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APPLICAT'10�. FOR CONSTRUCTI �N PERMIT «'°�"" <br /> rnPE�o�Q�re� TO BE COMPLETED IN INK—PLEASE PRINT � <br /> CITV OF <br /> everett HEATING SYSTEM: ❑GAS ❑ELECTRIC O <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING �'MECHANICAL PLUMBING _ SIGN <br /> MAIL A�DRESS CIiY Z P ONE <br /> OWNFR / 1 �� GS�"��� S� <br /> /Jl,��� I,�`:��� �- 2�Cir; dv��—,..��, f� ��� ' — <br /> TENANL MAIL�DDRE55 CrtY 2iP PNONE <br /> nRCHrtEGTOROESiGNER 1A�ILRDORE55 CfiY 2iP PNONE <br /> i GENEPRLCONTHeCTOR M�ILADDRE55 GiY ZiP PHONE LICENSE� <br /> y�+ �� MECMANICALLONiPAGTOR MAILA�DBE55 QiY 21P PHONE LIGENSEI <br /> C+7C+1 ..�� / SZ2 N,F /Su c. W�co,.��vtF 9C'072 YS"s"z�D't Z }f <br /> �..��r <br /> G �H P�U INGCONTReCiOR M�IL�DDBE55 C�iY ZIP PNONE LICENSEI <br /> A-�Pi�UNCe o9D�r+9 <br /> 9H [/� <br /> t� �+ CLPSSOF WDRK <br /> yiM � NEW � � ADDITION �ALTERATION REPAIR � DEMOLITION WOODSTOVEiFRPLINSERT BUILDWC�RELOCATION <br /> 1!y � n CONTALi PERSON ANC PIIONE NO <br /> II' �H� CONiRACTPRICEOFWORN �OU <br /> �AF�-i1 UESCPt9EWORN�NO50UAREF00tAGEINVUIYED <br /> ry'.y5� . � 1�<W .. ] /n/!(� <br /> I � j W PROPOSEOUSEOf0U1LDINp I HEREBv CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> APPIICATION AND KNOW THE SAME TO BE TRUE AND GORRECT.ALL <br /> H �g LEGRLDESCRIPTqNOFPROPcNTVISHOWNBELOWOR�TTALHFOURWPIES� PROJISIONSOfLAWSNNDORDINANCESGOVERNINGTHISNPEOF <br /> i ~y � WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �pt b�aK or NOT. THE GRANTING OF A PERMIT DOES NOT PRESUlAE TO GIVE <br /> AUTHOPoTV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> > y OTHER STATE OR LOCAL LAW REGULATING CONSTRUGTION OR THE <br /> t� <br /> H y PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOfiIZEO BY - <br /> � OWNER OF THIS PROPERTV TO PERFORM THE WORK "OR WHICH <br /> y N APPLICATION IS MADE AND I COMPIY WITH THE STATE <br /> ��y CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> SIGHAIUREOFCONiRACIO�ORApiHOBRE�AGENT OA�E <br /> y� X �� %'� �7 <br /> HOf/� J <br /> /�s, rrt :� 7 '2 '7 - % � <br /> � �ROJECTnDDR[55 � <br /> , I,, APFI iC�NTS CITV PUSM[55 LiG@�5[HO ANO DUSiNE55 NnuE <br /> �J U�C� .(./� l'L(�/�C. "�l�__ <br /> ' PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTUFiE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> �` WATER CLOSET(101LGT) A/C—A�HNDLG UNI75—HP. <br /> C� BATHTUB FORCED AIR SYSTEMS—B TU. �M E A. <br /> LAVATORV(WASH BASIN) UNIT HEATERS—B.T.U. M ����``�` <br /> SHOWER CLOTHES DRVERS <br /> KITCHEN SINK 8 DISP <br /> �- VEN7ILATION FAN <br /> ,__. DISHWASHER RANGEHOOD <br /> + �� LAUNDRYTRAV WATER HEATF.R <br /> � CLOTHES WASHER WOOD STOVE <br /> URINAL METAL fIREPLACE 8 CHIMNEV <br /> DFiINKING FOUNTAIN FIREPIACE INSERT <br /> � ' '� FLOOR DRAIN HEAT PUMP <br /> � BACKFLOW PREVENTERS GAS PIPING <br /> POOF DRAINS—RAINLEADERS ExHAUST FAN <br /> ._�' SINK�SERVICE—BAR,ETC.) <br /> L� <br /> �= SUB TOTAL S SUB TOTAL 5 �/ ' <br /> PERMIT $ PERMIT 5 �S� <br /> �- - TOTAI FEE $ ?OiAL FEE $ 'r' <br /> F�JR OFFICE USE ONLY: <br /> FRONTSETBACN R[RRSETBACN SID[SET9ACN PIANCNECKNUMtl[H �EE FECEiPTNO <br /> usezoeE IOi�REA vr.c�ntsire fEES VALUATION FEE <br /> BUILDING <br /> ttPEOitON75.AllOWPBIE tYPEOiC�NSi.ALip�l ��youo�r uoamnu�x�uxns <br /> PLUMBING <br /> SREOFULDG. NOOFSTORiES BRSEMENT MECHANICAL � — <br /> �l� <br /> OCCUPANGYLOAD FIPESPRNKLEPSREO'� MFIGNTL�MITRTION <br /> A�DITIONAL PLAN CMECN <br /> �__� OTH[R _ � <br /> � <br /> REASONFORSPR�NNLERS <br /> STATE AIIILDING$URCHAPGE <br /> INTAS[�Y PLANSAP�ROVEOFIY CITY OF EVERETT PUBLIC WORKS <br /> LOCI,L SALES <br /> TAX CODE IS 3105 TOTRL �% ; — <br />