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,—, ,.. <br /> 14PPLICATIO.� FOFt CONSTRUCTL .�N PERMIT ��«�'�t <br /> tnee�erg�ee� TO BE COMPLETED IN INK—PLEASE PRINT � <br /> CITV OF <br /> everett HEATING SYSTEM: ❑GAS ❑ ELECTRIC ❑_ <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING MECHANICAL pLUMBING SIGN <br /> �W��ES•�LL(,IUILADD�So-o � G2��vAf�„ccliy�iC��rrZ9�-Lo( (�obSa�B—S�7o / <br /> TENANT lAAIL ADDRESS f.1TY ZIP � PHONE <br /> ANEMf�EP?bR0E51GNEF MFILADDRESS CITV 210 PMONE <br /> �1C.:pr26V9 adrL C.i?Q.�+�. 6�c�Cc-�- �8'�l 2-��- 64�2. <br /> ��HALiONTRNCi��/l MAI�D/ E\-l��/`��K. N� C/�1lCIG.lJ����ZIP �BZ70 /_cNly�� LIGE�� Vt�. /�1 ���/i� <br /> ♦ <br /> ) �Y� (i�J <br /> MECHANICALCONTR9GTOR MAILAOORE55 CITY ZiP PMONE LICENSE> <br /> � <br /> i <br /> PWIABINGCONTRAGTOR MAILAD�RESS qiV 21P PHONE LICENSE< <br /> �{ <br /> CLA55 OF WORN � <br /> ..'. NEW L�. ADDITION �ALTERATION . ' REPAIR �.�� DEMOLITION �, � WOODSTOVFJFRPL INSERT ! , BUILDING RELOCATION <br /> � '^ �//�/� — CONTAC/TPECRSONAN PNONENO. <br /> CONTRACT PPIGE OF WORK V�Q �f(/ V L..(�L ` <br /> GLC'-'ltl aS'8-��7 y °R. aSB-u76� <br /> DESGRI�EWOR/K�ANDSOUAIREFnOOTAGEINaVOLVED ��JD .�,�' <br /> /�E�tiau6l.�orerete Yi�T�o;1�Ca� r (3R(ce,v� �j'w,;IdPeRcN <br /> PROPOSEDUS:OFBUILDING /�O� I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> y� APPLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL <br /> IEGFL0E5CRIPTIONOFPROPERN�SHOWNBELOWOFATTACHFOURCOPIES� PROVISIONSOFIAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> + WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> io? IS e�ocK Z/ oF I�E N�T. THE GRANTING OF A pERMIT DOES NOT PRESUME TO GIVE <br /> � AUTHORITY TC VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> f"jJ �� —�1/ � OTH[R STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATIO.'J IS MADE AND I COMPI.Y WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> SIGNATIIREOFCONTRFCTOfiOflAUTNORIZ �AGENT DATE ' <br /> X 6- <br /> PFOJFCTA��RLS$ �//J� y� <br /> I�O� /O^ SC+• ' w �I APP�I SG VBUSINE NO.ANDBUSI AME� � <br /> PLUMBIkG MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TVPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) � A/C—NHNDLG UNITS—H.P. i <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. <br />. LAVATORY(WASH BASIN) UNIT HEATEP.S—B.T.U. M <br /> SHOWER CLOTHES DRYERS � <br /> KITCHEN SINK&DISP ; VENTILATION FAN <br /> DISHWASHER � RANGE HOOD � • <br /> LAUNDRYTRAV WATER HEATEF <br /> CLOTHES WASHER W000 STOVE <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 � EXHAUST FAN � <br /> SINK(SEFVICE—BAR,ETC.) <br /> I <br /> I I <br /> � ; <br /> � T <br /> i i <br /> SUB TOTAL 5 ; SUB TOTAL $ ' <br /> PERMIT $ PERMIT $ <br /> TOTAL FEE $ TOTAL FEE $ � <br /> FOR OFFICE USE ONLY: <br /> FRONT3ETBACK' REARSEfBACI� SIOESETB'CK PLANLHEC/�NUMB-R FEE QO RECEIP N0. <br /> � D �/ �j � � <br /> usezoNe LOTAREA VACANTSITE FEES VALUATION FEE <br /> ' Z ��`�O �b BUILDINQ OSD �� ' DD <br /> iYPE0FC011iS.ALLOWABLE TYPEOFCONSiALNAL otCUPvav HoorowFuu�Goxrts i <br /> caouv PLUIdB�NG ' <br /> .N �� �� � <br /> S2EOFBLDG. NO.OFSTORIES BaSEMENr MECHANICAL � <br /> �`�rJ G Z !a <br /> OCGUPANCYLOFO FIRESPRNKLEFSREO'0 HEIGHTI!NIT TION ADDITIONALPLANCHECK <br /> Q �,/ ^' r � <br /> !V� OTHER � <br /> FASON FOR SPflMKLER$ � <br /> ' STATE BUILOING SURCHARGE � SU <br /> 4K&PY PLANSAPPROVF.DE CITY OF EVERETT PUBLIC WORKS �—"— <br /> J�� LOCAL SALES <br /> � TAX CODE IS 3105 rorn� ��, �Z� <br /> J <br />