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APPLICAT14N1 FOR CONSTRUCT��ON PERMIT `""`'" <br /> ��e„•,a,�� <br /> TO BE COMPLETED IN INK—PLEASE PRINT � <br /> crtv ur <br /> everett HEATING SYSTEM' :�GAS ❑ELECTRIC ,] _ <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> i cHor+E <br /> MAII AODRE <br /> I <br /> ovmea � � . � 1 C C�C� � � -�J� �o'��� -:ti %�� <br /> c . <br /> �::. . IL �� �.`�I C� . Il L� � PHONE <br /> �1 tENANi AIAILADORES$ I Gt\' ZIP <br /> l <br /> PRPIITECTOR�ESIGNER MAILADORESS <br /> CIiY 21P PNONE <br /> G[I![l1AL GONiRACiOR MAIL AO�RE55 <br /> CITY ZIP VMONE IICENSE• <br /> MECIUNILRLGONiPAttOR MPIIADDPE55 <br /> CITY 21P PNONE LILENSE� <br /> pTY Ziv PI�ONE LICENSE� <br /> � �� PWMBINGCONTRRCiOR MNLA�OPESS ' <br /> �o�Zx C��frrr,t�� n� /y1`�(r���cc2�� °��� .c' � '��Y;���� {��i�� /•l^l� ��M7fti� t`����� <br /> LASS f WORN <br /> 9 �W � NEW . ADDITION x ALTERATION REPAIR DEMOLITION WOODSTOVE/FflPL INSERT . �. BUILDI/RELOCATION <br /> r C T PERSONA.�PIIOYENO h�//Z \ �� � /,/� <br /> J � / <br /> ,,.� ��i�U-� ,�. C�, f � - �—�:t�v� i/(/ <br /> � � CONLRAGLPRIC[OFWOAN <br /> H .� OESCP�BE 1VO�M ANp SOUARE FOOLAGE INV VEO � <br /> � �� � � C / ' <br /> vnovose6useov ui�oi J' ' I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> � ,_,� . APPLICATION AND KNOW THE SAME TO BE TRUE AND GORRECT.ALL <br /> H <br /> iEc��oes:.AiP*�oHovaeoaeArr�s�wwHeeiowoanr*nc��vouaconiesl PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTVPE <br /> ty WORK WILL BE COMPLETE��^11TH WHETHC-R SPECIFIED HEREIN OR <br /> H� � ior a�aK oF NO7. THE GRANTING OF A PERMIT DOES NOT PPESUME TO GIVE <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> L]� C] OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> zH� PERFGRMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> y OWNER OF THIS PROPERTY 70 PERFORM THE WORK FOR WHICH <br /> C" y 7.' APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> �y N�3 CONTRACTbRS LAN1 1827 RCW AND 296200 WAC. <br /> Y N N SIGN EO�CONTRRCiOROBRIIT EOAG[NT DATE <br /> tJ <br /> O C U� <br /> ��� X � �� �� � � � C <br /> �N Pf10 ECT 0.00�E5� �� 1 + , �qp 1 ANTS GILY BUSMES IG 5 NO 1 USINE55 AME <br /> j r _ _ .Y% � .L <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM <br /> FEE NO. TVPEOFEOUIPMENT FEE <br /> I WATER CLOSET(TOILET) NC—A�HtJDLG UNITS—H.P. <br /> � BATHTUB FORCED AIR S`.'STEMS—B.T.U. M E.A. <br /> � � LAVATORV(WASH BASIN) — UNIT HEATERS—B.T.U. M �_ <br /> � SHOWER CLOTHESDRYERS <br /> KITGHEN SINK 8 DISP VENTILATION FAN <br /> DISHWASHER RANGE HOOD <br /> LAUN�RVTRAY WATER HEATER <br /> � ._� WOODSTOVE <br /> i � 1 CLOTHES WASHER _ - <br /> � URWAL METAL FIREPLACE 8 CHIMNE� <br /> DRINKING FOUNTAIN FIREPLACE INSERT .__� <br /> FLOOR DRAIN HEAT PUMP <br /> i =1 ' BACKFLOW PREVENTERS ; GAS PIPING <br /> ROOF DRAINS—RAINLEADERS <br /> �— EXHAUST FAN <br /> SINK�SERVICE—BAR.ETC.) — <br /> ' 1 � <br /> r� <br /> SUB TOTAL S SU8 TOTAL 5 ' ' <br /> PEFiMIT 5 PEFMIT S ` T=— <br /> I 1 1� TOTALFEE 5 TOTALFEE $ •t <br /> FOR OFFICE USE ONLY: a¢ceiai r+o <br /> fROM5ET0ALN AEARSEiBACK SIOESEiBACN PIANCNELeNUMBER Ff.E <br /> =7 <,2-�� <br /> usezor�e �o�naen v�L�NTSrtE FEES VALUATION FEE <br /> �UIL�ING <br /> tYPECiCONiSAIIOWABIE iYPEOi[ONS1AGtU0. a`qaocr xooimv[unccrn5 <br /> PLUMBING <br /> Si2[OFBL�G NO.OFSTOR�ES ORSEMENT MECHANICAL <br /> OLCUPANCYLOAD FlRESPRHNLERSAEO'D N[IGIITLIMIIAtION <br /> AD�ITIONAL PLAN CHECK <br /> OTHER � <br /> � <br /> REASON FOR SPRINNLERS <br /> STATE BUILDING SURCHARGE <br /> INiANE BV PUNS PPPROVE�OV CITY OF EVEHE7T PU�LIC WOi7K$ <br /> LOCALSALES <br /> TAX CODE IS 3105 TOTA� <br />