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APPLICA7 _ JN FOR CONSTRUl. t101�! P�RMIT `Vt,r`i` <br /> m��Er�,rareen � <br /> CITV OF <br /> everett <br /> BUILDING DEPARTMENT TO BE C0�9PLETED IN INK—PLEASE PRINT <br /> 259-8810 gUILDING MECHANICAL '. PLUMBING SIGN <br /> DEMOLITION COMBINATION __ ,,�, <br /> c��� nr <br /> OC:Y.ER MAiIApDRF.55 . �-,� <br /> (P l� j".h'.fff /j.'1.� � /� �c <br /> +.�ur U. (Y' � i�(PG f+��.k YII! ZIG PMONE <br /> �tENANi <br /> M�I�ADOPESS ��T� <br /> aHC�UTECTORD.^"�NER MRtLADDRE55 <br /> Cltt 21P PIIONE <br /> ,� � Z�p PMONE UCENSE� <br /> r)� � MNL ADDRE55 ��ry <br /> GFNERRLCONTPAGiOR _ <br /> 6�ECMANICRLGONTRACTOB MAILAODRE55 <br /> CITY ZIP PNONE LICENSE� <br /> H UCENSEt <br /> 2iP PMONE <br /> �y PWMOiNGGONiNRC10R MAIL�DDRE55 ��T� <br /> � y y anssoFwoaK REPAIR DEMOLITION WOODSTOVE�FRPL INSERT � BUILOING RELOCATION <br /> !�! „ NEW ADDITION ALTERATION X <br /> '„� C r� CO4TAGTPERSONANDPHO4EN0 <br /> L <br /> y z H TCNPNTiMPROVEMENI OPINTEFiORRt�d00ELONL <br /> CONiPALT PHICE OF\VORN: <br /> n <br /> �M� OESCRIBE WORN RND 5011RFE fOOTAGE INVIX.VED <br /> y~ rj W K f � f �I �1"/�� ���� I HEREBV GERTIFV THAT I HAVE READ AND EXAMWED THIS <br /> �, rnovoseouseoFeuaoir+c APPLICATION AND KNOW THE SAME TO BE TRUE AN�CORRECT.ALL <br /> O�� s � % PflOVI510NS OF LAWS AND ORDINANCES GOVCRNING THIS TYPE OF <br /> l[f,�LOESCRIP710NOfP�IOPERTY�SHOWNB[LOWOFlATiRCNFOI�RCOPIES� y�ORK WILL BE COMnLETED WITH WHETHER SPECIFIED HEREIN OR <br /> H � �y � Bi�K aF NOT. TH[ GRANTING GF A PER�dIT DOES NOT PRESCME TO GIVE <br /> O AUTHORITY TO VIJLATE OR CANCEL THE PROVISIONS OF ANY <br /> H° nQQq OTHER ST�TE OR LOCAL LAW REGULATING CONSTRUCTION OH THE <br /> x H 3 PERFORMANGE Or CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> � H Z OWNEP OF THIS PROPERTV TO PERFORM THE WORH FOR WHICH <br /> �„� y APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> �y y CONTRFCTORS lAW 1827 RCW�ND 29G200 WAG. <br /> O H s�ar+nrur+ooFr.omanaorvonnun�o�uz[:nncer+r onre <br /> C�C fp • <br /> �� � X ' � <br /> � .;�;�i;�:. <br /> yo � _j',-�r. ✓ f <br /> PROJEGTAOORE55 AnPUCAt SCI OUS�NESSIiCENSENO�Np0U5���E55N��d( <br /> 7�LG i'wLrh'NP�' A� MECHANICAL <br /> � PLUMBING FEE <br /> FE;: NO. TYPE OF EOUIPMENT <br /> NO. TYPE OF FI%TURE OR ITEM p,�__q.HNDLG UNITS—H.P. <br /> ' _ WATER ClOSET(TOILET) � .— FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> BATHTUB — �— UNIT HEATERS—B.T.U. M <br /> �— <br /> � �� LAVATORVIWASHBAS�N) CLOTHESDRVERS <br /> �� SHOWER VENTILATION FAN I <br /> �-� <br /> KITCHEN SINK 8 DISP qANGE HOOD <br /> � DISHWASHER W�TER HEATER — <br /> ' �� IAUNDRVTR�Y WOODSTOVE <br /> � � ' CLOTHES WASHER � °O <br /> ( � _�. METAL FIREPLACE 8 CHINNEY ._ <br /> URIN�L FIREPLACE INSERT <br /> DRINKING FOUNTAIN HEA1 PUMP <br /> !� _ FLOOR DRAIN � _ GAS PIPING � <br /> I�� BACKFLOW PREVENTERS �T <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN �--�--- <br /> SINK(SERVICE—BAR.ETC.) <br /> �� — �� <br /> , � SUBTOTAL 9 � <br /> ' —_ SUBTOTAL S .I _ — pERM1T 5 �_',_— <br /> 1 1 PEf�MIT S /v ' TOTAL FEE S <br /> - TO7AL FEE 3 ���O necEiPrr+o <br /> . sioE scroncK <br /> ninHa�[.crcr�ui+�eN �« <br /> FOO:ILSEiOALN REPAS[iBPCK <br /> ❑SE ZONE lOT AFEA VACANi SItE <br /> FEES VALUATION FEF <br /> YES �. NO euaoiN� _ <br /> accuPr.xcr noore�v�wxscr..�s -- — — — <br /> tYPEOFGONSiAItOW�BIE iYCE0iWN5t.AGi01R ccouP PWMBING <br /> S2E 0'BLDG. <br /> NOAFSTORI[5 ORSIMENT IdECHANICAL <br /> YES NO <br /> OTNER _ � <br /> OCGUPRNCYLOAD FlRESPFNNLERSRE�D HEIGNTLIMrt4tI0N — <br /> � VES NO _ SiATEBUILDINGSURCHARGE __� <br /> RE�S�N FOF SPRINNLEHS STATE[NERCY SURCHARGE . <br /> pP�UCRtIONI.GC 0V PLRNSAPPROV[��Y CITY OF EVERETT PUBLIC WOflN$ <br /> LOCAL SALES <br /> TAX CODE IS 3105 TOTAL <br />