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� <br /> N��� <br /> APPLICATIOI fOR CONSTRUC�1�,N PERMIT everett <br /> �E�,�,�� TO BE COMPLETED IN INK—PLEASE PRINT � <br /> CITV OF }} <br /> eVerell HEATINGSYSTEM: OGAS �ELECTRIC ❑. -� <br /> BUILDING DEPARTMENT <br /> 259-SEi10 <br /> ❑ DEMOLITION u COMBINATION ❑ BUILDING Ci MECHANICAL ❑PLUMBING i� SIGN <br /> OVMER .1 MAILADDflE55 CITY ZIP PHONE <br /> roiYl ���l/d� y9/9-��'JvP i-d. F��re ff 91f�U3 3s� - 9,3� <br /> TEN�NT MAILAO�RESS CITY Z.. PMONE <br /> ARCHITECTORDESIGNER MAILADUFESS CITV ZI.' PHONE <br />� ,�/„�!e /J,r,�l.,��/ ,�t-� - ��G <br /> � GE TM TOR MAILADDflESS CITY ZIP PNONE ��CENSE� <br /> ��— <br /> D tJ.�tv <br /> MECM_/1NICALC ACTOR M�ILADDRESS CITV 21P PHONE UCENSEI <br /> PLUMBINGCONTflACTOR MAIL�DDflCSS :IiY ZIP PHONE LICENSEI <br /> CLA550F WOHK <br /> ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR C; DEMOLITION G WOODSTOVE/FRPL INSERT G BUILDING RLLOCATION <br /> � CONTACTPERSON/NOPNONENO. <br /> CONTMCT PliICE OF�OP`K�- �d �77! <br /> DE5CalAG WCRK AND SOU�RE FOOTAGE INVOLVED <br /> I ,4,C7'�J�.../L(�� nu�i��/,H ,� 1>�� � <br /> PROPoSEDUSEOF UILDING J 1 HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> 1 APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> ' LE(L1L DESCRIPTION OF PROPERTY�SHOWN BELOW OR ATTACH FOUR GOPIES) PROVISIONS OF LAWS AND ORDINANCES COVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHEA SPECIFIED HEREIN OR <br /> � � �or BLOCK oF NOt THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �'� AUTHORITY TO VIOLATE OR CANCE! THE PROVISIONS OP ANY <br /> � OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> '� PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZ6J BY THE <br /> � OWNER OF THIS PROPERTY TO PERFORM THE WORX FOR WHICH <br /> . APPLICATION IS MADE �ND ! COMPLY WITH THE STATE <br /> � CONTRACTORS LAW 78.27 Fi;�Y AND 296200 WAC. <br /> . SIGN�NREOFCONTMCRIROR�UTHORIZEDAQENT DATE <br /> A <br /> ' PRQIECTADDPE55 <br /> AP S ITYBUSINESSLICENSENU.�NUBUSINESSNMIE <br /> �'- <br /> . PLUMBIN6 CHAN!��L <br /> Hp. TVPE OF flIfTURE OR REM FEE NO. TYPE OF E�UIPMENT PEE <br /> WATER CLOSET(TOILET) A/�NHNDLG UNITS--H.P. � <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> LAVATORY(WASH BASMp � UNIT HEATERS—B.LU. M � <br /> SHOWER ' CLOTHES DRYERS ' <br /> KITCHEN SINK 8 DISP � VENTILATION FAN � <br /> DISHWASHER � RANCaE HOOD _ ' <br /> LAUNDRYTRAY ; WATER HEATER ' <br /> CLOTHES WASHER � WOOD STOVE � <br /> URINAL ' METAL FIREPLACE d CHIMNEY ' <br /> DRINKING FOUNTAI F�REPLACE INSERT � <br /> FLOOR DRAIN � HEAT PUMP ' <br /> BACKFLOW P VENTERS ; GAS PIPING � _ <br /> ROOF D S—RAINLEADERS � EXHAUST��AN ' <br /> SINK RVICE—BAR,ETC.) � � <br /> � ' <br /> / I . <br /> 1 � <br /> 1 � <br /> I � <br /> SUB TOTAL E ; SUB TOTAI $ ' <br /> PERMIT $ � PERMIT $ � <br /> TOTALFEE $ ' TOTALFEE $ ' <br /> FOR OFFICE USE ONLY: <br /> FRONTEET2ACK ' REARSETBl,CN SIDESETBACK � PLANCHECKNUA70ER FEE �• � RECEIPTNO. <br /> �.S >� afysY / 3ys 3a �3 <br /> USEZON LOTARE� .1 ORCRNTSITE FEES VALUA710 FEE <br /> .S �3Cp �f N� BUILDING �Zo aiG �o� <br /> ttPEOFCOb'TS.AILOWABLE iYPEOFCONST.ACTUAL occpa3r NOiVMFLLiNGOMrtS — � <br /> PLUMBING i <br /> i <br /> 52EOFBLIX'i. NOOFSTORIES BASEMENT MECHANICAL � <br /> 4ai Sf A�M/f 2 - � <br /> 1 oq SR h N� A� � AODITIONAL PU1N CHECK 1�� �P� <br /> OCCUPANCY LOAD FIRE SPRNKLEPS REO'� HEIGHT LIMI�TION <br /> i <br /> OTHER i <br /> FEASON FOR SPRINKLEFS � <br /> STATE BUILDING SURCHARGE �� <br /> INTAKE BY PLANS APPflOVED BV CITY OF EYEREIT PUBL�C WORKS � <br /> �� LOCAL SALES • � <br /> �o TAX CODE IS 3105 TOTAL �a 4, ;3,f <br />