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� -" <br /> APPLICATION FOR CONSTRUCTION PERMIT <br /> everett <br /> «E,�,�,�� e <br /> CITY OF <br /> everett <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> I I DEMOLITION � i COMBINATION BUILDING ' � MECHANICAL i I PLUMBING I I SIGN <br /> owr+en IA�II�DOFE55 CIiV zm r��or+e <br /> ��f����S' f�v._3�,6 �.�c� c�fh�,��� ,«(----`�f'"��---- '�'�e`�'' -- <br /> iINANT M�IlAf10R[55 CiIY JII` PIIONL <br /> •RCIIITEGTORDESM.NE11 M�LL�DOR[55 GTY ZIP PIIDNE <br /> GENERALCONf11�GTOR MuI��DRE55 CITY IIP PIION[ IICENSEr <br /> �j P �1'}�Q� <br /> MECIUNIC�ICONTRACTOR M�II �ODRE55 QTY ZIP PIIOIIC I.ICENSE� <br /> PWM8INGCONTR�GT011 MAIL�ODRG55 LITY ZIP PIIONE IILENSE� <br /> Gl�55 OF wO�iK <br /> I. I NEW f �I ADDITION I I ALTEFATION I I REPAIR }S DEMOLITION I I WOODSTOVE/FFPL INSERT I I BUILDING RELOCATION <br /> TENANT IMPROVFYENT OR INiER10R PEMOOEI ONLY CONUL7 PCRSON AND PIION[ND <br /> CONTRAGT PRICE OF WOi1K: _ <br /> DESCRIBE WORK ANO SOUARB FOOTAGE INVOLVED <br /> ��1!`.�1���-�- �a4kn�� <br /> PROPOSEDUSEOFBUIl01NG I HEREBY CERTIFV THAT I HAVE READ ANJ EXAMINED THIS <br /> � yt APPLICATION ANO KNOW THE SAME TO BE TRUE 4NG CORRECT.ALL <br /> IEGAI.DESCRIPTqNOf PPd'ERTYISHOWNOELOWOR�iTACHFd1RCOPIES� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITN WHETHER SPECIFIED HEAEIN OR <br /> ioT _ eiocK oF NOT. THE GRANTING OF A FERMIT DOES NOT PRESUME TO GIVE <br /> � ����A'D AUTHOflIiY TO VIOIATE OR CANCEL THE PFOVISIONS OF ANY <br /> ��___ OTHEF STATE OR LOCAL LAW REGULATING CONSTRUCTION CR THE <br /> P[FiFORMANCE OF CONSTRUCTION. iHAT I AM AUTHORIZED BY THE <br /> OWNEfl OF ThI1S PPOPEIjTY TO PEf�GRM THE WORH FOfl WHICH <br /> APPLICATION IS MADE AND 1 COMPLV WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> SIGN�IUREOfCOMRAGIONON�I11110WIZE0�GE11T OAIE <br /> PRQ1ECiA0DRE55 ��-l—`��fiC " <br /> 1 ,1� ^� � �v,�1 pPPIICANISCITVOl15ME55lICENS[NOANDOUSINESSNAME <br /> V rc �, <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A!C—A�IINDLG UNITS—H.P i <br /> —�— <br /> BATHTi1B ' FOHCED AIR SYSTEMS—B.T.U. M E.A. _ <br /> LAVATORY(WASH BASIN) --� I%NIT HEATERS—B.T.U. M _T_ <br /> SHOWER � "LOTH[S DRYERS � <br /> KITCHEN S�NK 8 DISP VENTILATION FAN ' <br /> DISHWASHER —��— RANGE HOOD �— <br /> LAUNDRV TRAV ; WATER HEATEFt <br /> CIOTHES WASHER _--�— WOOD STOVE <br /> URINAL METhL FIREPLACE 8 CHIMNEY <br /> DFINKING FOUNTAIN ; FIREPLACE INSERT __� <br /> FLOOR DRAIN HEAT PUMP ' <br /> BACKFLOW PREVENTERS i GAS PIPING � <br /> --� <br /> FOOF DRAINS—RAWLEADERS � EXHAUST FAN � <br /> SINK(SEFVICE—BAR,ETC.) ; <br /> i <br /> —T- <br /> 1_ _ <br /> __ — ! <br /> SUBTOTAL 5 SUBTOTAL $ ' <br /> PERMIT $ —T PERMIT $ � <br /> TOTALFEE $ TOTALFEE S <br /> FRONTSEIBPCK RE�RSETBACI( SID[SETOALK PInI1CM[CK11lIM�Ef1 FE[ RECEIPTNO. <br /> useia+� LOIAflE� vnca+tsnt FEES VALUATION FEE_� <br /> I I VES I I NO y��IL01NG <br /> iYPf Of fANSi.AIIOWABIE ivP(Of GON51�LiUAL acur�xcr Wo a ow[uwcuxas — � <br /> �pq'P PWMBING � <br /> _. �i— <br /> _ � <br /> SIZEOFBIDG. NOAFSTOBIES BASEIAENi MECHANICAL <br /> I I VES I I NO � <br /> OCLUPANCYLO�D fIRESPRNNlER5BE0'0 HEIGHTIIMIiA710N OTHEH � <br /> I I YES I I NO � <br /> SIATE�111LDING SURCHARGE ��/ '���� <br /> i <br /> REASON FOR SPPINKI ERS �`— <br /> SiAIE ENERGY Sl1RCHARGE i <br /> i <br /> nvruc�noN�cr. ur rinrr,nrrnovenov CITYOFEVEHETT pum.;cWOHKs <br /> LOCAL SALES �f :- <br /> _�_ _ TAX COpE IS 3105 ToiA� _ <br />