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� r� <br /> APPLICAT14r1 FOR CONSTRUCTrON PERMIT <br /> tho Everyreen everett „ <br /> cm oF � <br /> everett <br /> BUILDING DEPAR7MENT <br /> 259•8810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> i i DEMOLITION COMBINATION x BUILDING ,1�MECHANICAL X PLUMBING _! SIGN <br /> OWNER �N.(�LApORE55 LITY 21P PHONE <br /> L/aRor,e (-�on,es /�C�o[� S/ iaue SE �c.�-��,� �i8n/� �-�r� qojo <br /> TENRNT MAIL q0�l1E55 CItY ZIP PHONE <br /> �Af�I�F�:��1ESI�N�B � MAILAODRESS CIN 21P PHONE <br /> �' - — -� 3� - a�'�' si su,�-el3 Mak�/-f��o 9s�7� � �s-��, �-69 <br /> GENCRr1LCONTR�CTOF MRI�pDORE55 CITY 21P PNONE LILENSE� <br /> S �� A5 ou'N�Cr LARpG — (cs/ �y, <br /> MEGHRNICAICONTRACTOF MAILAD�flB55 CITV 'I!P S� j 3 (�pHONE �ICENSE• <br /> � -Nhra-�>�✓/J�N�tra� 3bo/—/a�y=s7'Sr�.� L�c.� I-�oKT�HF /37 .A �. <br /> PLUMBI CONTRACTOR MAILr1DDPES: CIiV 2 t�1.3 j3qINE LICENSE• <br /> 7.. <br /> Pk-.cr.t Sa�N,, vlu.,�� �oa y C�.sin�n I,u.w./� �uF;,ec/t Pu�cTS P �¢1 0 � <br /> C:45S F WCRK — <br /> !' EW .5 ADDITION [.i ALTERATION ;.i REPAIR . � DEMOLITION . - WOODSTOVFJFRPL INSERT I_J BUILDING RELOCAI'ION <br /> TENANT IMPROVEMENT OR INtEFiIOR REMODEL O4LV CONiRCT PERSON FND PNONE NO. <br /> CONTRACT PRICE OF WORK: <br /> DESC�E WORK AND 50 jA�F�T�E INVOIVEo �� /� TE..�- Llq /�O <br /> S (� ( � 48s' r o3 v <br /> PROPOSEDUSEOFBUIL�ING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> s F APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEGAL�ESCRIPTIONOFPPOPEflTV�SHOWNBELOWORATfACHFOURCOPIES) PROVISIONSOfLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> c� WORK WILL BE COMPLETED WITH WHETHER SPECIFIEf' HEREIN OR <br /> �or �eeaCK oF NOT. TN'c GRANTING OF A PEiiM1T DOES NOT PRES��dE TO 91VE <br /> ��p n �^ AUTHCRITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> /G�.tCatP�GctQ-N�/ / Q�1iLp.L OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AA1 AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFOFM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMFIY WITH THE STATt <br /> CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> SIG A REOFCONTRACTOROR�UTHOflIZEDr1GENT DRTE <br /> �� _.�,_ s- .�3 - 9 0 <br /> PR0.IECTADDRESS <br /> ��r / APPUCANTS CIN BUSINE55 LICENSE N0.AND BUSINE55 NAME <br /> J <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> � WATER CLOSET(TOIIET) A/C—NHNDLG UNITS—H.P. <br /> 'a BATHTUB — J FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> 3 LAVATORY(WASH BASIN) UNIT HEATERS—B.T.U. M ' <br /> _ , <br /> SHOWER — � CLOTHESDRYERS � <br /> J KITCHEN SINK 8 DISP �— I VENTILATION FAN � <br /> � DISHWASHER � � RANGE HOOD <br /> LAUNDRYTRAY ' ( WATER HEATER � <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 7� — EXHAUST FAN ' <br /> SINK(SERVICE—BAR,ETC.) <br /> � <br /> � <br /> l�^ <br /> SUB TOTAL $ �'"— SUB TOTAL S <br /> PERMIT $ —,— PERMIT 5 --r- <br /> TOTALFEE 5 �' TOTALFEE $ <br /> FRONi SETBACK qEAR SETBACK SIDE SETB CK P�AN C ECK NUMBER F[[ REGEIPT NO. <br /> ao � 3 � s� s% o ��i�� v- .�y�. �- 3s� sz <br /> use zoNe l0T AREA�[ VACANT SRE FEES VALUATION FEE <br /> � �T :� YES i-�! NO BUILDING �� � 'M <br /> tYPFOiCONSL.AIlOWA81E 7VPEDtCON51.ACiUAL a:turencr xoaow[uixGuxns "�.�—� <br /> cnouo � <br /> � � �3 PWh1BING /y .� <br /> l�� <br /> SIZEOF LDG. NO.OFSTOPIES 9ASEMENT MECHANICAL <br /> ��O S .�'�/- � I�.7 YES ' NO — D' <br /> OLIXIPANG L 0 PIRE SPRNNIERS FEOD MEIGNT UMITAiIOfI OTHE / � /�1 � <br /> 2 �`� � <br /> .J YES 0( NO STATE UILDING SURCHARGE �� � <br /> RE/SON ORSPRINKLERS � <br /> STATE ENERGY SURCHARGE ' <br /> 4PPLIGATION ACC.BY P�pNSAPPROVE00Y CITY OF EVERE7T PUBLIC W(,9NS � <br /> �l�} LOCALSALES �c� ; o0 <br /> � �L TAX CODE IS 3105 rora� � <br />