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{ �,� <br /> ' APPLICATION FOR CONSTRUC�ON PERMIT <br /> � �E���^ everett <br /> ; everett . e <br /> BUILDING DEPARTMENT <br /> � 259-8610 TO BE COMPLETED IN INK—PLEASE PRINT <br /> i <br /> ❑ DEMOLITION f=1 COMBINATION Lxl BUILDING ❑MECHANICAL f7 PLUMBING ❑ SIGN <br /> � ONTIER M10.�DD11E55 GITV EIP PIWNE <br /> 1 SAREc /�/o��rl 3Y-I'1 7vc�u� Ei.ERfir al�. �.SS- 33�9 <br /> � TENANT M�0.�DORESS CITY � ZIV PIqNE <br /> � <br /> i MCNITECiORDESIGNEP MA0.ADDRE55 CIN ZIP PNONE <br /> ; �Nip <br /> 6ENEML CONiR�CTOR MAIL�DDPE55 GITY ZIP• PNONE LICENSE t <br /> '' NA��,yc�+ coNS'%. 2f3�- lffCl���ro �1� E�'C.cF_rr 94+� � 1-S✓� Y.fo ,un�+Y+c,y z3aoy <br /> S MEGHANMAICONTR�CTOR MAILADDRESS CITY ZIP PNONE IILENSE• <br /> •' <br /> �� PLINIBINOCONTMCTOR M�RADDREfiS GITV 21P PNONE LICENSE• <br /> �, <br /> � � .CLABB OF VIOf K � <br /> � ' ❑ VEW ❑ ADDITION ❑ ALTERATION fh' REPAIR Ll DEMOLITION ❑ WOODSTOVElFRPL IN��R7 ❑ BUILDINO RELOCATiON <br /> TENAIIT 44PIqVEMENT Oq INTERqR REMODEL ONLV CONTACT PENSPY AND PNONE NO. <br /> � CGNTRACiPRICEOFWONK: xQOo L Y IVnL/S��/> LSL-9YSo <br /> ,j DEBCR�BEVA711NiV/�80UAREF00T�0EIHVOLVEO <br /> ; � �n� � � �O�fr,� gw�v rE�-srrrr <br /> � PROPOSEDUSEOFBU0.DIN0 I H[REBY CEI!iiFV THAT I HAVE RFAD AND E%AMINED THIS <br /> �p APPLICATION AND KNOW THE SAME TO BE TRUE AND CURRECT.ALL <br /> LEpA�0E8CRIPTIDNQFROPERTV�SNOWNBEIOWONATT�GNFWRCOPIES) PROVISIONSOFLAWSANDORDINANCESGOVERNINOTHISTVPEOF <br /> � WORK WILL BE COMPLETED'NITH WHETHER SPECIFIED HEREIN OR <br /> � �oT � �R_ e�ocK g 30 oF (r �T, � NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO OIV'c <br /> i � AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> � O �VO �3 I plq � aF C��/�Ef3r ,O/L OTHER STATE OR LOCAL V+W REGULATING CONSTRUCTION OR THE <br /> � PERfORMANCE OF CONSTRUCTION.THAT 1 AM AUTHOflIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORIA THE WORK FOR WHICH <br /> APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 25 3200 WAC. <br /> SIGNATUREOFCONTMC70RORAUTNORIIE��GENT p�7E �O�L^Yp <br /> �, u x� � ��� N �8 33 <br /> / APPIICMlTS CITY BUSINE55l10EN5E NO.N10 BUSINE55 NAME <br /> PLUMBINO MECHANICAL � 1 <br /> NO. TYPE OF FlXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET(TO�LET) � NC—A/HNDLOUNITS—H.P. � <br /> � BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M G.A. � <br /> UVATORY(WASH BASM) UNIT HEATERS—B.TL. M ; <br /> J SHOWER ' CLOTHESOqYERS � <br /> j KITCHEIJ SINK 8 DISP � VENTILATION FAN ; <br /> � DISHWASHER � Rn!JGEHOOD i <br /> � LAUNDRV TRAY ; WATFR HEATER ' <br /> j CLOTHES WASHER � WOOD STOVE � <br /> t URINAL ' METAL FIREPLACE 8 CHIMNEY � <br /> � DRINKING FOUNTAIN � FIRFPLACE INSERT � <br /> FLOORORAIN � HEATPUMP � <br /> � BACKFLOW PREVENTERS � GAS PIPiNG ' <br /> 1 ROOF DRAINS—RAINLEADERS � E%HAUST FAN � <br /> i ' SINK(SERVICE—BAA,ETC.) � ' <br /> i <br /> � � <br /> � <br /> I `_ <br /> i <br /> i i <br /> ; 1 1 " <br /> ) <br /> � _ SUB TOTAL $ ; SUB TOTAL 5 ' _ <br /> PERMIT $ � PERMIT $ � <br /> i TOTALFEE $ ' TOTALFEE $ --�— <br /> � FRONT SETB�CN REAq SETBALN SIOE SETB�CK PIAN CNECK NUMBER FEE RECEIPT N0. <br /> I <br /> I U6EZONE LOTAREA V,1C�NTSITE FEES VALUATION FEE _ <br /> � ❑ YES O NO <br /> . BUILDING �� <br /> j 11HUfCONSi.dILOWABIE lYPE0FMN5CAC1U0. occuouKv No.aowtWrquxn6 <br /> a�:uo pLUN.JINO ' <br /> i <br /> � BREOFBLDO. NO.OFBTOHIEB B�SEMENT MECNANICAL � <br /> ❑ YES ❑ NO <br /> I . OCGUPANCYlOAO FIRESPPNNLERSPEO'D MEIOHTLIMITATION OTHEH i <br /> i ❑ YES ❑ NO STATE BUILDINO SUHCHARGE (� �S G <br /> i REABONFORSPRINKLER9 � <br /> STATEENENGVSURCHARGE i <br /> APPUC�TIONACC.BY PUNSAPPROVlDBY CITYOFEVEflETT PUBLICWORKS � <br /> , LOCAL SALES �b <br /> TAX CODE IS 3105 rorA� <br /> �. _._. ._� _...._.__,-.. . . , -- .. ,. - .. _ � <br />