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�� <br /> ra' r� ' J <br /> APPLICATION FOR CONSTRUCTIOi�I PERMIT <br /> everett <br /> the Ere✓grren � s <br /> CITV OF <br /> everett <br /> BUILDING DEPARTMENT <br /> 259•8810 TO BE COMPLETED ItJ INK—PLEASE PRINT <br /> DEMOLITION f ] COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> OWNER MPILAODRESS CITV 21P PNONE <br /> l.Jooc� v �n Hoi,�eS � �� 13o,r /�3�? �✓i��� u�ood /t,6. g'SnyG SyG 39G �_ <br /> TENANT MAIL��OR[SS CITY ZIP '~ PHON'_ � <br /> ARCNITECT OR UESIGHER MRIL P�ORE55 CITY ZIP PHCNE <br /> GENERAL CONTP>CTOR MRIL PDOAESS �ITY ZiP PFONE LICENSE• <br /> Woodh4vei Ho �5 I'o �o,�' ��3a.! .y�wood l.�lq 98ay6 SfG39G 9 G�/oodHf//>yo� <br /> MEGIUNICALCONTRACTOH MFIL40DPE55 TTY � ZIP PNONE UCENSE� <br /> PLUMBINGCONTRALTOR MAILAODPESS Citt ZIP PHONE IIGENSEI <br /> CU55 CF W�RK <br /> �NEW ❑ Alr')I"f iON �.-��� ALTERATION . : REPAIR �,. DEMOLITION . WOODSTOVE/FRPL INSERT `_i BUILDING RELOCATION <br /> TENANiIMPflOVEMENTORINTERIORREMOOELONLV � CONTr1CTPEFlSChANOPNONSND. <br /> CONTRACT PPICE OF WOn-: /C GI I E/� <br /> �ESCRIBEWORNRNOfJ . �.�TAGE�NVOLVED <br /> ��u. s�/= ��sa sy� 396 , , <br /> PROPOSEL" OF amNc . I HEREBY CFRTIFY THAT I HAVE READ AND EXAMINED THIS <br /> C ����r �Q�y����/ APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEGALOESCRIP NOFPROPEPiV�SHOWN IOWORATTALHFWRCOPIES� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> WORK WILL BE COIdPLETED WITH WHETHEA SPECIFIED HEREIN OR <br /> �or�_ a�ocrc JF�[ cicir wooq� T i'YoCP NOT. THE GRA�JTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> • AUTHORITY TJ VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHEH STATE OR LOCAL LAW REGULATING CONSTRUCTIUIJ OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROFERTY TO PERFORM THE WORK FOR WHICH <br /> , APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> SIGNATUFEOF:.ONTRACTOFiORAUTMORIZEUAGENT DATE <br /> . PRQIECT r10�RE55 � � �"•!:�%�/���""�� ��IW/7 D <br /> APPLILAM<qTV OUSMESS LICENSE .AND BUSINE55 NAME <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OP EQUIPMENT FEE <br /> WATER CLOSET(TOILET) PvC—/uHNOLG UNITS—H.P. <br /> � BATHTUB 5 ; �ORCED AIR SYSTEMS—B.T.U. M E.A. <br /> LAVATORY(WASN BASIN) � z � UNIT HEATERS—B.T.U. M <br /> ( SHOWER ' CLOTHES DRYERS <br /> � KITCHEN SINK 8 DISP 3 VENTILATION FAN ' <br /> DISHWASHER ,rj � � R�NGE HOOD r— <br /> LAUNDRY TRF,Y WATER HEATER <br /> CLOTHES WASHER WOOD STOVE I__ <br /> UR!NAL METAL FIREPLACE&CHIMNEY <br /> DRINKING FOUNTAIN i FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP _ <br /> BACKFLOWPREVENTERS GASPIPING � <br /> ROOF DRAINS—RAINLEADERS FXHAUST FAN <br /> SINK(SERVICE—BAR,ETC.) <br /> i <br /> ('�u hn,�w n H,r /OOI'i �¢C�;QLL_. <br /> � <br /> -� <br /> SUB TOTAL 5 SUB TOTA� $ <br /> PERMIT S PERMI� 5 <br /> TOTALFEE $ TOTALFEE S <br /> FRONiSETBACN REARSETB�CK EIDES[TBACK $ANCN KNUA1 E�% F�^� REC�N_0��� <br /> ,�� � �r ! C� ` � Q <br /> �� U <br /> use zor+e LOT FREA vncaNt i[ FEES VALUATION F[E <br /> ' �. VES . . h0 BUILDING � r' <br /> ivPE Of CON51 ALLULI'ABL[ 7VPE Of GONSi.ACiUAI uc[uvexcr na or owunvcuvns 1, � I v� <br /> -� cAow <br /> —T"_ � 3 PLUMBING � oc� <br /> �1L <br /> SiZI'SZ:D6 t NOAFSTORIES �/SEMENi MECH�NICAL �p ' o:� <br /> 'L99 SC t_n� 2 � '� YES �( NO � <br /> OCCUP4NLVl0•A FIqESPRNNLERSR[O'D HEIGHTUM�.\TIOM1 OTHEF •�.as -3a�� 3 � �' ''3'� <br /> _�J �' �. ' YES �C NO � STATE�UILDING SURCHA(iGE � <br /> REA°JN cON SPRMRLEFS �I <br /> STATEENEflGVSURCHARGE <br /> RPPLICATiONf;L.JY PLANSTPPROVGDBV CITYOFEVERETf PUOLICWORKS �V �C� <br /> �''}� LDCAI SALES --� <br /> �1��, TAX CO�E IS 3105 TOTAL ����,�`y <br />