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r�� r. . <br /> �4PPL16ATIt,N FOR CON�TRUC1 �ON PERMIT <br /> everett <br /> fho Evcrgreen � <br /> CITV OF <br /> � � � everett <br /> [ 5 . BUILDING DEPARTMENT TO BE COMPLETED IN INK—PLEASL PRINT <br /> 9 y y 259•8810 <br /> ' I DEMOLITION COMBINATION BUILDING I : MECHANICAL PLUMBING i.l SIGN <br /> H � `.3' <br /> H H OYINER MAILADDR'c55 CITV 21P PHONE <br /> oxo Xs�icKt�2 �AarNC,�S 9�� ii�Au�,vvL B��t-wc �'�s�P,ss Zo6- '/03- /�od <br /> � y� �TENANT M�ILAD�FE55 CITV 21P P!{ONL <br /> y �r-1 y-iqy>x1c �hnsrsrv�c �'��uiw5 C����z�c <br /> � O3 ARCIIiTEGiO DESIGN-B MFIIAp�HE55 GTY ZiP PMONE <br /> �iJ <br /> O I"� � GENEfi�LWNTRACTON IANLApDRESS CIiY ZIP PHONE LICENSEn <br /> H � g `��p-ALI. (�oWs�reucr��� 2Zb 13�� S1' SC- AU8u2� U�l1 Q(-Gi�2 Zo6-�33-bPi3 �D-ql-Lc Zlbut� <br /> H� � MECMANICALCONTRACTOR MAILAD�RESS CITY ZIP PMONE LICENS[/ <br /> � y�' PLUM9INGCONTFACTOfl IdFILA�ORESS CItY 21P PIIONC LICENSEn <br /> �yHy <br /> O y H CLASSOf 1YORN <br /> �C y � �. NEW ���� ADDITION ��.�I ALTERATION ��' REPAIR .�I DEMOLITION ��. . WOODSTOVE/FRPL INSERT ;7 BUILDING RELOCATION <br /> � tj� � . JENANiIMPROVEMEMOflINTEPIORPEI.ICDELONLY CONTACTPERSONANpPHONENO. <br /> r yO � �CONTl1ACTPFICEOFWOHK: � �� DOO.OJ � �g(YNQ',/� ��3—��9� <br /> �- �[��E..SCRI��E WORK AND SOIIARE FOOTAGE INVOLVED <br /> ''!G7�CtcJ I n1 p Itou�� � � <br /> �ROPOSEDUSEOF9WLDING I HEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> I �IU�.1 O Q�1M K1 � APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEGFLDESCBiPTIONOF PROPERTV ISNOWN 0EL01Y0FATTACH FOUR COPIE51 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �oT o�ocK oF NOT. THE GRANTING Of A PERMIT DOES NOT PRESUidE TO GIVE <br /> AUTHORITY TO VIOIATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTPUCTION OH THE <br /> PERFORMANCE Of CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE � <br /> CONTRACTORS LAW 1d27 RCW AND 296200 WAC. , <br /> S�GN iUR[OFCONiRACTOROR MOP2EDFGENT DAiE � <br /> � PRp1-nEC�TApOPE55 / ' E �(:�1/ uln� � "'� `� „ ��_�� <br /> " �SOUIn �D( ��Z S D IU IcG�U�1Z ' P � ANTSCRYBUSMLS'S it,EN ENO.ANDBI151NESSNANE <br /> 1 ' PLUMBING MECHANICAI �. <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE � <br /> '�1 WATER CLOSET(TOILET) NC—NHNDLG UNITS—H.P. <br /> ' � BATHTUB FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> � LAVATORY(N'ASH BASIN) UNIT HEATERS—B.T.U. M <br /> SHOWER '3 CLOTHES DRYERS <br /> '�' KITCHEN SINK&DISP VENTILATION FAN <br /> 1 ' DISHWASHER RANGE HOOD <br /> � LAUNORY TRAY _ WATEF HEATER <br /> � <br /> CLOTHES WASHER WOOCSTOVE <br /> URINAL METAL FIREP�ACE 8 CHIMNEY <br /> S� DRINKI�G FOUNTAItJ FIREP�ACE INSERT <br /> 1�I FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PI�ING <br /> � ROOF DRAINS—�RAINLEADERS EXHAUST FAN <br /> ' SINh(SERVICE—BAR,ETC.) <br /> �' <br /> � — � <br /> 1� SUBTOTAL 5 SUBTOTAL S <br /> ��- �� PERMIT 5 PERMIT $ <br /> TOTALFEE 5 TOTALFEE S <br /> FRONTSET�ACH REFRSET9ACK SIDESETBAf,K PIANCHECKNUMBER FEE � RECEIPiNO. <br /> �. S'R�JG.- � a- �f ?i <br /> USEZONE LOTAPEl. VACANTS4E / F ES VALUATION FEE <br /> �.,1 !_7 YES / NU BGILDING f Q <br /> �YPEO� ��STALIOWABLE rVPEOi iALIDAL OCNGRNLY M1O0I�WROL4l'�d15 �-<< <br /> �I`� �� µ'� �p��y .�—� PLUMBING <br /> SIZEOP�LDG. NO.OFSTOFIES BFSEIdENT ��ECHANICAL <br /> Z2j� �� � :�. YES . O <br /> OCCIIPANGYLOAD FIRES�RNKLERSREO'D HEIGHTLIMITRi�ON OTHER � <br /> '_. Yf 3 x NO STATE BUILDING SURCHARGE � <br /> REASON FOfl SPPINHLERS <br /> ,^rTATE ENERGV SURCHAflGE <br /> APPLICRTION4CC.DY PlANSAPPPOVEppY CITYOfEVEflE1T PUBLICWORKS <br /> �/ LOCALSALES n <br /> �C.� TAX CODE IS 3105 TOTA� —� <br />