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APPLICATII�N FOR CONSTRUC7 .ON PERMIT <br /> everett <br /> ��E,.�,�,�.,, e <br /> CITY OF <br /> everett <br /> BUILDING DEPARTMENT <br /> 259-6810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> I ! DEMOUTION � COMBINATION � i BUILDING i MECHANICAL i i pLUMBING I i SIGN <br /> ONTLR —�---'�M�RAfU)RG55 — �..." �� �--'I:IIY IIP ..PIIONE ._. <br /> .J� �� �Di��l�l.e� _iac��� l�.Y��r� �_u�-�� ����c'����;t � S��t� a.SY- fa(73 <br /> ren�Nr nun +nni�rss aiv nr w�m�r <br /> , � <br /> �'�L ��5__� i�.�t,, <br /> -- - -- -----_ - ----- <br /> �RCNI7CGTORDESIGN[fi MAII �DORL55 (:IIY zu' ruorie <br /> f.EN R4CONTq�CTOR 1 AppR[55 C�IY Z�p PIIONE IILENSEI <br /> V �e�- .�tii. ���(c�� /!1 � . �� x�IC? -���- _,'��1-,�y�� v�u..�►�8�s3�� <br /> MECIUNICK C iRAf.TOR M�It�DDR[55 C❑ 21P 1410NE UGENSE/ <br /> �-�-I��� <br /> hUMBMGCOfITRALTON M\II FDpli[55 GIY ZiP PI!ONE I IGENSE� <br /> CUSSOFWORN _ --__. _"___" _____--__. .._"_.—_."__'—___ <br /> � I NEW I I ADDITION�ALTERATION �, I REPAIR I I DEMOLITI�:N I I WOODSTOVE�FRPL INSERT I I BUILDING RELOCATION <br /> i <br /> TEN�NTIMPROVGMENIORINLEPqPB;IIAQ1pEIONIY LONUf.iPkR50N�NpP110NEN0 I <br /> Cd1ifl�GTPR�CEOFWOHe: �Ll��\! . �__.__. ._ ____"—_____.----_' I <br /> DESCR9EWOIIN�N� 'Olu Ellk)U�iERrvO1VC0 <br /> T � �� � , ��_<< ra�1 �-xt =-- i <br /> raorosEouseaeunniV�� �In I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THI5 <br /> �j APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> IEG�LDESCH�PTK)IOF PNd+EPTY15uONM BEIOW 00�IiACllf011(ICUPIC51 PROVISIONS OF LAWS AND OHDINANCES GOVERNIN6 THIS TYPE OF <br /> WORH WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> ioi eiocn oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO CiIVE <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV ; <br /> OTNER STATE OR LOCAL lAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE nF CONSTRUCTION.THAT 1 AM AUTHORIZED BV THE <br /> OWNER OF TH;S PROPERTY TO PERFORM THE WOFN FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTORS LAW 182i RCW AND 296200 WAC. <br /> ' SIGII�IIIREOFWN7R�GTOROHRU1110pIiED�fiENi O�TE � <br /> 1X �Qf1 (�y�� - �����U <br /> PRpJECT�DDRE55 \] \ p �ry�SC�ty��S�NC LICENSENO tlIISINE55NM1[ O � <br /> �l <br /> PLOMB1R0 MECHANICAL <br /> NO, TVPE OF FlXTURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATER CIOSET(TOILET) A/C—A,'HNDLG UNITS—H.P. � <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> LAVATORY(WASH BASIN) � T UNIT IIEATERS—B.T.U. M � � <br /> � CLOTHES DRVERS <br /> SHOWER � <br /> KITCHEN SINK 8 DISP VENTILATION FAN � <br /> JISHWASHER ---�— RANGE HOUD � <br /> LAUNDRVTRAY ' � WATER HEATER ' <br /> CLOTHES WASHER <br /> --� WOODSTOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEY ' <br /> � DRINKING FOUNTA�N �— FIREPLACE INSERT _� <br /> � HEAT PUMP <br /> FLOOR URAIN ' �} — � <br /> BACKFLOW PREVENTERS ; :%A GAS PIPING _�_ � <br /> HOOFORAINS—ftAWLEADERS � —��� EXIIAUSTFAN _ ___ __ <br /> . _ ___.—____ _ .. . _... __,._.__. - ' <br /> SINK(SERVICE—BAR,ETf..) ' � <br /> "—____—___--___' __---�—_ ____ - __. _ ._ _. _ . —_________ � <br /> __ —____�_ -- --.__--- <br /> -- _. ._—.�— —_ —_-- --� <br /> SUB TOT�L $ ' SUB TOTAL S SD I�.b <br /> PERMIT $ —�— PERMIT S � O <br /> TOTAL FEE S ' TOTAL FEE E � ' <br /> FNONTSETB�CN PEMShTOACH SiDE5ET04f.N PtAlIC11ELNHUMOEN FEE �ELEIPTNO. <br /> use zoNe �or�aee wcent srte FEES VALUATION FEE <br /> i YES I I NO _ pUII.DING <br /> TYPEorCON51Al1ow�8lE IrPFofcox57Att11AL �<uPnKr r�nnowWixcuxns _—--. — i <br /> cnaio p�UMBING i <br /> — ; — <br /> SREOFBLDG NOOFSTORIES O�SkMCNI MECHANICAL �S ;UU <br /> i i YES I I NO — — -• <br /> � <br /> OGCIIPANGVIO�D FIRESPRNNIERSRE00 11[IGIIil11AlIR110N U711ER � <br /> i <br /> I I YES I I NO $7pTF BUILDING SLHCHFflGG ' <br /> i <br /> — ----�' <br /> RE�SON FOR SPRINKI ERS � <br /> STAIEENERGYSUHCNARGE � <br /> i <br /> APRICATIONACC.BY PUNS�PNPOVEDBY CITYOPEVERE7T PUBLICWORKS � <br /> LOCAL SALES � <br /> TAX COOE IS 3105 ror�� '� <br />