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,;,,, ,�,a �°a^s � S^� <br /> APPLICATION FOR CONSTRUCTIO� PERMIT <br /> everett <br /> lhoEvergra:n � w <br /> CITY OF <br /> everett <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> '. ' DEMOLITION COMRINATION BUILDING I MECHANICAL PIUMBING I SIGN <br /> pyyryEq hlAlIA�DF[SS Cltt 21P PHONE <br /> d�oodhn v��, {�a,�es i'a13QX /�'3,2 Lv���, woo4! /.r/q °/So%G 5�/6 • 39G �J — <br /> T[N4NT MAILAD�RESS CITV 'ZIP PMONE <br /> ARCHRECTOBDESIGNER MAILp00RE55 CIiV 2iP PNONE <br /> GENEflALCONTRACTOR MRILRDDFE55 Cltt 21P PMONE LICENSEt <br /> lt/�cdka ✓e « Hoir�c'S P�• �OX /U3,a� .�vnn���.+�J l,c�n 9g�yG 5�/6-39�9 GJOO�Nf//�Y�� <br /> MECdANIC4LCONTRAGTOR NAILAppRE55 CITV Z PMONE LICENSE� <br /> PIUMBINGCONTFRCTOR MAILADDRE55 CIT� 21P PNONE LICENSEY <br /> CI�SS OF WORK <br /> �!NEW IJ ADDITION _��. ALTERATION �.I REPAIR . � DEMOLITION . � WOODSTOVE/FRPL INSERT �. 1 BUILDING RELOCATION <br /> TENANi IMPRUVEMENT OR INTERIOH PE610DEL ONLV CONTAC/�TptPCRSON ANp PHONIE N0.I , <br /> CONTRRGT PRICE OP WORN: �b` OO A /� � � I�Q�� C1 Wa G N e• ✓' <br /> DESCRIDE WONK ANO SOUARE FOOiRGE INVOLVED <br /> ��� u s��- �$so sy� 3� � _ <br /> PFORSEOUSEOfBUI ING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEU THIS <br /> SL� � �y� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEGAI DESCr.� OHOF PROP[RTV(SM rv ee�owo� ����cN Fouacor�•esr7 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> �a�_ o�ocK oF ��U C lAJaa�Q r✓a(p �'ORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> lOT_ �_. NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> O"fHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF Th115 PROPERTY TO PERFORM THE WORK FOR WHICH <br /> � APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> SIGNATUNEOFCOYTFACTORCRAUiHORiiEDPGENT CAT[ <br /> PR0.IECT/ROORE55 � �•�L:r�'Z.V/ '� `�"V�� �/� 7 [ 7O <br /> [0 ,36 — ��vSE_ �PPUCANTSCITYBUSINESSIICENSENO D9USMESSNfME <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) WC—NHNDLG UNITS—H.P. <br /> I BATHTUB FORCED AIR SYSTEMS—B.T.U. M E.A. � <br /> � LAVATORY(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> SHOVlER ( CLOTHES�RYERS � <br /> KITCHEN SINK 8 DISP VENTILATION FAN <br /> � DISHWASHER I RANGE HOOD � <br /> LAUNDRYTRAV � WATER HE�TER _ <br /> CLOTHES WASHER WOOD STOVE � <br /> URINAL METAL FIREPLACE 8 CHIMNEY <br /> DRINKING FOUNTAIN FIREPLACE INSERT � <br /> FLOOR DRAIN HEAT PUMP � <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—RAINLEADERS � E%HAUST FAN <br /> SINK(SERVICE—BAR,ETC.) ' <br /> «� r� �o <br /> ; — ; <br /> — , <br /> ; <br /> SUBTOTAL S �o � <br /> SUE TOTAL $ Go '--� <br /> PERMIT 5 PERMIT $ <br /> TOTALFEE 5 Gc � TOTALFcE S � '� <br /> FRONTSETBACK REAfiSEiDACK SIDESEiBA�H PLANCH[CKNUMBER FEE Q�� ' RECBPTNO. <br /> �� / � riO S 1dfLU <br /> use zone �ot n�en VACANT SITE FEES VALUATION FEE <br /> �� �j � . YES . NO BUILDING ' � <br /> tYPE Of CONSi.AIlOWABIL 1YPE Of CONSi AGiUPL acmw.xn un n�onr.n�:c uv+s �� r � � <br /> t ✓ �p�LP PLUMBING �o i� <br /> v- ✓ �- <br /> SIZEOFfiLDG. NOAFSTORIES BASEMENT ��[CHANICAL ' <br /> i � <br /> � r� t v�-y z vEs �o ° � <br /> t�THCR i <br /> OLCIIPANCY LOAD FIRE SPFNKLEflS REO'D HEIGNT LI�IT/�iION _ _ <br /> ,�/ �. ' 1'ES lN0 v0. STATE BUILDING SURCHARGE '� <br /> � <br /> PEASON FOR SPRINKLERS <br /> STAT[ENERGYSURCHARGE <br /> pPPLICAT10N ACC.OV PLANSAPPROVED BV CITY OF EVERE7T PUBLIC WORKS '�(J �— <br /> 9� LOCAL SALES <br /> 9 �,, TAX CODE IS 3105 T�TA� �a� <br />