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---�-- —._�..,,�,_ <br /> APPLICATIO� FOR CONSTRUC7�ON PERI�AIT everett <br /> Iha Everpreen ' TO BE COMPLETED IN IkK—PLEASE PRINT � <br /> citv or <br /> everett HEATING SYSTEM: {$J GAS U ELECTRIC G <br /> BUILDINa DEPARTMENT <br /> 259-8810 <br /> I I DEMOLITION ih', COMBINATION BUILDING MECHANICAL I I PLUMBING (-1 SI(iN <br /> OWNEP MAILADOflE55 �i7y Z�p PYIONE <br /> �7E[�NE1�'_u� 1914 ni. 3N*" Si Si)a��tC �!S/Cj .SZf7-82/ <br /> 7ENANT MAILAO�RESS CITV . <br /> 21P P{qNE <br /> ARCNITECTOflOESIGNEfl MAIIADORESS Cliv ZIP PVIONE ' <br /> _AEy�N Li�/cs ,2plc 7S''' ST" t`L'rrl� <br /> I GENERALCONTMCTOR M�ILA�DBESS CIIY lIP PHONE �ILENSEI <br /> GEorilnc c' 6EONE/ it l73R <br /> MECMANIC�LLGONTPACTOfl MAILADDRESS Clfv ZIP PHONE LICENSEI <br /> ' f,Neels' QfGUury i.;i BP_idc•[/r'�=t w� ��: T�Cc•i�ia SE»'-YSz^� �'0�02o10/oel <br /> . . PLUMBIN6LONTPACTOq M411A00RE55 CIIY IIP PHpqE LICENSEI <br /> �fluvzr.,�wcG %�LL'M i/NC P t' K�x 71�i L���iwcti� 3�K �5'�u PEr1FPo,� ! 7c3 <br /> � CLASSOFWORK <br /> ', � '�I NEW I I ADDITION � ! ALTEHATION ' REPAIR D[MOLITION WOODSTOVE/FRPL INSERT I I BUILDINQ RELOCATION <br /> � � � CONIACiPEN50NANDPHONENO <br /> � .. CONTMCTPRICEOFWOqN � � �/ z ;2S • 45'6 - � � <br /> . OESCflIBE WOfY(AryD SOU�RE FOOTAGE INVOLVED <br /> ' I-t6�✓ ig7+� �a �r <br /> PAOPOSED USF OF BUIL�WG <br /> � �' � i I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS - <br /> �� r�• L' -/y''I/L /Zt;S, APPLICATION AND KNOW THE SAME TO BE TqUE AND CORRECT.ALL <br /> LEMLDESCpIP110NOFPROPERfV�SHOWNBELOWORATTACHFWFCOPIE51 PROVISIONSOFLAWSANDORDINANCESQOVERNINCiTHISTYPEOF <br /> j ��'�'�� . � !. �or�_ e�ocK oF �9TKe(�Z WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF q PERMIT DOES NOT PRESUME TO OIVE <br /> � � � . � AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHEF S7ATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> {, PERFOPMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> �,� � �d�'�' od CP OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH � <br /> � i�' . � '. `! APPLICATION IS MADE AND I COMPLV WITH THE STATE 1 <br /> CONTRACT RS LAW 1827 RCW AND 298200 WqC. � <br /> ' = � SIGNATUFE pN pACT RORAUT�IOFIZED�GENT T I <br /> )` �, /i��l��-' / 2�t� ` <br /> --_ X Ga�w�v �2l�!G <br /> . . PROJECTADD ESS ---- --__ _.._ _._._ <br /> - �. � APPLICANISGIfYBUSINESSLICENSENp.iWDBUSiNESSNAME <br /> , . � PLUM8IN(i ` MECHANICAL <br /> I NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT �E , <br /> WATER CLOSEt(IOILEi) _��_ � /uC—IVHNDLG UNITS—H.P. � <br /> . � 1 BATHTUB ; fORCED Alq SYSTEMS—B.T.U. M E.A. � <br /> � � � � LAVATORY(WASH BASIN) UNIT HEATERS—B.LU. M � <br /> i SHOWER ' -. �� <br /> CIOTHES ORVERS , <br /> ' KITCHEN SINK 8 DISP ; VENTILATION FAN � <br /> DISHWASHER � RANGE HOOD � . <br /> � <br /> � ' WATER HEATER � - <br /> 4 CLOTHES WASHER � WOOD STOVE � <br /> . ' URINAL ' METAL FIREPIACE 8 CHIMNEY i � <br /> � <br /> ; DRINKING FOUNTAIN � FIREPLACE INSERT � � ' <br /> � � FLOOR DRAIN HEAT PUMP , . � � � <br /> �� BACKFLOW PREVENTERS ' r GAS PIPING i <br /> � HOOP DRAINS—RAWLEADERS --T EXHAUST FAN —T— ' <br /> —�_ � <br /> ` SINK(SERVICE—BAR,ETC.) � , � <br /> ' ; <br /> � <br /> ---- --'--'— — <br /> — � <br /> � i <br /> � <br /> � <br /> i <br /> SUB TOTAL $ ('�ry ;ry� _ SUB TOTAL S ' <br /> . - ----._. .._ ...-----._ _ _.__ �-\Y+_ �`L_'. '__' "_____ <br /> � PFHMIT $ .-1 PERMIT S �-- <br /> -- —'--------'—-. . . . .� <br /> �OTAL FEE $ � TOTAL FEE S <br /> FOR OFFICE USE ONLY: <br /> FflONTSETBACK PF.AflSETBACN SIUESET�/CK PLANCNECKNUMBER FEE RECEIPTiq. <br /> ZO Zp � 9� s���8 <br /> USEZbNE LOTMEA VACANTSITE FEES VALUATION FEE <br /> R-� £sa�� �S a���o�N� , <br /> YV OFCONIS.RLlOW,1BLE IYPEOfCUNSI.l�CIUAI occurexcr xnavxttUxcuxns <br /> , <br /> V � V �N �-3 ' PLUMBING � <br /> SIZE OF 8LD6. Np.OF STORIES BASEMENT MECHANICAL � <br /> i�is3+ H8'I v nr� � <br /> OCCUPaNCr O�0 11111`SI`I1NN11 IIF III q'O nmm�1 iMnnury� AO�IiIONAL PLAN CHECN � <br /> N A� h,el � � --- ' <br /> � <br /> REASON FOF SPqINNLEHS OTHER ; <br /> STATE BUILDING SUFCHApGE � <br /> '"r""E er M nNs nimn�rvrn m CIT.'OF EVERE7Y rum ic wonKn ' <br /> ,�� LOCAL SALES J <br /> �y TAX CDUE iS 3105 Tor�� � ba r� <br />