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, . _ . . . . ,..`_._ ..... .�..: ��,..r...... ._ ._.. ....._i .. .a.w. ..a. <br /> . .. .. .... .. .. ..- . ...�.,� .. �.r:�.. . . ._. ._._..�. . _. <br /> . . . _. _. .._. . ."'" ' ' <br /> � <br /> APPLICATIt��I FOR CONSTRUCZ�:ON PERMIT everett !. <br /> rne Everereen TO BE COMPLETED IN INK—PLEASE PRINT � � <br /> cirv oF � <br /> everett HEATING SYSTEM: GAS ❑[LECTR�C ❑ i <br /> BUILDING DEPARTMENT � <br /> 259-8810 ��� <br /> 17 DEMOLITION i I COMBINATION i ! BUILDING �nn6CHANICAL I I PLUMBING f� SIGN <br /> MA�L AODPESS � � T�/ 21P ^� PNOyIE � � <br /> R `( �z7 ' C,Y �� ,. <br /> cT <br /> TEN� T M�IL A�DRE55 CITY 21F PMONE <br /> ' GITY ZIP PHOI'c <br /> ARCMITECTOq DESIGNEfl MA:L ADDRE55 , <br /> GENER CONTR�CTOR MAIL AODPE55 ZIP PHONE LICENSE I �, <br /> vau�r nnrusa� cas, iNc. \I�-1 c� � Z� � � _ <br /> MECHANIGAL C <br /> — 35AMPDO��Scq2•2944 ��T� Z�P PNONE UCENSE� � <br /> l' <br /> 2605 MCDoug�ll <br /> PLUMBINGCONTRA ��� i W��I��OI ���Y Z�P ���ONE LIGENSE� � <br /> CU55 OF WOAK <br /> ❑ NEW ❑ ADDITION �ALTERATIO�J I I REPAIR I I DEMOLITION I I WOODSTOVEIFRPL INSERT Ci BUILDING RELOCATION t� <br /> ��/1ry ,�/� CONT�CT PERSON ANO PNONE NO. �` <br /> ��-']O/f J <br /> CONTRACTPRICEUFWORK �J � `-"� <br /> DESCRIBE K ANO${�U�R�O�T�GE INVO�VED� :, <br /> irn i �� � �n�Q Cl l.(� � <br /> ese —Yu�r `�-� c,` <br /> PROPOSEDUSEOFBUILDINc�n , 1 HEPEBV CERTIFY THAT I HAVE READ AND EXAAIINED THIS <br /> V Y, APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL , <br /> LEGALDESCRIPTIONOFPROPERTY�SNOWHBELOWORATT�CIIFOURGOPIES� PRO\'ISIONSOFLAWSANDORDINANCESGOVERN�NGTHIS'YPEOF ; <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEFEIN OR �, <br /> �or e��ocK oF NOT. THE GRANTING OF A PEHMIT DOES NOT PRESUME TO GIVE � <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY �., <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE 6 <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE (; <br /> OWNER OF THIS PROPERTY TO PERFORM THE YJORK FOR WHICH � <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE (� <br /> CONTRACTORS LAW td27 RCW AND 296200 WAC. E: <br /> � SIGNATURE OF CONTR�CTOR OR AUTl10RIZED AGENT OATE � <br /> �e-�(I�' �/ X��� ��IC�u'd R <br /> PRQIECT ADDRESS )/�^' APPLICFNTS CIN BUSIN 5 LICENSE NG AND BUSMESS NAME . <br /> j�jvi� � <br /> PLUMBING MECHANICAL � <br /> FEE NO. TYPE OF EOUIPMENT FEE <br /> NO. TYPE OF FIXTURE OR ITEM q�C—q�HNDLG UNITS—H.P. ' �. <br /> WATER CLOSET(TOILET) , �. <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U' E.A. ,. <br /> � � <br /> , UNIT HEATERS—B.T.U. M � ` <br /> L4VATORY(WASH BASIN) CLO7 HES DRYERS ' �� <br /> SHOWER � I <br /> KITCHEN SINK 8 DISP _ VENTILATION FAN ��_ <br /> 1 RANGEHOOD � <br /> bISHWASHER � � <br /> LAUNDRYTRAY WATER HEATEF i <br /> , WOOD STOVE ' � <br /> CLOTHES WASHER , METAL FIREPLACE 8 CHIMNEY ' <br /> UflINAL — ' <br /> DRINKING FOUNTAIN � FIREPLACE INSERT �_ I� <br /> HEAT PUMP � <br /> FLOOR DRAIN GAS P"ING � <br /> BACKFLOW PREVENTERS � �— �' <br /> ROOF DRAINS—RAINLEADERS —� EXHAUST FAN i. <br /> SINK(SERVICE—BAR,ETC.) ' <br /> � <br /> � ---*— <br /> � <br /> � • <br /> � <br /> � <br /> � i- <br /> � <br /> � <br /> SUB TOTAL S � �� <br /> SUBTOTAL $ � � � <br /> � PERMIT S � � <br /> PERMIT S TOTAL FEE S �' <br /> TOTAL FEE $ � <br /> i <br /> FOR OFFIGE USE ONLY: neceirr no ; <br /> SI�GSETB�CN P�ANCHECNNUMBEP PEE . <br /> FRONTSEIBACN RERRSETOALN I• <br /> � FEES VALUAT104 FEE ' <br /> USE ZONE LOT AREF VRCANT SITE i F� <br /> BUIL�ING � � <br /> 1 `. <br /> iVPEOiCON15.ALLOWABIE 1VI'FOFLONS7.ACiUAL otCqapv x0ab.vflliNcuHnS i �. <br /> PLUMBING ' <br /> �� <br /> i <br /> SIZEOFBLU(i. NO.OFSTORIES �ASEMENT MECHANICAL ��� , <br /> i <br /> AODITIONAL PLAN CHECK _' �, <br /> OCWPANC�LORD FIpE SPRNNLEOS REO'D NEIGHT LIMITATION � <br /> i <br /> OTIIER � <br /> i �' <br /> REASON FOR SPR�NKLERS STATE BUILDING SURCHARGE ' <br /> i <br /> INTr1KEBY PLANSAPPROVEDBY CITYOFEYERETT PU�IICWORHS 1 <br /> LOCALSALES � <br /> TAX CODE IS 3105 TOTA� S`�� i;:: <br />