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/��, (r��?. <br /> APPLICATIO�1 FOR CONSTRUCTI"i�N PERMIT <br /> � everett � <br /> «E���� e <br /> CITV OF <br /> everett � ' <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK,—PLEASE PRINT <br /> ❑ DEMOLITION O COMBINATION ❑ BUILDING f7(MECHANICAL ❑PLUMBING O SIGN <br /> pyyryEq ^� / /MJAILADDRES CrITV 2�1P/^7 PHO�JNE �(' <br /> TENANT �7 �.CiC�/.EIC.RAO IE����L �L�k.� (=U�� Z'/O/�UI �C��SO�(GtS II <br /> �/�l'�E �S /�QOI�C <br /> �RC111TECTORDESIONEH MARADDRE55 CITV ZIP PNONE <br /> 6ENER�U.CANTIUGTOR M�RADDNE55 CITV 21P PNONE UCENSE� <br /> MECNIJlICALGUNTRACiOR M�RADDRE55 CITY 21P PlIONE LIGENSEI <br /> NAlU�AG GNS EmwP /6�SE./YM_i�L� U,�e�,;lE•'EvC�'ET7' 9e�o � 258-�Yyl .�/RTu�°6E/lOP[� <br /> pWMBMpCpNTRACTON M�ILADDRE55 CITY 21P PIIONE UGENSE/ <br /> QASSOF WOi1K <br /> ❑ NEW ❑ ADDITION VJ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL INSERT � BUILDING RELOCATION <br /> TENANT MPROVEMENT OH M�TEPqR REMODEI IXJIY CONT�CT PERSON AND PIIONE NO. <br /> CONTRACTPR�CEOFVARK: � � J <br /> OESCRIBEWIXIKMASOU�FEFOOT�OE1 VEO <br /> - SN�fAtC 9< <..� i! <br /> rnoroseouseoreuaott+a I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS � <br /> S'y� - " � ' APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALl <br /> LEOALDESGR�PTIONOfPROPERTVI���BELOYIOR�TTACNFWRCOPIES) PROVISIONSOFIAWSANDORDINANCES60VERNINOTHISTYPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> tot BLOCK oc NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO OIVE <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL UW REGUUTIN�CONSTRUCTION OR THE <br /> PERFOHMANCE OF CONSTRUCTION.THAT I AM AUT}IORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> SION�NR CONiRACTONpi�UT4qPREDAOENt DATE ro���iq/ <br /> X <br /> rnaecrwoness ^� <br /> �yL E �Ei"T �PP��TS BUSINE E ND.NIOBUSINESSNAAIE <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FlXTURE OR REM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATEH CLOSET(TOILET) � /VC—AIHNDLO UNIT�FI.P. �_ <br /> BATHNB ; FORCED AIR SYSTEMS—B.T.U. M E.A. � <br /> . � LAVATORY(WASH BASIN) � UNIT HEATERS—B.T.U. M i <br /> SHOWER ' CLOTHESDRYERS � <br /> KITCHEN SINK 8 DISP VENTIUTION FAN ; <br /> _• ' DISHWASHER � RAN6E HOOD � <br /> I LAUNORYTRAY ; WATER HEATER ' <br /> , � CLOTHES WASHEH � WOOD STOVE _�_ <br /> � URINAL ' METAI FIREPLACE 6 CHIMNEY � <br /> i _ DRINKING FOUNTAIN � FIREPLACE INSERT i <br /> FLOOR DRAIN � HEAT PUMP � <br /> BACKFLOW PREVENTERS ; GAS PIPING � <br /> �. ROOF DRAINS—RAINLEADERS � EKHAUST FAN � <br /> SINK(SEFVICE—BAfl,ETC.) ; ' <br /> � <br /> � <br /> i � <br /> � <br /> i � <br /> � i <br /> SUB TOTAL S � SUB TOTAL S S7� ' <br /> PERMIT S � PERMIT E / i <br /> TOTALFEE E ' TOTALFEE S aT' <br /> FRONf SETBRCN RE�H SETB�CK SIOE SE78ACK PLAN GHECK NUAIBER FEE NECEIPTNO. <br /> USE20NE LOTApEA VACANTSITE FEES VALUATION FEE <br /> ❑ YES ❑ NO BUILDING . � <br /> fYPEOiCONSi.�LLOWABIE IYPEOfLONSL�LiIIAI ��'�Mr xo.dMrttUxcuxrtc i <br /> °� PLUMBINQ � <br /> 52E OF BLDG. NO.OF STORIES BASEMENi MECHANICRL G$'� ^ <br /> ❑ YES ❑ NO � <br /> OCCUPMlGVLOAD FIRESPRNKLERSPEO9 HEIGHTLIMIUTION OTHER j <br /> ❑ YES ❑ NO STATE BUILOING SURGNARGE � <br /> IIE�SON FOi15PPINKLEPS � <br /> STATE ENERGY SURCIIARGE i <br /> nrrucntronncc.er PLANS�PPROVEDBY CITYOFEVEflETT PUBLICWORKS ' <br /> LOCRL SALES � <br /> TAX CODE IS 3105 �TAL G f�o e <br />