PIIONE NO. <br /> � LpliH�CT PNICE OF WORK: �q�� .QU <br /> DESCRIIIE WORN�ND SIXMOE FOOUGE INVOLVEO <br /> �dl.Y�h�l,�- <br /> PRUPOSEOU9EOFBW INO �� -- ._, <br /> �� ��� 1 IiEREAY GERTIFV THAT I HAVE READ AND EXAMINED THI9 <br /> APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORqECT.ALL <br /> lEO�LDESCPIPTIONOF pR TV�SII BEIOW Ofl� CII f01111 COPIES� PROVIS�ONS OF LAWS AND ORDINANCES GOVERNIN6 THIS TYPE OP <br /> �or eiocK �F WOfiK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. TIIE GRANTING OF A PERMIT DOES NOT PRESUME TO 61VE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> — _ . OTHER STAiE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZEO BV THE <br /> OWNEFi OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> — APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACIORS LAW 18.27 RCW AND 296.200 WAC. <br /> SIGN�tUREOPCONIR�C1040q�p/11011RE0AGENf D�TE <br /> 6,�.�� ozo3"iz <br /> PROJECTAODRE88 Ll��yy�/� /] h n ' — X S��f'�' • K /�•�}'•�'��'C �� ('`j�1Q��'y]'��' <br /> �-/W 11YLi G� l,.(,�VCJV�Q� APPUC�NTSCIiYBUS�55LIGEN5EN0 �NOBUSINESSNIIME � <br /> PLUMBINO MECHANICAL <br /> NO. TVPE OF FII(TURE OR ITEM FEE NO. TYPE OF EOUIPMENi FEE <br /> WATER CLOSET(TOILET) ! A�C—A/HNDLG UNITS—H.P. <br /> i <br /> I BATHTUB ; T FORCED AIR SVS7EMS—B.T.U. M E.A. --~- <br /> LAVATORV(WASH BASIN) � _ UNIT HEATERS—B.T.U. M � <br /> i SHOWER � CLOTHES DRYERS --�— <br /> KITCHEN SINK d DISP ; VENTILATION FAN � <br /> DISHWASHER — ' <br /> `_ RANGEFi00D —T— <br /> LAUNDRV TRAY ' WATER HEATER � <br /> CLOTHES WASHER --�--- WOOD STOVE � <br /> URINAL � METAL FIREPLACE 8 CIi�MNEY �— <br /> DRINKING FOUNTAIN � FIfiEPLACE INSERT � <br /> ---i —T <br /> _ FLOOR DRAIN IiEl1T PUMP , <br /> BACKFLOW PREVENTERS � <br /> i �_ GAS PIPING � <br /> _ ROOF DRAINS—RAINLEADERS —i-- EXHAUST FAN , <br /> SINK(SERVICE—BAR,ETC.) � — — � <br /> _�— — <br /> � � <br /> � <br /> � T <br /> � � <br /> 1 <br /> 1 � <br /> —�_ _— �T_ <br /> . SUB TOTAL $ ; SUB TOTAL S �U <br /> __ PERMIT $ —i PERMIT S � i <br /> TOTALFEE $ ' TOTALFEE S <br /> FRONISETB�CR REARSEiBACK SIOESE7BACN PIANCIIECKNUTAI3EB FEE REGEIPINO. <br /> use zoHe �m nne� VACnpT SI1E FEES VALUAT�ON FEE <br /> I I YES I I NO r <br /> — AUILDMG ' <br /> fYPfOftUNS1.AlLOW�BIE IYPEOfC0115I.�C111�1. Mnmery�r Norc�wuux,lnmt _ � <br /> cnpm <br /> PWM�ING i <br /> � <br /> SIIEOFBIIX'i NOOFSiOqIES 0%SEMENi —�— <br /> MECHANICAL � <br /> I I YES I I NO --- <br /> OCCl1PANCYIOAD FIqESPI7NKlEf15RE00 IIEIGII7LIMITAiION OIIIEH � <br /> i <br /> _�_ I I YES I I NO STATE OUIL�INu SURCIIARGE i <br /> f1EA50NFORSPAINRLERS . _ � <br /> __t'__ <br /> SIATEENERGVSURCHARGE i <br /> APPLICAIIONACQ�V PL�NSAPPqOVEDDY CITYOFEYERETT PUBUCWORKS i <br /> LOCAL SALES � <br /> TAX CO�EIS 3105 TOiAL � <br /> � <br /> , <br />