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1 <br /> ; APPLICATIOh-FOR CONSTRUCTI�..al PERMIT everett <br /> � TO BE COMPLETEO IN INK—PLEASE PRINT � <br /> • rrM Evnry,enn <br /> j CITV OF <br /> � everett HEATING SYSTEM: U GAS J�LECTFIC U <br /> BUILDING DEPARTIv1ENT <br /> 259-8810 <br /> i 1 DEMOLITION COMBINATION BUILDING i�:i11(ECHANICAL !�PLUMBING I I SIGN <br /> oNme VU�e � FJ I/ �'v�y�s_5�ip'T VYJJ�.(bl/��_�J-Q Ll'Ji r�roNe��^��� � <br /> 1EM�Ni M�II \,OBf55 CItV ZIP �IKXiE <br /> •RGNIIEdONDESIGNEf1 MMLAOOIiE55 CIIY 71P PIIq1E <br /> GENER�ONiR�C70R M�0.eD�C��� C��v � � 21P , PHONE tIC SE• <br /> (-C.1.I�Cl�� ( �T / <br /> �c �+�c•�comn•cron M�n�ooness cnr � zin rHor+ i�ceNSE. <br /> u 7�,er-��ic�P� <br /> P�puBMOCOMTR�GIDn MnR�ODn[55 r.liY 21v PNONG LIGENSEI � <br /> � <br /> CL�S60F W0,1K � <br /> I l NEW I I ADDITION :�ALtERAiION : I REPAIR I I DEMOLITIOK ! ' WOOOSTOVE/FRPL INSEHi I i BUILDINQ RELOCATION <br /> /��� coNi�ct rGnsON nNo rN /E]No ( <br /> Cp1TR�GIM�LEOfW0111c �C�.(J— �C�� �Q�C.�O�,O <br /> DESCRIlE Wd1R�N�SOU RE f001�6E iNVq VE0 � -- I <br /> --! U�,cst �- l�� ; <br /> PROPOSEOUSEOFB m I HEFEBY CEFTIFV THAT I HAVE READ AND E%AMINED THIS <br /> APPLICATION�ND KNOW THE SAME TO BE TAUE AND CORRECT.ALL <br /> �o�u oeecnirtqnoF rnorentv�SNormeeiowon ntrncr�rouncoPiEsi PROVISIONS OF LAWS AND ONDINANCES 60VERNINO TMIS TVPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIf1ED HEREIN OR <br /> �ot eiock or N07. THE GRANTING OF A PERMIT DOES NOT PRESUME TO OIVE <br /> AU7HORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> O7HER S7ATE OR LOCAL UW REGULATIN(3 CONSTRUCTION OR TME <br /> PERfORMANCE OF CONSTFUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTV 70 PEHFOFM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> SIOH�iUREJfCONtql1CTOROH�UtNOqI�OrUENT DATE <br /> PI10.1ECT�DORE55 -�;---In��������l�C\!_ <br /> �PPLIC�NiS CIi Y 9U9MESS LiCFNSE N0.�Np BUSINE55 NM1E <br /> PLUMSINO MECXANICAI <br /> N0. TYPE OF FlXTURE OR ITEM FEE NO. TYVE OF EOUIPMEHT FEE <br /> WATER CLOSET(TOILET) � NC—A/HNDLG UNITS—H.P. � <br /> BATHlUB � FORCED AIR SYSTEMS—B.T. (�J E.A. � <br /> LAVATORV(WASH BASIN) i UNIT HEATERS—B.LU. M i <br /> SHOWER CLOTHES DRVERS � <br /> KITCHEN SINK 6 DISP VENTILATION FAN � <br /> DISHWASHER RANGE HOOD <br /> UUNDRVTRAY ; WATER HEATER <br /> CLOTHES WASHER WOOD STOVE � <br /> URINAL METAL FREPLACE 8 CHIMNEV <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING ; <br /> ROOF DRAINS—RAINLEADERS ExNAUST FAN <br /> —� <br /> SINK(SERVICE—BAR,ETG) <br /> —T <br /> i <br /> i <br /> SUB TOTAL E SUB TOTAL S <br /> PERMIi $ PERMIT E � <br /> TOTALFEE 5 TOTALFEE $ � <br /> FOR OFFICE USE ONLY: <br /> iPONTSEtB�CM RE�RSEIBRCK SiDESElOACN PIANCNECRNUMAFR fEE RECEIPTNO. <br /> USEZONE �or�nen vnr.nNrsne FEES VALUATION FEE <br /> BUILOING <br /> 7YPf OF fANIS�LLOW�BLF I1TF Of GONSI ACN�I ar<mvWtr xo m m�wx4Uxns � <br /> �B'1° PIUM�ING <br /> SIZEOFdIOG NOA�STORIES BASEMENT MEGHANICAL � <br /> OCCUP�NCv 10�0 ��RE SP�NntERS PW'D HGGHI LIAlIiAT1oN �DDITIONAL PLAN CHECN � <br /> OTHEF � <br /> NEASON FOR SPRINKLERS � <br /> STATE BUILDING SURCHARGE � <br /> INiANE 8� ruNs nrrnovEc er CITY OF EVEREIT PUBLIC WORHS � <br /> LOCAL SALES <br /> TAX CODEIS 3105 TOT�� � <br />