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� <br /> APPLICATI4.� FOR CONSTRUC7 JN PERMIT �Vefe« <br /> t�eEvergrmn TO BE COMPLETED IN INK—PLEASE PRINT � <br /> CITV OF <br /> everett HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> BUILDING DEP�RTMENT <br /> 259-8810 --- <br /> DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> OWNER MRIL�DORESS <br /> CRV ZIP PHONE <br /> .�../N. � D���ft .�SRe'.l L✓ /w. t f �< l�i,'1 � <br /> iENA T MAILADORESS CI'Y ZIP PMONE <br /> RRCHIiECTOR0E51GNER MRIIADORESS CITY 21P PHONE <br /> GENERAL60NTRALTCF �IqILADOR6S5 CITY 21P PHONE UCENSEt <br /> O'Cw�.. r 0.4/.r O�Ir Ewa,N++ trNv ,�..../f �It�f� �SJ >9.� dree,.,.ae �lJ �.[ <br /> MECH�NICRLCONiRACTOfl MAILADDRESS CITY ZIV PMONE IILENSE♦ <br /> P�UMBINGCOKTR �TOR M�ILADDRESS CITV ZIP PHONE <br /> LICENSE• <br /> .�r�•. Q wr/� iNt 119a1 •S�r��o... � A.�+. I/� <br /> 9f�Tr L.rl�•rS7 �•.•»mt �sG/�'A <br /> GLASS OF WORK <br /> NEW '. PODITION � � ALTERATION . � REPAIR DEMOLITION . � WOODSTOV6FRPL INSERT -. BUILCING P?LOCATION <br /> CONTACT PERSON ANO PHONE NO. <br /> CONTR�CT pRICE OF WORA <br /> OESCRIBE WORKRNCSOUPRE FOOTAuE INVO�VED <br /> PROPOSED USE OF BWLDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEU THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEGALDESCqIPT10NOFPqOPERIYISHOWNBELOWOFFTfACNFOURGOPIES� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTVPEOF <br /> �or e�ocK oF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> " NOT. THE GRANTING OF A PERMIT DOES ivilT 'rn^BSUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIUNS OF A4Y <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV"i HE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> — APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> SIGNRTUREOFCONTRpCTOROR�UTI JRIZEDAGENT O�TE <br /> � � f .-r� <br /> PRQIECT�D�PESS ��� v�� <br /> ��� t T�J10 /f�C ,O APPLIC4NTSCITYRUSMESSLICENSENO.AN�OUSINESSNRME <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIl(TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) - A/C-A/HNDLG UNITS-H.P. <br /> BATHTUB p ; � FORCED AIR SYSTEM�B.T.U. M E.A. <br /> LAVATORY(WASH BASIN) - UNIT HEATERS-8 T.U. M <br /> SHOWER CLOTHESDRYERS , <br /> KITCHEN SINK 8 DISP — VENTILATION FAN <br /> _ y DISHWASHER p � � RANGE HOOD —T— <br /> LAUNDRV TFAY ; WATER HEATER <br /> _ / CLOThIFS WASHEP ��� WOOD STOVE � — <br /> URINAL ' METAL FiREPLACE 8 CHIMNEY <br /> DRINKING FOUNTAIN ; FIREPLACE INSERT <br /> FLOOR DRAIN �U ' — HEAT PUMP � <br /> / BACNFLOW PREVE�TERS �; — GAS PIPING <br /> ROOF CRAIN�RAINLEADERS EXHAUST FAN ; <br /> SINK�SERVICE-BAR,ETC.) <br /> a- H.re Q v _ <br /> � <br /> � <br /> SUB TOTAL S '! SUB TOTAL 3 a � <br /> PERMIT $ PERMIT $ �; � <br /> TOTAL FEE $ TOTAL FEE S <br /> FOR OFFICE USE ONLY: ' <br /> FROM1TSETBnCK REAqSETBACR SIOESETBACK PLANCNECKNUMBER FEE RECEIPTNO. <br /> USE 20NE LOTAqEA VACANT SIiE FEES VqLUATION FEE <br /> BUILDING <br /> 7YPELrGCNiSAIIOWRdif TYPFOFCONSi.At7UAL occucex[v uoovmvrtuxcuv!;5 <br /> �pa� PLUMBING � <br /> �y'U i O-d <br /> SIZEOFBLDG NO.OFSTORIES BASEMENT ' <br /> MECHANICAL y� � S� <br /> OCCUPANCY LOnD FlRE SPhNKLERS REO'D HEIGHT LIMITqT10N AODITIONAI PLAN CMECK <br /> i <br /> OTHER <br /> RERSON FOq SPiINNIERS <br /> S7ATE BUIL�ING SURCHAFGE ' <br /> MTANEBY PLANSAPPROVE�BY CITYOFEVERETi PUBUCWORHS � <br /> LOCAL SALES <br /> TAX CODE IS 3105 ror�� � � <br /> Y 7 �Sa <br />