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., ;T <br /> ,r ��tfi <br /> f Y f <br /> e T� s� <br /> f fi�rt' <br /> �►PPLIC�4TIt�id FClR COId�TRUC'���OG� PEl;�ii0`T ���� � <br /> ` z� �e'� <br /> + Y} <br /> everett �, "'�''`� <br /> �r <br /> Ihe Evergreen �S� <br /> .,INOF i + ',: <br /> everett `Y� <br /> BUILDING DEPARTMENT TO BE COMPLETED IN INK—PLEASE PRINT <br /> 259-&810 <br /> O DEMOLITION i_i COMBINATION J(! BUILDING 17 MECHANICAL ; PLUMBING I 1 SIGN <br /> OWNER h1AILADDFESS CITY ZIP P:IONE <br /> Ckyde Jon�s 333-42nd S.t. S.UJ. Eveneti:, (�'a. 9&203 258-1G19 <br /> TENAM MNLAODRESS GIIY ZIP PIIOtlE <br /> ARCHITECTORDESIGNER AIAILADDiiE55 CIiY ZIP PMONE <br /> q( Line�s 2010-75.t1t. St. S.E. Evehett G�a. 98203 353-0531 542 _ <br /> �GEtI'c A .UNTRACTOR h1MLAG�flESS CITV ZiP PNONE LICENSEC ' <br /> hln. Bu,i,Cd I:�.i.f.Ciaims Ca�vs,t/cucti.on &929-4.th. Pk. S.E. Evehett roa. 9&20& 7d3-19�5/hIR&UiLUC142JJ _ `-,•;::,,. <br /> h1ECH�NICALCONTPACTOfi MNLADDRE55 CITY ZIP PNONS LICENSEn _ <br /> PLUMBINGCONTPhCTOR hfAIL�UDRESS CITY 21P �MONE LILENSEb _ - <br /> CLASS OF WORK <br /> )O(1 NEW I..I ADDITION I 7 ALTERATION i J REPAIR ! I DEMOLITION ! i WOODSTOVE/FRPL INSERT C I BUILDING flELOCATION <br /> T[NANT IMPROVEIAENT OR INiEA OF R[AfOD[L ONIY CON IACT P[PSON�NU PI IONB NO. <br /> �!O 5rcxra �� •a,>, � G.� i l� C= � :►—o i�c"�' a 57'/c'(�{ <br /> CONTfl�CTPRICFOFWORN• � -��� - — <br /> DESCFI�[WORK AND SOUARE F iAG MVOLVED <br /> Tcuo Cah Cahaqe 720 S r _ <br /> PROPOSEDUSEOFBU�L�ING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TNIS -.. <br /> FOh CQhh APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL �. <br /> LEGALDESCRIPTIONOFPROPERTY�SNOWNBELOWORATT�CHFOURCOPIES) PROJI90NSOFLAWSANDORDINANCESGOVERNINGTHISTYPE�JF <br /> WORK WILL BE CUMPLEIED WITH WHETHER SPECIFIED HEREIN OR � <br /> �oi o�ocK oF . NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE �, � <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY � <br /> 5��� ���� �',d��� OTHER STATE OR LOCAL LAW i7EGULATING CONSTRUCTION OH iHE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTi10RIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH � <br /> APPLICATION IS MAOE AND I COMPLY WITH TH[ dTATE � <br /> CONTRACTORS LAW 1A2%RCW AP1D 2962C0 WAC. <br /> cicmnru�eoFcoNmncroivoiv.�nn��mzinnni_rn i�.r,i: <br /> ------ X .'��'" � l. . ��� <br /> { <br /> PflOJECTA00fiE55 — — --- ----- "'— — E. <br /> 333-42nd S.t. S.(V. , Evexett, Pla. 9&203 ��P� ��u��rv ,s���ss���� ,�� ;, ��:�., �� �,- .��,;��� <br /> ( <br /> PLUMBING MECHANICAL ' <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF�OUIPME'.JT FEE I- <br /> WATER CLOSET(TOILET) AiG—NHNDLG UNI1F—H.P. � � � <br /> BATHTUB FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> LAVATORY(VJASH BASIN) � UNIT HEATERS—O.T.U. M � <br /> SHOWER ' CLOTHES DRYERS �___ <br /> KITCHEN SINK&DISP VENTILATION FAN _ � _ <br /> DISHWASHER RANGE HOOD <br /> LAUNDRYTRAY ' WATER HEATER ' <br /> CLOTHES WASHER --�—_ WOOD STOVE � <br /> URINAL METAL FIREPLAC6 8 CHIMNEY __ ; <br /> ORINKING FOUNTAIN FIREPLACE INSERT �_ � I�� � <br /> FLOOR DRAIN �_ HEAT PUMP ' I� �. <br /> BACKFLOW PREVEtvTEFiS ; G�S PIPING � <br /> —� ERHAUST FAN � <br /> ROOF DRAINS—RAINLEADERS — ' <br /> i <br /> SINK(SERVICE—�AR,ETCJ _ I� <br /> � ' f <br /> - , � , <br /> � ; <br /> _�—— I <br /> I <br /> . SUB TOTAL $ SUB TOTAL 5 _ ' <br /> PERMIT $ PERMIT S � '. <br /> TOTAL FEE $ ' TOTAL FEE S ' <br /> FRONT;ETj�[CK� � REMSFiB�K � 51 E ETpACK � PIANCH KIIUM�FII �EE � REGEIPTNO ,i� <br /> �j� �j S d-�o' z 5C Gl c�C�IoZ�J r � j�"� ��7 ' <br /> USEZJNE LOTAREA VACANTSIIE FEES VALUATION FEE '.. <br /> �-.1 Nlo,�� i� � � � <br /> I I YES ' , No 6UIL�ING �- '.���a�^'• pr p� � /' p ,3v '�. <br /> xcuru�cr rm.orowum:cwais — L.- —H7 � �� <br /> TYPEOFC01lSI.ALLOWABLE 7YPEOFC�ACNAI --� � <br /> 1, � �iui�v � PLU1d�ING i _ ,� <br /> .X� <br /> i <br /> SREOFBLOG. NOOFSCOf11ES O�SEMENf MECHANICAL ' <br /> Z,D �j � l I I YES I ' NO � � <br /> OCCU�P/ANvCVLOAD FIflESPHNNI.[RSREO'U IIEIGH�IIMITAT�N OTHEfl � � <br /> I`t' I- I�_IYES !�({NO STATEBUILD!NGSURCHAflGE ; � ' <br /> — � <br /> REASON FOR SPflINY.LEFS � <br /> STHTEENEFGYSUHCHARGE � <br /> APPUCATICNACGBY PIANSAPPPOVE�BY CITYOFEVERE7T PUBLICWORKS ��a iQU I <br /> �� LOCAL SP,LES —r— ; <br /> TAX CODE IS 3105 TOTAL 3� ��a <br /> , <br /> .,. .,-...... . .. . . . . . . . . . r i�, . ." . <br /> :.:_ . -. 21 t ..i. �� +1i � � '. _. A.. .�:1 <br /> ' `t..�.,� 7x 0� � [ l �� `1 ri. k <br /> . , . . Y'� '�"' � r��� e . _. , : 7�., A <br /> �1 u�.t,: ".ad'� ,J� ��' � " <br /> �: <br /> _ . " ��. ��': <br />