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a <br /> • � <br /> In►PPLICATION FOR CONSTR��TION <br /> PERMIT <br /> the Everpreen <br /> CITV OF everett <br /> everett e <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK— PLEASE PRINT <br /> � OWNER MAILF�ORESS CITY ZIP PHONE <br /> BETHANY OF THE NORTHWEST, 3322 Broadway, Everett, WA 98201 259-5508 <br /> � IENRNT MAILADOflESS UTY ZIP PHONE <br />� AflCHRECTORDE5IGNER MAILADOflESS CRY ZIP PMONE <br /> . GENERALCONTPACTOR MAILAD�PESS CITY ZIP PNONE LiCENSE• � <br /> � C-MARTIN TRUCKING, INC. 20610 48th Ave W, Lynnwoed, WA 89036 778-3106 CM-AR-TT-*376N0 <br /> MECNFNICRLGONTRACTOR MAILAD�PESS GITY ZIP PHONE LICENSE• <br /> PLUMBINGLONTRACTOF IAqIIADDFE55 QTY 21P PHONE �ICENSE+ <br /> R <br /> GLASS OF WOHK <br /> . ❑ NEW ❑ ADDITION ❑ ALTEFATION U REPAIR 7� DEMOLITION ❑ WOODSTOVE/FRPLINSERT ❑ BUILDINGRELOCATION <br /> TENANT IMPP.OVEMENT OR INTEflIOR REMODEL ONLY CONTAQ PERSON ANp PNONE NO <br /> GONTqnCT PRICE OF WORK <br /> � OESCRIBEWORKANDSOUIfiEF00TAGEINVOLVED <br /> PROPOSEU USE OF BUIL�ING I HEREBY CERTIFY THAT I HAVE READ AN D EXAMIN ED TH IS APPLICATION AND <br /> � none KNOW?HE SAME TO BETRUE AND CORRECT.ALL PROVISIONS OF LAWS AND <br /> ' LEGA�DESCRIPTIONOFPPOPERTY�SHOWNBEIOWORARPCHFOURCOPIE51 OROINANCESGOVERNINGTHISTYPEOFWORKWILLBECOMPLETE�WITH <br /> W H ETHER SPECIFIED HEREIN OR NOT.THE GRANTING OFA PERMITDOES NOT <br /> �� PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> , �or BLOGK oF ANYOTHERSTATEORLOCALLAWREGULATINGCONSTRUCTIONORTHEP@R- <br /> FORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE OWNER OF <br /> � Se0 dttdChed THISPROPERTYTOPERFORMTHEWORKFORWHICHAPPLIGATIONISMADE <br /> � AND I COMPLY WITH THE STATE GONTRACTORS LAW 7827 RGW AND <br /> 296.200 WAC. <br /> ? SIGNA'UR[OFCONiRAGTORORAUtHJRI OAGENT DATE <br /> O v <br /> . PROJECTADORE55 A LIGA SGiYB ESSIICENSENO.ANDBII5WE�5NAME <br /> �; 11615 Bothell way, ,y2, Everett, WF. 98208 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%NRE OH ITEM FEE NO. TVPE OF EOUIPMENT PEE <br /> ` WATERCIOSEfITOILEn A/C-A/HNDLGUNITS-H.P. <br /> BATHTUB FORCED Alli SYSTEMS-B.T.U. M Ek <br /> LAVATORY(WASHBASIN) UNITHEATERS-B.T.U. M <br /> SHOWER CLOTHESDRYERS <br /> � KITCHEN SINK 8 DISP. VENTILATION FAN <br /> �� DISHWASHER RANGE HOOD <br /> � LnUNDRYTRAV WATER HEATER <br /> � CLOTHESWASHER WOODSTOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEY <br /> ' DRINKING FOUNTAIN FIREPLACE INSERT _ <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS-RAINLEADERS E%HAUST FAN <br /> SINK(SERVICE-BAR,ETC.1 <br /> SUBTOTAL S SUBTOTAL 5 <br /> PERMIT S PERMIT S <br /> TOTAL FEE S 70TAL FEE 5 <br /> FRONTSET&1CK REAflSETBALK SIDESETBACK GLANCNECNNpMBEH PEE RECEIPTNO. <br /> usezorvE �Otnaen vnCnr+TSire FEES VALUATION FEE <br /> ❑VES ❑ NO <br /> TYPEOFCONST. OCCUPANCYGFOUP NO.OFDWE�LINGUNITS BUILDING _ <br /> ALLOWABLE/AGTUFL <br /> PLUMBING <br /> S2EOFBLDG. NOAFSTOPIES BSMT. OCG.IOAD <br /> ❑ v MECHANICAL <br /> ❑ N <br /> HEIGHTLIMITATION O7NER <br /> FIRE SPFINH�EPS REOUIRE� n res ❑No STATE BUILDING SURCHARGE I <br /> STATE ENERGY SURCHARGE I <br /> APPIICAIiON PCG BY PLANS PPPR.BY <br /> PUBLIC WORKS <br /> TOTAL <br />