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, _ <br /> APPLICATI� .� FOR CONSTRUC7 .�OM PERMIT <br /> everett <br /> rne Eve.grrr� � <br /> CIT'Of <br /> everett <br /> BUILDING DEPARTHIENT TO BE COMPL�FTED la INK—PLEQSE PRINT <br /> 259-8810 ts%'ii � <br /> . \� DEMOLITION COMBINATION ,V BUILDING . MECHANICAL PLUMBING SIGN <br /> �Eq � NnRADDR[55 Giv 2iP PnJilE <br /> ; /3,aCv �JxOi7� 1 1 CJ GJEIN'�1-C' /r'lJt, %LIC�'L�%'T <br /> TCNANi MARADDRE55 CIiY 21P PHONE <br /> ARCNITELTOR�ESIGNER MAiLPDDRE55 GITV IiP P�qNE <br /> H H ENE)iAl LONIRI.L A MAIL ADDRE55 Gy� ZIP PHONE IILENS[• <br /> ��� . �.li s''U� P�tvi'CL3rl�PG,�'C (�'Crb�ro� c�,��70 3��-'I558 SC' �r-%C-�F24vo� <br /> p�� MEGHANICqLCONiNAGiOR MAILAp�PE55 CIiY ZIP PNONE IICENSE <br /> �H <br /> >�3 cn <br /> PWMOINGCONTRnGiOP MAI.�pOR[55 QiY :IP PHONE LICENSE• <br /> H �H <br /> �'C O CtA550F WORN <br /> O x O NEW ADDIT'ON ALTERATION REPAIR � DEMOLI710N WOO�STOVErFRPL INSERT - BUILDING RELOCATION <br /> � yH T[NANi11APROVCMEtIiOF�N�.'.�IORR[MOOELONIV C�(s;p.C,iPLR5011AN�P ONENO / � <br /> � ,,,� coHrnnc*vnicEorwoa4: /`�.P'>D. � �S-�� 5�" t�LC:�J '� 3 `� -��}�lU <br /> O NF oE .aie=_woan�o�sf%�lEe tne�NO o�' FpK � %�i^/.l <br /> ��E '� <br /> �1 OC7 raovoscou5�eoFowiowc I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> � [s1� 5r,% APPLICATION AND KNOW THE SAME TO BE TRUE AND COPREGT ALL <br /> �—' PROVISIONS OF LAWS AND ORDINANCES GOVEPNING THIS TVPE OF <br /> ~ LEGnL DESCR�PT�ON OF PROP[RtY ISMONTI OELOW OR ATTnCN FOIIR COP�ESI <br /> � �..i � L� WORK WILL BE COMPLETEO WITH WHETHER SPECIFIED HEREIN OR <br /> .�.� y �or."'71$CC e�ocK�.� aF GLLZC'n OiU/5/U..i� NOT. THE GRANTING OF A PERMIT DOES NOi PRESUTAE TO GIVE <br /> H y 1i AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> g � �� �{�� -� f(�+7 �771�-t{{�l� 'Gi l�r1s'1� (J'J� � OTHER STATE OR LOCAL LAW f7EGULATING CONSTRUCTION OR THE <br /> H PEFFOR1d NCE OF CONS7RUCTION.THAT I AM AUTHOFIZED BV THE <br /> n d y � OWNER THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> ❑ / ��-.. <br /> � [s1� (c.' D`PCitf .�G. 33 �����'c-'�X a� APPUCA ION IS MAD �AND I COh1PLV WITH THE STATE <br /> CONTRA TORS LAW 18. RCW AND 296200 WAC. <br /> Z HfA SIG1UipR OF NtP LiOR VPUT��OPiZE04Gfl�i OA1E <br /> HOG� :J.�D- �c�. _�? Ot /t//,�Si�. � <br /> - :E� ,��� <br /> PROJCCT ADD�iE55, \ <br /> rv <br /> W�I .�E N�� , APPUCPNiS .�iVBU9NES'I�CPJSF.POAYD605�NE53NPNE <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> � WATER CLOSET(TOILETI A'C—AHNDLG UNITS—H.P. <br /> ' ! BATIITUB FORCED AIR SVSTEMS--B i.U. M E.A. <br /> LAVATORV(WAShI BASIN) UNIT HEATERS—B.T.U. M <br /> SHOWER CLOTHESDRYERS <br /> � VENTILATION FAN <br /> I � KITCHEN SINH 8 DISP <br /> ` DISHWASHER RANGE HOOD <br /> LAUNDRVTRAY WATER HEATER <br /> CLOTHES WASHER WOODSTOVE <br /> + .� URINAL METAL FIREPLACE 8 CHIMNEV <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> I~� � BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> SINK(SERVIGE—BAR.ETC.) <br /> � �. SUB TOTAL 5 <br /> SUBTOTAL $ <br /> i I � PERMIT $ PERMIT S <br /> TOTALFEE $ TOTALFEE S <br /> ,, !RO�R SETBACK <br /> RGRSETBALK SIDESETORCK �'��YCMECNNUTAEIER F[E PLCEIPiNO <br /> uy�.z^HF �ornae� vncar�tsrte FEES VALUATION FEE <br /> �. -. VES ND BUILDING I�� ' G� <br /> hPi01WN51ALlOWABIE Lvi'EOfCON51RC10AL o[eun�y�r ueuow[�uw.'cHi¢ <br /> �"a'v pWA161NG <br /> SiIf.OFpLW. NOOFSTORIES B�SEMFNT MECHANIC�L _�a ;r� <br /> YES NO <br /> <<GUPANCYLOAO FlRESPRNKLEIISP[Cn MEiGHiUlAitltiON <br /> OTIiER ' <br /> VES NO STATE�UIIDINGSURCHARGE � <br /> y__��,d <br /> ���l.tiC)NfONSPRINMLERS <br /> STATLENEHGVSURCHAPGE <br /> �.����iu;nuoi�nccnr �urvs^�ve�����` CITYOFEVERETT Puoucwo�vKs <br /> LOCALSALES � <br /> TAX COOE IS 3105 TOTAL <br />