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C�'� � APPLICATIOrI FOR CONSTRUCT�ON PERMIT eV��P« <br /> ��E���� TO BE COMPLETED IN INK—PLEASE PRINT � <br /> CITV OF <br /> everett HEATING SYSTEM: 0 GAS ❑ELECTRIC ❑ -1 <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING �(MECHANICAL PLUMBING SIGN <br /> OWNEP ILADDRESS CITV ZIP PNONE <br /> TAr�� � �1r2��F� ac�3 � �,-�rnnar �� d F � i �I$;�ol �5a -`/o8.� <br /> TEN�NT MFILRO�RESS CITY 21P PHONE <br /> RRLNITECTORDESIGNER MAILADORE55 CITV ZIP PHCNE <br /> GENER.V.GONTRhGTOR MRILAODRE55 CIiV 21P PHOYE LICENSEI <br /> tc�h�f'�D � � C - � ,a��_�S� <br /> M[CIIANiCALGONTRACTOR MR�LADDRESS GIN 21P PNONE IICENSE• <br /> PLUMB:NGCONTRAGTOR M�ILROORESS CiTY 21P PHONE LGENSE• <br /> ia�.u� �� ► ia �c _r� ����_�� rnrtu v,rU 3��-3��� �ai��,�i���a�sc'/5 <br /> C1A550F WORK <br /> , . NEW ADDITION �. � ALTERATION � . REPAIR � �. DEMOLITION . WOODSTOVE/FRPL INSERT ...� BUILDING RELOCATION <br /> .1J CONTACT PERSON AND PHONE NO. <br /> CONTFALT PRICE OF WORN <br /> �5 ` <br /> DESGRIBE WOR1c AND SOURRE FOOUGE INVOLVED <br /> PflCPO5EDU5E0FBU1lDING �� ^ I HEREBV CERTIFV THAT I HAVE READ AND E%AMINED THIS <br /> K APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> lEGr1L DESCRiPTIONOF PROPENTYISHOKTlBELOW�FATfRGM FOUR COPIES� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> ior e�ocK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE Ofl LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> — PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> �j( � N'�?D �I�3 - Oo � -OOD� AppLICATIONISISRMA�E A DPE COMPLV WI�HKTHE� S PICE <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> SIGN�IDREOFCONTRRCiORORAUTHORIZEDAGENT DATE /"j2 ' �j Z <br /> X <br /> PRQIECTADDRE55 <br /> O __ � �/r APPLICANTS BU5INESSLICENSE .I�NDBUSMESSNAME <br /> C <br /> PLUMB�NG MECHANI AL <br /> NO. TYPE OF flXTURE OR ITEM FEE NO. TVPE OF EOUIPMENT �E <br /> WATER CLOSET(TOILET) � A/L—NHNDLG UNITS—H.P. <br /> BATHTUB FORCED AIR SYSTEMS—B.T.U. M E.A. ; <br /> LAVATORY(WASH BASIN) � UNIT HEATERS—B.T.U. M <br /> SHOWER CLO'(HES DRYERS ' <br /> KITCHEN SINK 8 OISP ; VEP+TILATION FAN <br /> DISHWASHER RANGE HOOD <br /> LAUNDRYTRAV ; WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEY ' <br /> DRINKING FOUNTAIN FIREPLACE INSERT _�_ <br /> �!OOR ORAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> SINK ISERVICE—BAR,ETC.) <br /> � <br /> T <br /> SUB TOTAL $ SUB TOTAL S <br /> PERMIT 5 PEHMIT S / <br /> TOTALFEE $ TOTALFEE $ <br /> FOR OFFICE USE ONLY: <br /> FRONTSETBRCK PERRSE�BACN SIDESETBACK PIRNCNECNNUM ER , FEE AECEIPTNO <br /> /!O <br /> USEZONE �UTAREN VFCRNTSITE FEES VALUATION FEE <br /> BUILDING � <br /> ivPEO�tONiSAILOWABIE NPEOFLONSTACIDAL oc[uv�Na xaaov.tumeuHnS <br /> LB%'�° PLUM9ING <br /> SREOFBIDG. NOAFSTOHIES BASEMENT MECHANILAL ,�O � — <br /> OCLUPANCY LO�D FlPE SPFNNLERS RE00 HEIGHT UMITRTION 4DDITIONAL PLAN CMECK <br /> OTHER <br /> REASON iOR SPRi4KLEP5 <br /> STATE BUILDING SURCHAqGE � <br /> i <br /> INTqNE�V PLANS RPP�70VFD BY CITY OF EVEHEIT PUBLIC WORNS <br /> LOCALSALES <br /> TAX CODE IS 3105 TOTAL 3 a ; � <br />