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� APPLICATIO�FOR CONSTRUCTI(;�+1 PERIIAIT everett <br /> � TO BE COMPLETED IN INK—PLEASE PRINT � ` <br /> fM Everpresn <br /> �j CIT`.'OF <br /> ; everett HEATING SYSTEM: GAS ❑ELECTRIC ❑ <br /> + BUILDING DEPARTMENT <br /> I 259-8810 <br /> ❑ DEMOLITION I:l COMBINATION 1 BUILDING ' �MECHANICAL LUMBING Ll SIGN <br /> OVRlER MAILADDRE55 CI7Y 2 PHONE Q�Q <br /> } �l]U � <br /> TEN�NATI MAILADDRESS GtY 21P PHONE <br /> �OIV� <br /> i �RCMITECTOROESIGNER MAILAOORE55 CITY ZIP PM1NE <br /> � f��h►� C�o�suc.�rs 7�s�sv9 <br /> GENERALC TRACTG.i MAILPODRE55 CITY IiP PMONE LICENSE/ <br /> ' ,S4-na� �1S nu>A7�R G�Sst_.z�ZlOt 1� <br /> �i MECMMlICAL CONTRACiOR MRIL�DORESS CI1Y ZIP PHONE 'ENS9 t <br /> ' Ik��izr�� r1�A-n��, 3(��-�zlst.Sc� Ly�n G$b3� 7�IS-`�3� HoelZf+�' 137�1.t <br /> � PLUMBINGCONTRACTOR MNLp qE55 CIiY ZIP PIIONE LICEN$ I <br /> ; �IA T ll� �UPqt3lllX�- o���A)DLC� �UT 9f�lJ 7�3-95� A��ETs Pl4I b� <br /> �CL SSOF WONK � <br /> I NEW CI ADDITION I I AITFRATION I I REPAIR i I DEMOLITION I I WQODSTOVE/FRPL�NSERT Ci BUILDINGRELOCATION <br /> � /^ /M,��.�' CON )TIPERSON'Ay{'0�PH,O/N�E NO. T/'� �]p c , I <br /> CONTR�CTPRIC[OFWORN ��1/v`�v �`A(� 7//�!✓�S [JI ��r/C` ��j�eV <br /> ' DESCRIBEWORKANOSOUnREf001RGEINVOLVED �� � ���^��� <br /> I <br /> I <br /> � PflOPO5E0lISEOFBUIL0ING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> � �� APPLICATION AND KNOW THE SAME TO BE TFUE AND CORRECT.ALL <br /> � LEMLDESCR�PTIONOFPROPEATV15110WNBELOWORAT1r1CHFOURCOPIES) PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEAF <br /> � �� WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �.� �or e�ocK oF NOT. THE GRANTING OP A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROYISIONS OF ANY <br /> � ��i� � OTHFR STATE OR LOCAL LAW flEGULATING CONSTRUCTION OR THE <br /> � FF.HFORMANCE OF CONSTRUCTION.THAT I AM AUTHOqIZED BY 1HE <br /> OWNER OF THIS PROPEHTY TO FER�ORM THE WORK FOR WHICH <br /> � APPL�CATION IS MADE AND I COMPLY WITH THE STATE <br /> �� CONTRACTORS LAW 18.27 RCNi AND 296200 WAC. <br /> � �� SIGNAIUREOFCONTR�CTOR04�U1NOHI�EDRGENT D�TE <br /> �� <br /> � � Ele XlCC /�� np'/��� <br /> � PROJECTMORE 5 C�L�S�V ( (J/7 � �nn��C (/'11 LK Y 1 <br /> APPIICANiS CITV SME55 UCENSE NO.AND BUSINE55 AME <br /> �{ PLUTABINO MECHANICAL <br /> 1 NO. TVPE OF FI7(TURE OR ITEM FEE NO. TYPE OF EUUIPMENi FEE <br /> .� WATER CLOSET(TOILET) NC—A/HNDLG UNITS—H.P. , <br /> � BATHTUB FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> ,� LAVATORY(WASH BASIN) � UNIT HEATERS—B.T.U. M ' <br /> � <br /> / SHOWEH ' CLOTHESDRYERS � <br /> t� KITCHEN SINK 8 DISP VENTILATION FAN � <br /> ,� DISHWASHEH RANGE HOOD , <br /> j LAUNDRYTRAY / WATER HEAT-R � <br /> '; CLOTHES WASHER WOOD STOVE <br /> '� URINAL ' METAL FIREPLACE 8 CHIMNEY <br /> �� DRINKING FOUNTAIN FIREPLACE INSERT � <br /> �� FLOOR DRAIN HEAT PI iMP � <br /> ,j BACKr'.OW PREVENTERS ; GAS PIPING � <br /> j ROOF�RAINS—RAINLEAD[RS � EXHAUST FAN <br /> � <br /> i SINK(SERVICE—BAR,ETC.)_ ; � <br /> � ' � <br /> , <br /> � ' � <br /> , � <br /> � <br /> i <br /> � , <br /> i . SUB TOTAL $ ' SUB TOTAL $ <br /> '� - PERMIT $ PERh11T $ ; <br /> �1 TOTAL FEE $ TOTAL FEE $ � <br /> ,' FOR OFFICE USE ONLY: <br /> FRONTSETB�GKr REARSETBqCN, SI�ESE�ACH PL�NCN� N�E � FE � , �r RECEIPTNO. <br /> � ��� � O(P <br /> CJ�� <br /> U6EZONE LOTAREA VqCRNT5ITE FEES VALUATION FEE <br /> � R-L 6'i6Z BUILDING T� 43�(. 3�lU ;5d <br /> ��.��lYPEOFCON15.ALLOWABI[ TYI'EOitON-i�Lill�l occu-�r[r xOaUwuu�unit5 -- - <br /> �� � GNW� ' PLUMBING � � <br /> � „SIZEOFBLUO. NOAFSTORIES 6�SEMENT ^ ^' ;�` <br /> � � MECHANICAL y <br /> �a0� d �AR 50� <br /> ���OCCUPANC IOAD FIRE SPRNKLERS REO'� NEIGHT LIMIiAiI� ADDITIONAL PLAN CHECN i <br /> NO Z� OTHF.R i <br /> �� REASON ORSPNNNIERS — � <br /> r STATE BUILDING SURCHARGE ' <br /> j INUREBV P��NSAPPROVEOlfv CITYOFEVERETT PUBUCWORKS i� <br /> �� �'� LOCAL SALES <br /> �, L TAX CODE IS 3105 TO7AL � <br /> i <br /> ;�::. _�,.. .,...,, ,,.� _y......,.... .,....�-., . ...., ....�..�. ...� ...__.. _ ...�_._.. ,� ' <br /> _ °r_ <br />