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r., ry <br /> APPLICATIO�N FOR CONSTRUCT�JN PERMIT <br /> everett <br /> ���E�.9,�� e <br /> ���oF <br /> everett <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> r OWNER / MMLAD�RE55 Ciiv ZiP PNONE � <br /> C.15( � ria�_ /]/�i/I4Y'ii-I� _'> G�I:•� :`7�t.��lt Ct�i'C� %��2G'/ �' .S/7 <br /> IENANi 1ARILADDRG55 CITV ZIP PNON[ <br /> fc.st<:�w. /l(,ilu�:,c� 3SnG:,�t1�«-:�k. i=r�,-r£1' /f���� .:zs.Y "i� 7 / <br /> AqLMItELT OR OESIGN[R IAPIL�DpPE55 GITY 21P �IIONE <br /> t-�;,. ,>,�,i �ii'✓e 3 /3/l �iJ��ki It�.e� G/��/ i.�•��r ezt- 99'..ta3 ;s .1 `/f'7 / � <br /> G[NERALCDNTN�CTOR M0.�A�DRE55 CITV ZIP PNONE L�GENSE• <br /> y H � rsz z�/v- /J/�//4 ;4�" 33'nG x h.�/� i=c,u�-e�;^ `l.���/ .-ZsJ� 3( �/ C�S�4/�t �2z�oM9 <br /> �`�� " <br /> Ly�y MECMANILALCONiRACTOR MFILAD�RE55 GIiY Z�P PMONE LICENSE• <br /> O.0 S <br /> ayy PW�1�iNGCANiRRGTOR MRIIR�DPE55 GiV IiP PHONE LiCENSE� <br /> � LLASSOfWORN <br /> k y„n� L NEW . ADDITION ALTERATION � . REPAIR � DEMOLITION � WOODSTOVE/FRPLINSERT .��. BUILDINCaRELOCATION <br /> O� H O� iENANT IMPROV[MENi OR INTERIOR REMO�EI ONLY/ CONLACT PERSON ANp PNONE N0� <br /> U1 H GONiReCT PRIC[Of WORN: ` Y�y S � 1[A /� ��� v�-� <br /> DCSCniBG WORN AND SOUARE FOOUG[iNVOLVED <br /> � �� _( �r � c��_— .�? 3 5��� 3 ��l � 3,�, �. �Zs 7= 3/ 7 ' <br /> reoPoscousEOF m�mr+c � I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> � � 'i7 �yt ���.� j�? APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> �� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> L'7� O LLGAlDESCFiPiiO Ofl'ROPERTY�SNOWNBEIOWORAiiACNFOURLOPiES� <br /> i-.I ❑❑❑ WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> x y� �or e�ocn oF _ NOT. THE GRl+NTWG OF A PERMIT DOES NOT PRESUME TO GIVE <br /> tyy AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> � OTHER STATE OR LOCAL LAW REGULAiING CONSTRUCTION OR THE <br /> t7 q�y � ��� � G PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> n d� � OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> � [*1� CONT ACTORS LAWMB DERCW AND 96.00 WAC. ITH THE STATE <br /> r / / <br /> SIGNntUR[OFGONiRACiq�ORAUTNOAi3EOPGENi O�iE <br /> H Otyir �„2SGQ d�_/�l�I/Gu0121C /� r!O <br /> PROJECiADDNE55 . ��Hl , .•/[��/-`� �t "/�:�t�7 /G��� J <br /> rj !�`�/' � '- pP IIUNTSQiVBU5MES5LICENSENO.ANDBU5iNE55NeME <br /> O O ��'-��'L. C <br /> PLUMBING MECHANICAI <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE QF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) NC—NHNDLG UNITS—H.P. <br /> '�"� BATHTUB FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> �! LAVATORV(WASH BASIN) UNIT HCATERS—B.T.U. M <br /> SHOWER CLOTHESDRYERS <br /> f.�, � KITCHEN SINK 8 DISP VENTILATION FAN <br /> � I DISHWASHER RANGEHOOD <br /> LAUNDRVTRAV WRTER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> " `� URINAL METAL FIREPLACE 6 CHIMNEV <br /> ! � FIREPLACE IV FiT <br /> DRINKING FOUNTAIN _ <br /> FLOOR DRAIN HEAT PU <br /> 9ACKFLOW PREVENTERS GAS PIPING <br /> �1� I ROOF DRAINS—RAIN�EADERS EXHAUST FAN <br /> SINK(SERVICF�-BAR,ETC.) <br /> � � <br /> SUBTOTAL $ SUBTOTAL $ <br /> � � <br /> PERMIT $ PERMIT S <br /> TOTALFEE S TOTALFEE S <br /> FRONi5Ei8ACK REnRSEiBAtn SiD[SETBnCK PLANCM[C<NUMBER �EE �•�S PECEiPTNO. <br /> , .. o � [o � �j' 9v a�i��3 c �rG b'u 33,3 o i <br /> usczorve �ornae� v�cnHtsrte FEES VALUATION FEE <br /> i� �L /O 000 � �. YES � NO OUiLDING ,2 3� �� �O U <br /> iMEo�CO�ISiAIL�WABtE iVl'Eo1coNStROunL a�u�.vc. xoaowtwxc�a.rs <br /> �� PLUMBING <br /> — �_ <br /> Sii[OF BIDG. NOAF SiORIES BASEMENT MECHANILAL ' <br /> ��b s r. : � ves n No �— <br /> OCCUP4Nf,YLORO FlPESFRNKL[RSREf1'0 NEIG'yTL11AI�AlION OTHER �� � , Si r <br /> � -. � VES x NO LS STATEBUILDINGSUf7CMPRGE <br /> nr.nsuN von srnwK�eas — <br /> STAiE ENERGY SU(7GNARGL <br /> APP�ICAiIONACC BY PLAN PPPOV[OBY CITY OF EVERETT PUBLIC WORK$ <br /> , '�I,��J LOCAL SALES <br /> f/ TAJ(COOE IS 3105 TOTAL �l �,i S� <br />