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APPLICATION`�FOR CONSTRUCTI"�:N PERMIT e�e�e�t <br /> �E���� TO BE COMPLETED IN INK—PLEASE PRINT � <br /> CITY OF � <br /> everett HEATING SYSTEM: GAS ❑ELECTRIC ❑ <br /> BUILDING DEPARTMENT <br /> 259-8810 / <br /> ❑ DEMOLITION I I COMBINATION I I BUILDING YI MECHANICAL I.i PLUMBING C I SIGN , <br /> QyyqEq •A'AIIALADyDRE55 QTY ZIP PHONE � <br /> � � �/�7 UC ^ , <br /> TENANT MAILAODRE55 dTY ZIP PIIONE , <br /> 9�0� - •��.�v,� 1�� .,�. 9�aoy <br /> �RGHITECTORDESIGNEH M�IL�O�RESS CITY ZIP PHONE <br /> GENERALCONTRACTOR MAIL�O�RESS C11V ZIP PHONE LICENSE� , <br /> ME ICALCONTMGTOR MAILADORE QTY ZIP PHONE ICENSEI <br /> 7�/rJ � v2S� ��/// � - T/+Z(o f� ` <br /> PIUMB TR�CTOR M LADORESS CITY ZIP PHONE ��CENSE• � <br /> � <br /> LUSS OF WONN ��� <br /> ❑ NEW ❑ ADDITION �ALTERATIOk I I REPAIR I I DEMOLITION I 1 WOODSTOVE/FRPL INSERT ❑ BUILDING RELOCATION � <br /> CONT�GTPEfI50NANDPMON O. ' <br /> 2GCD — o � ` <br /> CONTR�CT PRIGE OF WOHN ( <br /> DESC IBE WORN ANO SOUARE FOOT�GE I VOL ED / A <br /> � I 1 <br /> PROP�OSEUUSEOFBUILDINO (, � � /r�j,,� � <br /> _�/ I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS � <br /> l O/�DESCNIrr�PA�'E��ISHOYMBELOW OHATT�CHfd1RGOP1E51 PROVISIONS OF LAWS AND ORDINAN ES GO ERN NO TH S TYPE OF ` <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEHEIN OR ` <br /> �oT e�ocK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO aIVE <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY i <br /> -� P"D� -04� -- I - �� pERFOFMANCE OF CONSTR CTION.THAT I AM AUTHORI ED BY THE ` <br /> l <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> � APPLICATION IS MADE AND I COMPLY WITH THE STATE � <br /> CONTRACTORS LAW 1627 RCW AND 296200 WAC. f <br /> SIGNAiUREOFCONfR�CTORONAUTNORREO�GENT DATE ( <br /> X . ) C <br /> 9</DZ - i.�'r A���'rz or�� �ii , �,/�n�� i <br /> ano.iecr�ooness � <br /> APPLI �NTE QTV BUSMES�LICENSE N0.ANO BUSINESS NAME <br /> I <br /> PLUMBINO MECMANICAL ; <br /> NO. TVPE OF FUTURE OR ITEM FEE N0. TYPE OP EOUIPMENT FEE 1 <br /> WATER CLOSET(TOILET) � A/C—A/HNDLG UNITS—H.P. � ' <br /> BATHTUB FORCEDAIRSYSTEMS—B.T.U. M E.A. ' � <br /> UVATORY(WASH BASIN)� � UNIT HEATERS—B.T.U. M T_ <br /> SHOWER ' CLOTHESDRYEHS ' � <br /> K�TCHEN SINK 8 DISP I VENTILATION FAN � <br /> DISHWASHER RANGE HOOD ' �� <br /> LAUNDRY TRAY ; WATER HEATER � <br /> CI.OTNES WASHER � WOOD STOVE � ( <br /> URINAL METAL FIREPLACE 8 CHIMNEV ' l <br /> DRINKING FOUNTAW I FIREPLACE INSERT � � <br /> t <br /> FLOOR DRAIN � HEAT PUMP ' ; <br /> BACKFLOW PREVENTERS � GAS PIPING � <br /> ROOF DRAINS—RAINLEADERS � EXHAUST FAN ' , <br /> '--— <br /> SINK(SERVICE—BAR,ETC.) � ' <br /> � i � <br /> i <br /> � P <br /> � ' ! <br /> SUB TOTAL S SUB TOTAL 8 ' � �' <br /> PERMIT S PERMIT S i � ! <br /> TOTALFEE $ ' TOTALFEE $ ' — � <br /> FOR OFFICE USE ONLY: <br /> FRONTSETBACK REAR SEIDAGK SIOE SCT�ACK PIAN LHECK NlIMOER FEE RECEIPT N0. <br /> i <br /> USE20NE IOT�REA VACFNTSRE FEES VALUATION FEE <br /> � � <br /> BUILDING ' <br /> 1YPEOFCONTS.ALLOWABIE iVPEOFCONSTAGTOAL acav�rvtr NouVnnuxcuNns � � <br /> GP01P pLUMBING �_ <br /> SI:EOFBLW. NO.OFSTOFIES B�SEMENT � <br /> MECHANICAL ' — . <br /> i <br /> OGGUPANCYLORD FlRESPRNK/EFlSREOD ��EIGNTLIMITqT10N ADDITIUNALPLANCNECK � i� <br /> i � <br /> OTHER � <br /> I' <br /> pEASONFORSPRINNLERS <br /> STA7E BUIIDING SURCHARGE � � <br /> � <br /> INTANEBY PUNSAPPNOVEOOY CITYOFEVEHE7T PUBLICWORKS i � <br /> LOCAL SALES � � <br /> TAX COOEIS 3105 TOTAI �j ; — <br />