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APPLICATI�N FOR CONSTRUCI �ON PERMIT <br /> e��«u <br /> fM1e Evergrecn � <br /> CITV OF <br /> ��� everett <br /> BUILDING DEPARTMENT TO BE COMPLETED IN INK—PLEASE PRINT <br /> 9 H 259�8810 <br /> 9 y y DEMOLITION COMBINATION BUILDING ECHANICAL PLUMBING SIGN <br /> MF�I ^DDRf55 CITY Z�P PNONE u <br /> y�H �W��c-'v /S'o5cs �"iher.ur>z�✓�/� L%vs 9��.v7 2sz fs4� <br /> IC (] i[ Ni <br /> MPILPDDR[55 CITY Z�P PNOHF <br /> �H� � <br /> ARCHrtEpOR�[SIGNER MNILp�ORESS CITV Zlo PNONE <br /> NH <br /> �' �� GEHEPAL GONTRRQON MRiL AUDFESS CITV ZiP PNONE LICENSE• <br /> HC <br /> O N ��ry Zi� PMONE IiCENSE• <br /> H� C� MECMANICALLONTP4CiON MNILApDFESS <br /> c�� o Cve+a7nK�u sf�rrrr SiiN 3M1 R�� C,tir 98zCt ZSz 3i/4 L�/-c�-65-/zi �t� <br /> �+ CITV Z�P FMOHE LICENSEI <br /> zH y—� PWMBIN GONiP�LTOR MAILA�DRESS <br /> z <br /> � �..�y CLRSSOF WORN �� <br /> g y H �. - NEW �. �. ADDITION `" ALTERATION . . REPAIR DEMOUTION . WOODSTOVEiFRPL INSERT .�' BUILDING RELOCATION <br /> OrJV� TENArvTIMPROVEMENTORINT[RIJRREMODELONLY CONiRGTPER50YANDPHONC:..i. <br /> / �� ��N _ <br /> Gt" CONiRACiVRIC[OFWORN: ( n —� <br /> �y N OESCRIOE WONN RND SOOARE FOOIAGE INVOWEO <br /> .H o tn ///¢G�• <br /> raoaoseouseoFom�owc I HEREBV CERTIFV THAT 1 HAVE READ AND EXAMINED THIS <br /> ��G� APPLICATION AND KNC W THE SAME TO BE TRUE AND CORRECT.ALL <br /> �ccn�oEscRianoHOFraorearrisHowHae�owoAAT*a�HFour+coviEs� PROVISIONSOFLAWS 1NDORDINANCESGOVERNINGTHISTYPEOF <br /> WORK WILL BE COMPL[TED WITH WHETHER SPECIFIED NEREIN OR <br /> �aT eiaK or NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVF <br /> AUTHORITV TO VIOIATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAI LAW REGULATING CONSTiiUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV iHE <br /> OWNER OF THIS PROPERTV?O PERFORM THE WORK FOR WHICH <br /> qPPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> SIGNntUREOFCONiR�GTORORAOTHORR[DAGENL DAT[ <br /> X ..�� �3 S� <br /> PRQIECTPODPG55 'r ppPL ANLSLITYBOSMESSUCENSEN04NpBU5ME5SNPNE <br /> I I PLUMBING � �G MECHANICAL <br /> '_' NO. TYFE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) NC—NHNDLG UNITS—H.P. <br /> '�� BATHTUB FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> LAVATORY�WASH BASIN) UN?HEATERS—B.T.U. M <br /> ' ' SHOWER � CLOTHESDRYERS <br /> KITCHEN SINK 8 DISP I VENTILATION FAN — <br /> —�— RANGEHOOD <br /> '�1 DISHWASHER --- <br /> LAUNDRYTRAY WATER HEATER <br /> ' ' CLOTHES WASHER WOOU STOVE <br /> � METAL FIFEPLACE 8 CHIMNEV <br /> URINAL � <br /> � DRINKING FOUNTAIN FIREPLACEINSERT _T. <br /> 1�' FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTcRS GAS PIPING <br /> '� EXHAUSTFAN <br /> ROOF DRAINS—RAINLEAG[RS S <br /> �� CT <br /> SINK(SERVICE—BAR.ETC.) <br /> f <br /> '� � <br /> '� SUB TOTAL S SUB TOTAI 5 �'- <br /> � <br /> PEFMIT $ PERMIT 5 <br /> TOTALFEE 5 TOTAL�EE 5 ' "— <br /> � PLANCIIECKNUMBER FC[ PECEIPTNO. <br /> LRONTSRBACK AEFRLEiBACN SiDE5E19AGK <br /> US[ZONE LOTARER <br /> vncaHrsi*e FEES VALUATION PEE <br /> � � VES N� BUILDING <br /> 1vPE0iCON4.RLlOWABIE iYP[OfLONA.ACIUAL acuru�b xnonwtu�n:uw:s <br /> caouv pLUlA01NG <br /> i <br /> SREOFBLDG. No OFSTORiES BnSEMENT MECHANICAL __��1_._ <br /> '.. '. YES . . NO <br /> OGCUPPNCYLOND FlRESPRNKLEPSRWD MEMaHTLiMITPTION <br /> OTNER <br /> ��. VES � . NO SiATE BUILDING SURCHARGE � <br /> �� <br /> REASONFORSPRINNLERS <br /> STATEEHERGVSURCHARGE <br /> APPIIC�iIONRW.OY PLRNSAPPROVEOBY CITfOFEVEFlETT PUBLICWORK$ <br /> LOCALSALES <br /> TAX CODE IS 3105 T�TAL �'� <br />