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APPLICATIO.. FOR CONSTRUCT�JN PERMIY everett <br /> rne e�e�g�ee�� TO BE COMPLETED IN!NK—PLEASE PRItN�T," � <br /> cirv oF YI�L C� <br /> everett �HEATIN.SY�TEM: ❑GAS � ELECTRIC ❑ -1 <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> DEMOLITION COMBINATION • L�6UILDING MECHANICAL PLUMBINu SIGK <br /> p�yryEq MAILAODRE55 rCITV '/ 21P PMONE <br /> clwa�R�c=sFiv �//� %�../.�/,� CrJG�/e �! JCf�201 <br /> T[NANT 1.1RILPDDRE55 GtV ZiP PMONE <br /> ARCNIT LtpRDESIGNER MRILRDDRE55 CIiY 21P PHO� <br /> �e-yQ�v�2 �D /,3 S��o �o`^ �a,u {-� Gi�//s SSZ d/ � � 5g/s' -- <br /> G(�� CONTRALTOR MAILADDRE55 QTY ZIP �'NONE LILENSE� <br /> _�,Oti�J -- <br /> MEGNRNIGFL CONTRACiOR MRIL ADDRESS CITY 21P PNONE LICENSE� <br /> PLUMBINGGONTR�CTOR MAILADDR[55 QTV ZIP PMONE L:GENSER <br /> CUSSOf WORK <br /> �..- NEW l ADDITION � ALTERATION � -. REPAIR _ � DEMOLITION WOODSTOVE�FRPL INSERT . . 6UILDING RELOCATION <br /> � � CONi T PERSON AND PH Nf NO ` <br /> CUNTFpCT PRICE OF WORK ( � � D � / J��/J <br /> DESCR�BEWORNRNOSOURREFOOAEINVOIVE ��M�/q, � <br /> � , /oXZlo <br /> PAoroseouseoreuiioir+G � I HEREBY CERTIFV THAT I HAVE FEAD AND EXAMINED THIS <br /> �h APPLICATION AND KNOW THE SAME TO BE 7RUE AND CORRCCT.ALL <br /> �ecu oeseaivrioNOF aaoreRTv�sNowrv ee�owon anncHFouR coaiesi PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> _ �2 WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �m 2-y e�ocK�� oF NOT. THE GRANTING OF A PEflMl7 DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PRO`.�ISIONS OF ANV <br /> OTHER STATE OR LO�AL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTFUCTION.TF!AT I AM AUTHOFiIZED BY THE <br /> OWhER OF THIS PROPERTY TO PERFORM iHE WORK FOR WHICH <br /> APPLICATION IS MADE AND I CO�APLY WITti THE STATE <br /> CONTRACI�ORS LAW 7827 RCW AND 29G..00 WAC. <br /> Q // %�/ �R� SIGNRTURE OF CONTRAGTOR OR RUTIIONILED RGENT DATE <br /> i�/ <br /> PROJ[GTAODRE55 � 1�J� <br /> APPUGANTSC�TYB MESSVGENSENO.I�NDBUS,N'-SSNAAIE <br /> PLUMBING MECMANICAL _ <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/.".—A/HNDLG UNITS—H.P. <br /> / BATHTUB "� FORCED AIR S�STEM&—B.T.U. M E.A. _ <br /> / LAVATORV(WASH BASIN) —� UNIT HEATERS—B.T.U. M <br /> SHOWER '� ' CLOTHESDRVERS <br /> KITCHEN�INK 8 CISP VENTILATION rAN � <br /> T <br /> / DISHWASHER ��� RANGE HOOD <br /> LAUNDRY TRAY ; WATER HEATER <br /> CLOTHES WASHEFl WOOD STOVE <br /> URINAL METAL FIFEPLACE 8 CHIMNEY <br /> DRINKING FOUNTAIN i FIREPLACE INSERT � <br /> T <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS P�PING <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> SINK(SERVICE—BAR,ETC.) ; <br /> _— � <br /> SUB TOTAL $ �5 SUB TOTA� 3 y_ <br /> PERMIT $ PERMIT $ <br /> TOTAL FEE 5 ' 'U� f0Tl.L FEE $ <br /> FOR OFFICE USE ONLY: <br /> FRONTS[iB�CK FERRSETBRGK SIDESETBACN PLANCH[CHNIiMpER FE[ �j RECEiPiNC <br /> 2o ZO ' S' �7yv 9 �3-� 9a- �53ao <br /> usezor+e ioinaea ql vncnNrsiTe FEES VALUATION FEE <br /> ��� S � / � BUIl01NG �� 0 J _ ��'y�/� <br /> IVPEOiGORiS.ALIOWABL[ iYPEOiLCS5tAG1UAL atuo�ucr NOab/I[�o�+.ua'S <br /> �POj° PLUMBING �� <br /> N '/ ' — — <br /> SREOFu�DG NOAFSTORIES BRSEMENT MECHANICAL <br /> 159 5 � J <br /> OCCUPRNCY lORO FlPE SPRNKlERS REOD NBGHT LIAIItAT�ON ADDITIDNAL PLAN CNECK <br /> �A �f�� ��t OTHER ' <br /> RERSON FOR SPRiNKLERS �— - <br /> STATE BUILDING SURCHAPGE <br /> INTRNEBV PIANSAPPPOVEDBV CITYOFEVERF.TT P7BLICWJRKS " <br /> LOCAL SALF S --�— <br /> TAX CODE IS 5105 T�Tp� —' . �L�, j'/j/ ✓ <br />