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�}U� APPLICATI�..�1 FOR CONSTRUCI .ON PERMIT everett <br /> rne Ero�ree� TO BE COMPLETED IN INK—PIEASE PRINT � <br /> CITV OF }} <br /> eVerelL HEATINGSYSTEM; ❑dAS; .OELECTRIC ❑ <br /> BUILDING DEPARTMENT <br /> 259•88/0 <br /> C] DEMOLITION ❑ COMBINATION ❑ BUILDING ❑MECHANICAL E�PLUMBING ❑ SIGN <br /> OWNEP MARADORESS CITY I�P P�E <br /> ��, Qaa�rr �Sa s ���,�Pii wR�N�. �a�,�P�r �� 9�0�� ��s-9��� <br /> � TENMlT MAILADDRESS CITV ZIP PfpNE <br /> �', <br /> �RCHITECTd10E510NER MA�LADONE55 qTY 21P PHONE <br /> OENEfULCONiMCiOR M�IL�DDRESS CITY ZIP VHONE LICENSEI <br /> A66o>///o���s �sos B�t�l��'�i/��.Ux. �o�/,w//iJ� y�aii yY5-9a�� <br /> A1ECNiWICALCONTRACTOii IMII�DDHESS CITY ZIP PHONE LICENSEt <br /> PLUTABNN3CONTfUCjQR M�ILADDNESS CITY Zlv PNONE , LICENSE� <br /> Nw `�a��ti � /�000 �s'/�//��ep,rfl/dc� y'`aiU �7 �'C%Pe,C�Lrin qFo�z - ?9-�-o�ys Na2�illOrloqsT� <br /> cuss oF worvc <br /> . 51c NEW U ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOUTION ❑ WOODSTOVE/FRPL INSERT ❑ BUILDING RELOf:ATION <br /> CONTACT PERSON AND PIqNE NO. <br /> CONTRIICTPRICEOFWOIiK � .� <br /> OESCR9E YIORK AND SOWpE F00T�6E INVOIVED <br /> �. � <br /> raoroseouse wox+o � � - ��I HEREBV CERTIFY tHAT I NAVE READ AND ERAMINED THIS <br /> ^� Qp�, APPLICATION AND KNOW THE SAME TO BE?RUE AND CORRECT.ALL <br /> �p(3AL DE$CplpilON OF PROPEfl (SHOWN BELOW OR IITTACH FWP COPIES) PROVISIONS OF LAWS AND ORDINANCES OOVERNING THIS TYPE OF <br /> WOFK WILI BE COMPLETED WITH WHETHEF SPECIFIED HEREIN OR <br /> tor eiocK oF � NOT. THE GRANTINO OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITV TO VIOLATE OR CANCEI THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGUUITINO CONSTRUCTION OR THE <br /> � � PERFORMANCE OF CONSTiiUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 200 WAC. ' <br /> BN3NATUflE OF CONTMCi`OR ON�UTNORIZE E O�TE <br /> i <br /> i <br /> X �� A �. <br /> PiqJEC7AODAE93 " <br /> APP� 6 CIT lIC NSE . D BUSINESS NAME <br /> �� T'� K.. LUefC c� . . . <br /> PLUMBINO MECHANICAL <br /> ►W, TYPE OF FIIfTURE OR REM FEE NO. TYPE OF E�UIPMENT FEE <br /> � WATER CLOSET(TOILEn �oo AIG—NHNDLO UNIT�H.P. � <br /> BATHTUB 1(p '00 FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> , • LAVATORY(WASH BASIN). /(o �00 UNIT HEATEFS—B.T.U. M � � <br /> . 'i SHpyyEp � CLOTHES DRVERS � , <br /> � KITCHEN SINK d DISP � i o o VENTIUTION FAN � j <br /> DISHWASHER ��o RANGE HOOD � �� <br /> LAUNDRY TRAY ; I WATER HEATER '�� ' <br /> � <br /> •� CLOTHES WASHER , 00 WOpD STOVE � <br /> � URINAL ' METAL FIREPLACE E CHIMNEY ' <br /> � DRINKINQ FOUNTAIN i � FIREPLACE INSERT � <br /> FLOOH DRAIN � HEAT PUMP ' <br /> . BACKFLOW PREVENTERS ; OAS PIPINO � <br /> ROOF DRAINS—RAINLEADERS � EXHAUST FAN � <br /> SINK(SERVICE—BAR,ETCJ � � <br /> � <br /> . � � <br /> , � <br /> � � <br /> , � <br /> � ' <br /> IIi � SUB TOTAL S 7 (n ��� SUB TOTAL S g 'i� <br /> � PERMIT f �oo PERMIT S �._ <br /> � �00 TOTALFEE S �e:e <br />, TOTAL FEE S 7'7 <br /> FOR OFFICE USE ONLY: <br /> FRONTSETBACK PEMSfiBACN SIDESETBACK PUNCHECKNUMBER FEE HECEIPTNO. <br /> � ' — <br /> USEZOIJE LOTA�FA V�C�NTSITE FEES YALUATION FEE <br /> i <br /> BUILDINO ' <br /> TYPE Of CONtS.Alt6WlieLE TYPF 01 CONST.�CTUU �r xo a owtwxcunro /�� <br /> PLUMBINO �(✓� <br /> � <br /> SIZE pF g�pp, NO.OF STOfiIES BIISEMENT � <br /> MECHANICAL ' <br /> i — <br /> OCCUPANCY LO�O FIHE SPflNKLERS PEO'D HEN3NT LIMIT�TION ADDITIONAL PLAN CHECK � <br /> i <br /> OTHER • i <br /> flERSON FCR SPNINKLERS � <br /> STATE BUILDING SURCHARGE � <br /> IHTN(EBY PUHSAPPROVEDBY CITYOFEVERETT PUBLICWORKS T� <br /> LOCAL SALES � <br /> TAX CODE IS 3105 TOTAL � ; <br />