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�...." , '._ �,. � . . . . . � . � � . . ' '. '. ., e��. .. . .: . ' _vf.:.td'I ....._i::� �i:.l. .. <br /> APPLICATI(�.+1 FOR CONSTRUCT'.dN F�ERMIT <br /> �E�ro�� everett <br /> ���oF e <br /> everett <br /> BUILDING DEPARTMENT <br /> 259-8810 � TO BE GOMPLETED IN INK—PLEASE PRINT <br /> Ci DEMOLITION i COMBINATION f I BUILDIN�3 I I MECHANICAL I I PLUMBING ❑ SIGN <br /> ONMEP M�ILAD RE55 CITY � ZIP P110NE <br /> C4,ar�tn [�� r � Euerel-* �nol ;. <br /> TENANT ��A�LAD�FE55 ' �O� CITY 21Y PI!ONE <br /> - 1i� 1-�, P! SL- <br /> pRCHITECT OR DESIGNER MPIL�ODAE55 �� �� ��� ITY �U 1� ZOO M I II ` Vf�� �"O I�Z <br /> �Sao� MI Q <br /> GENEP�LCON)R�CTOR MRILpDONESS CIiY n 21P P��ONE LICENSE� <br /> Pa���F'�'a. Cen,N.���. �� �. , � U��� � E�•S � �II lfff� k ��g01�-- PA�It=C� ��-I �P� <br /> I.IECHANICALCONTR�CTOR MFILAOORESS CI7Y ZIP PMONE IILENSE• <br /> PLUMBINGCONTR�CTOR 'A�ILADDRE55 dTY 21F PMONE UCENSEI <br /> ClAS50F WORK <br /> ❑ NEW ❑ ADDITION 17 ALTERATION . REPA�R I I DEMOLITION I_I WOODSTOVE/FRPL INSti'.T [J BUILDING RELOCATION <br /> TEN�NTIMPROVEI.IENTORMTERIORPEMODELONLV � C T TPEfl50NFNDPHO�N1ENO. +�A `� (�� <br /> CONTMCTPRILEOFWOHK: �� ��f�j['• "���56� 1`'�' `�7-`�� <br /> OESCRIBEW fQCOnS�'�UC� INV�/ P�r� (11�G1/� <br /> PROPOSEDUSEOFBUILDIN4 Wl �a�v` I hEREEY CiRTIFV THAT 1 HAVE READ AND EXAMINED THIS <br /> APPLICAl10N ANJ KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEO�LOESCRIPTIONOFPPOPERTY�SHM'�NBELOWORATTACIIFOURWPIES� PROVISIONSO� LAWSANDORDINANCESGOVERNINGTH�STYPEOF <br /> WOFK WILL eE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �or e�aK oc _ NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> 1`f' -1 ' AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> ��66 Q'Cc G�-1'��OI OTHER STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR THE <br /> — PERFOPMANCE OF CONSTRUCTION.THAT 1 AM AUTHORRED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> . - APPLICATION IS MADE AND I COMPLY WITH THE BTATE � <br /> �L� _ 1 1��� � , � CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> SIGNATUREOFCON7 nCTOFORAlIT110RREDAGENT UATE <br /> PROJECiA0DHE55 "" � "'� 1�C1�'�(,���M4�t� UI��� IhC, <br /> APPIICANISCITY USMESIICENSENO.ANOBU51NE55NRME �- ;Y�74 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILFr) A/C—A�I IN�LG UNITS—H.P. i <br /> BATHTUB FORCED AIR SVSTEMS—B.T.U. M E.A. � <br /> LAVATORY(WASH BASIN) i UNIT HEATERS—B.7.U. M __T <br /> SHOWER CLOTHES DRYERS <br /> KITCHEN SINK 8 OISP � VENTILATION FAN ' <br /> —T <br /> DISHWASN�R � RANGE HOOD <br /> LAUNDRYTFAY ' WATER HEATER ' <br /> CLOTHES WASHER WOOD STOVE i <br /> URINAL METAL FIREPLACE 8 CHIMNEY ; <br /> DRINKING FOUNTAIN i FIREPLACE INSERT <br /> �lOOR DRAIN HEAT PUMP ' <br /> BACKFLOW PREVENTEFS GAS PIPING � <br /> ROOF ORAINS—RAINLEADtRS __j_ EXHAUST fAN � <br /> SINK(SERVICE—BAR,ETC.) i � <br /> i <br /> i � <br /> i <br /> _ <br /> --r— <br /> SUD TOTAL $ � SUB TOTAL $ ' <br /> PERMIT $ PERMIT $ i <br /> TOI�ALFEE $ TOTALFEE $ ' <br /> FRONTSEiBACK RLARSETBnGK SIDESETe.:GK PLnNCHELKNUM�ER FEE RECEIPTNO. <br /> USEZONE lOTAPEA V�CANTSIIE FEES VALUATION FEE <br /> I I YES I I NO BuiLDING <br /> 7YPEOfLONST.ALLOW�BIE iYPEOFCONSiALNAI w[uPexcr xo0rmv[wNGUx�iS � <br /> caar pLUMBING i <br /> i <br /> 52EOFBLUG. NO.OFSTOPIES DASGMENi MECHAHICAL � <br /> I I YES � I NO � <br /> OGGUP�NGYLOAD FIRESPRNKIERSRE00 NEIGIRlIM1iAT10N OTHER � <br /> ❑ YES f I NO STPTE BUILDING SURCHARGE ' v � <br /> � <br /> RE�SON FOfl SPRINKLERS — i <br /> STATEENERGYSURCHARGE i <br /> APPLIC�TION ACQ BY PlANS APPROVFD BY CITY OF EVEREIT PUBLIC WORKS i � -���� <br /> LOCALSALES � {� <br /> TAX CODEIS 3105 ror�� ' <br /> y� <br /> '',t � <br />