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APPLICATItw:�l FOR CONSTRUCT ON PERMIT e�e�P« <br /> me e�����e�� TO BE COMPLETED IN I{dK—PLEASE PRINT � <br /> CITV OF <br /> everett HEATWG SYSTEM: ❑GAS ❑ELECTRIC U <br /> � � BUILDING DEPARTMENT <br /> 259-8810 <br /> C ^.y�C -^ � DEMOLITION COMBINATION BUILDING MECHANIi.AL �RLUMBING SIGN <br /> yy� ' OWNER MAIL ADDRESS CITY ZIP PNONE <br /> H�M L�� Gy �/1-(/E Sri7-T/C.�/I <br /> TENANT IAAILAD�RESS / CITY ZiP PHONE <br /> �^ Hu�C+�d /}-N//yiaL. �2uk /0730 � l�}t��� CU.v�2.c7T <br /> y.r� ARCHITECTORDESIGNER �•���t�ODRESS CITY ZIP PMONE <br /> 'V n <br /> yy �x GENERALCONLRACTOR tdNLADOBE55 CITY ZIP PHONE UCENSEa <br /> �QHC �8��/�I.l�(JL, d-eGL .S'�o- !// r��AvC N,L !�[2rCLvwd PSo�'3 S,j�(a3"� <br /> OH MECMANICALCONtRALtOF IAAiIpDDflE55 CIiY ZIP P110NE V:ENSE/ <br /> ��g ��„ � ,� , ,. , <br /> pHr n PLUMpINGCONiRAGTOR MAILA �PE55 CIiY ZIP PHONE l'CEHSE/ <br /> sy� �7fiRKiiriSdt� �tu � � �Sl4N��141��. t�ail,���'S�mG/ -`� Asi-3,s�3c��r�eR�lc.�D.7oa,d� <br /> t�l CLASS OF WORN <br /> �y y : �. NEW �AC�ITION . ALl'ERATION REPAIR DEMOLITION WOODSTOVE/FRPL INSERT . BUILDING RELOCATION <br /> I-I 6e, .:ON*qCT PEFSON i.ND PHONE NO. <br /> ��y 2� - <br /> � CONTRACTPRiCEOFWORK <br /> �ESCRIBE WORK ANU SOVARE FOOTAGE INVOLVED <br /> �y PflOPOSED IiSE OF C111L01NG <br /> -- ---- I HEREBY GERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> IEGAL�ESCHIPTIONOFPPOPEf1iY15HOLVNBELOWORATTACHFOURCOPIE51 PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> � WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �or_ a�oce cF _ NOT. THE GRANTING OF A PEFMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR I:ANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PEHFORMANCE OF CONSTRUCTION.THAT I AM AUTHOFIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> SIGNATUREOF�ANTRACTORORRUTNOHI2EDPGEIJT DATE <br /> /� /N i/�f.0 <br /> f'HOJECTA�DRE55 '/ jJ ���'� �� '— —I""�''�"��"��v��"�'„'/�'�- <br /> /' PPLiCANTSCITV0U5ME55LICENSENO.AND I15MESSNAIAE ,y <br /> _ /a 7 30 - / 9 � /ldr- Se � ✓ .8 <br /> � '�1 PLUMBING MECHANICAL <br /> NO. TVPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> 1 ' WATER CLOSET(TOILET) // � � A/C—A/HNDLG UNITS—H.P. <br /> � BATHTUB FORCED AIR SYSTEMS—B.?.U. M E.A. <br /> '�1 LAVATORY(WASH BASIN) /O � � UNIT HEATEHS—B.T.U. M <br /> SHOWEF CLOTHES DRVERS � <br /> '�' KITCHEN SINK 8 DISP VENTILATION FAN � <br /> DISHWASHER RANGE1100D <br /> 1 LAUNDFYTRAY WATER HEATER <br /> ' CLOTHES WASHER WOJD STOVE <br /> URINAL METAL FIREPLACE&CHIMNEY <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> ' FLOOR DflAIN _ — HEAT PUMP _ <br /> � BACKFLOW PREVENTERS GAS PIPING <br /> '�I ROOF DRAINS—RAINLEADERS f_XHAUST FAN _ <br /> '=1 — SINK(SERVICE—BAR,ETC.) . —�— <br /> i <br /> �1 — <br /> —r— <br /> �' SUB'OTAL S o ; SUBTOTAL $ G ;.5� <br /> � PERIdIT 5 PERMIT S /f� <br /> �' TOTAL PEE 5 p ,— TOTAL FEE 5 / ' S� <br /> � FOR OFFICE USE ONLY: <br /> FFONT SETOdCK PEAR SEiBACN Si�@ 5[104rg p�pry CHECH NI1MBEq FEE REGEI�T NO <br /> usezor�c �oranen vncnr�rsrte FEES VAWA710N FEE <br /> BUILDING <br /> iYPCO{CONISJ�LLOWn01E iYPEO(LOtlSiPCNAI ntfurFnr N00��'nuurifu'.cs — <br /> caouP PLUMBING �� �-- <br /> — --�— <br /> 52EOfBLOG NOAFSTOFIES BFSEMENT MECHANICAL � S"jf <br /> OCCIIPAN,YLOA� FlRESPRNKlER5PE0'D HEIGHTLudITAiiON AO7ITIONALPLANCHECK <br /> OTIIEFI <br /> RFASON FOB SPBR:h�ERS <br /> STAI'E DUILOING SURCHARGE <br /> �r,rnreev �P�nr,snPaaovenor CITY OF EVEflETT pU�'_IC WOflNS <br /> LOCALSALES <br /> TIU(CODE IS 3105 TOTAL � ; sv <br />