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� ' \ <br /> APPLICATIOrr FOR CONSTRUCTI.�N PERMIT everett <br /> rne everoree� TO BE COMPLETED IN INK—PLEASE PRINT � <br /> CIN OF , � <br /> everett HEATING SYSTEM: B GAS ❑ELECTRIC O <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> ; DEMOLITION ' COMBINATION K BUILDING I MECHANICAL r�PLUMBING SIGN <br /> p�ER AI�IL� RESS GITY ZIP PHONE <br /> ���r}Qa�w+,: S��A�.,�: ��ul�.�r..� F��.rlefl�s� �suar •ts9-os�/ <br /> TEN�NT MRIIADORE55 CITY 21P PHONE <br /> s'- �' /QCdJC <br /> oARCHITECTORDE5IGNER MAILADDRE55 ��TY Z�P p P�E <br /> iw Ar Q� J f�.v �S Ii�� <br /> GENER�LGONTR�Cy� � MAIL�DDR C�IT�V� ZIP P E LICENSEe Q �� <br /> �'Js•.�� �S.N/�i�s SC06 �Js� .. . (N1 y �Ju � l�+s�/ fAde3 .�;-1/�/ <br /> MEGHMIIC/�LCONTR�CTOR MAILADDRESS CITV 21P PHONE LICENSEII <br /> Py WBRlGCONT CTOP MMLADOt1E55 <br /> GITY ZIP PNONE LICENSE• I <br /> � � 33s-s�z� <br /> Ri�� �� ,rq .��v�icewrt�/ <br /> ClASS OF WORK <br /> G NEW K ADDITION 1L ALTEFATION : � REPAIR I �: DEMOLITION i '�. WOODSTOVElFRPL INSERT i_; BUILDING RELOCATION <br /> �� Qa GCTPERSON D NENO. � / <br /> J <br /> CdlTMCTPRICEOFWORN � � •�S t V <br /> DESCRIBE W W�K�ND SOUARE FOO AGE INVOLVE + <br /> R» . . ,r,y <br /> pqppp5E0U5EOFBURDING � $(�S� 1 HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> �A�,/ Dy���� ' APPIICATION AND KNOW THE SAME TO BE TP'JE AND CORRECT.ALL <br /> �Qp��pQ$�q� pN OF PROPERTV ISI WN BELOW OR ATfACM FIX1R COPI"S) PROVISIONS OF LAWS AND ORDINANCES GC 'ERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �oT�,,,� B�p�K ���_ ov �V NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> , AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> 71y7,X Ji ��QO� 3��m, � �� OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR 1�HE <br /> .� '�F PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORRED BY THE <br /> OWNER OF THIS PROPERTY TO PERfOPM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. 9� <br /> SIGN�NRE OF CONTRAC1OR OR AU �GENT DATE � `'�� <br /> �✓GCco-�/�� �• 92 <br /> XEJecs���/✓s�s �cc - <br /> PROJEGT�DqiE55 � �s,y �pp����N75 CITY BUSINESS LIGENSE NO.AND BlI51YE55 NIJAE <br /> "a �Y��s� �J��~ MECMANICAL <br /> �� FEE <br /> N0. TYPE OF FlXTURE OR REM FEE NO. a��NDLG UNF ES-H P.ENT <br /> WATER CLOSET�TOILET) ' <br /> � FORCED AIR SYSTEMS-B.T.U. M E.A. ' <br /> BATHTUB � � <br /> LAVATORY(WASH BASIN) � UNIT HEATERS-R.T.U. M � <br /> — � CLOTHES DRVERS <br /> SHOWER � <br /> KITCHEN SINK 8 DISP � VENTILATION FAN <br /> / DISHWASHER RANGE HOOD <br /> LAUNDRY TRAV � 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 ORAINS-RAINLEADERS � E%HAUST FAN <br /> SINK(SERVICE--BAR,ETC.) � <br /> � <br /> � <br /> I SUB TOTAL S / ' - <br /> SUB TOTAL S �a� " PERMIT S � <br /> PERMIT S ' TOTAL FEE $ /S' - <br /> TOTAL FEE $ � � - <br /> et /7(0.`�7 <br /> FOR OFFICE USE ONLY: Receiar r+o <br /> FRONTSETHACK RERFSETBALK SIDESETB�CK � P�ANCHECKNUMBER FEE �� S � <br /> / � ,� /CP <br /> tor nRea VACANT SITE FEES VALUATON FEE <br /> USE ZONE � ,�.� <br /> ._Z BUILDING <br /> 7VPEoftaNiSAIOWaB1E TYPEOFCON57.AC1UAt acuaMr r�oavMuixcuniis PLUMBING �V ' ��� <br /> SL,v -i� �W3 � �� _ <br /> S�ZEOFBLDG NO.OFSTOPIES BRSEMENT MECHANICAL _ <br /> � St Aoo�� I Np ' <br /> 1 Sf DE.LK A�DITIONAL PLAN CHECK ' <br /> OCCUPANCY LOAO FIRE SPRNRlERS REO'D MEIGH/T JLiM1TATl�I i <br /> ` OTHER ' <br /> qE�$pN pRSPRINNLERS i5L7 <br /> STATE BUILDING SURCHARGE <br /> INTAKEBY PLANSAPPROVEDB � ��Tt/OFEVEREIT PUOLICWORKS <br /> LOCALSALES 3i� ; <br /> '��Zc) � TAX CODE IS 3105 7UTAL <br />