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APPLICATIO�FOR CONSTRUCTI.N PERMIT everett <br /> ffre Eveqreen TO BE COMPLETED IN INK—PLEASE PRINT � <br /> CI7V OF <br /> everett HEATING SYSTEM: ❑GAS ELECTRIC ❑ <br /> BUILDING DEPARTMENT <br /> 259•8810 <br /> f� DEMOLITION i__i COMBINATION �UILDING I MECHANICAL ! PLUMBING i SIGN <br /> 01VNER I} � M�ILADDflE55 CITV ZIP PHONE <br /> � <br /> /�i5— ![.F'%.t�.i 2!' /�i/7�'ii 9�ao i 7�9/1? <br /> TEN� T MpiLADDRESS GIN ZIP PHONE <br /> ARCHITECTORDESIf,YER M�IL�DORE55 GITY IIP PHONE <br /> /�St,.�. ,s raor� jy�� H.sr��i,��( �1/l �'.vu// G��lC1 �71�-Y'J�s'�' �3Sdri✓c �9i oy <br /> GENERAL CONiFACiOfi M�IL AOORE55 CITV 21P PHONE �ICENSE� <br /> MECMANICALCONTPACTOR AUILADDRE55 CITY ZIP PHONE LICENSEI <br /> PLUMBINGCONTRAGTOH MMLADDRESS CITV ZIP PHONE �ICENSEI � <br /> CLASSOF WONK <br /> G NEW �OITION : ! ALTERATION fJ REPAIR f . DEMOLITION Li WOODSTOVE/FRPL INSERT G BUILDING REIOCATION <br /> M tij��0 !� CONTACTPERSONANDPHONENO. <br /> CONTRACTPRICEOFWOHN S � � G.d��2S/ �fz .y ,;f �3�-�D9s,�/ <br /> OESCRIBE WJIiK�ND SOU�RE FOOT�GE l OLVED 2Z1 ry T <br /> �DD.'/:"��N 7�- �ii i hC � .•.f f�Y:' <br /> PROPOSEDUSEOFBUILDING/ p I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> �i vG✓N .. F( if/[ �S�/e APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEWLOESCRIPTIONOFPROPERTY�SNOWNBELOWORARACMFOIIRCOPIES� PROVISIONSOFLAWSANDORDINANCESGOVERNINQTHISTVPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �ot — e�ocK _�2�v •/i � NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED 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 296.200 WAC. <br /> SIGN�TUREOFCONTR�CTOROR�UTHORIZEDAGENT OATE I�'IP� I <br /> X <br /> PROJECTpADDRESS �� ) n , <br /> /a I � lNC�JgO/�..E BUSINESSLICENSENO.ANDBUSINESSNMIE <br /> PLUMBIN6 MECXANICAL <br /> N0. TYPE OF flXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> WATER CL0.SET(TOILEn A/C--A/HNDLG UNITS-H.P. , <br /> BATHTUB ; FORCEDAIRS`.'STEMS-B.LU. M E.A. � <br /> LAVATORY(WASH BASIN) � UNIT HEATERS-B.T.U. M ; <br /> SHOWER � CLOTHES DRVERS i <br /> KITCHEN SINK 8 DISP ; VENTILATION FAN � <br /> DISHWASHER RANGE HOOD , <br /> LAUNORVTRAY ' W.4TER HEATER <br /> CLUTHES WASHER � WOOD STOVE ; <br /> URINAL � METAL FIREPLACE 8 CHIMNEV � <br /> DRINKING FOUNTAIN � FIREPUCE INSERT <br /> FLOOR DRAIN HEAT PUMP � <br /> BACKFLOW PREVEN RS ; GAS PIPING � <br /> ROOF DRAINS- NLEADERS � EJ(HAUST FAN <br /> SINK(SERVI -BAR,ETC.) � <br /> � <br /> � � <br /> � <br /> SUB TOTAL $ ; SUB TOTAL $ <br /> PERMIT $ PERMIT $ ; <br /> TOTAL FEE $ ' TOTAL FEE $ � <br /> FOR OFFICE USE ONLY: <br /> FRONT SETB�CK RE�R SETBACN SIDE SEi�RCK P�,1N CHECK NUMBEfl FEE NECEIPT NO. <br /> • � ' S y� � �i3� P/• 90 S'78iP <br /> use zor � LOT AREA VACA��E FEES VALUATON FEE <br /> < BUILDING S`�S V <br /> TYPFOFLONiS.ALIOWABIF 7YPEOFCONS7.�Li0AL aawN[r xOabMwxcuMrtS <br /> �a0°v pLUM81NG � <br /> -N �fJ R3 � <br /> SIZEOFBLOG NOAFSTOPIES B�SEMENT � <br /> '22� t� AP��� � MECHANICAL , <br /> D ! h D � N� i � <br /> OCCUPANGY LO�D FIRE SPRNKLE�u'FO'0 HEIGHT LIMITATION ADDITIONAI PLAN CHECK � <br /> � No �� <br /> OTHER <br /> REASON FOR SPRINNLEHS — <br /> i <br /> STATE BUILDING SURCHANGE ; <br /> INTqKE BY PUNS APPFOVEO BY CITY OF EYEREIT PUBLIC WORKS �� - <br /> ' � LOCALSALES � <br /> TIIX CODE IS 3105 TOTAL ; <br />