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, APPLICATIr`V FOR CONSTRUC'L GIN PERMlT I <br /> "�E�'�'�^ everett <br /> CI7V OF _ " _. .. _ ` :� <br />� everett �f-F ;� � � �� ... .. e ' <br /> BUILDING DEPARTME�NT . . I <br /> CIT'i OF CVERtTT <br /> 259-8810 „ TO BE COMPLETED IN INK—PLE�A E PRINT!b!ic ';;crl;s Dept II <br /> ❑ DEMOLITION ❑ COMBINATION O BUILDING VXNIECHANICAL O PLUMBING ❑ SIGN <br /> oSePh � i l I�ORESS���� CITV 21P PYqNE i <br /> - ' � � y� S� �t��t.e#. q8ao`� 355•35(09 <br /> TENANT MAILA,.D,D,.R�E^SSn CITY ZIP PlIONE <br /> OQ' r Y � I <br /> ARI;HRECTIXiDE51GNEfl IMILADDRESS CITY ��P P�E 5vN(.o��c 10�- �(J <br /> 6ENEWLLCONTIUCTOR IMILADOqE55 GTY ZIP FMpHE LILENSEI <br /> �um,t�►Glmc • ►I1o30 sl� C� 7"l� 14�x ►uamd Q8o u �Z3 Uu5y <br /> MECHNIICAL CONTR�GTOfl MAILADDqE55 CITV ZIP PHONE LICENSE� ' <br /> I <br /> VWM9MOGONTMCTOR M�IL�DUPESS QTY 21P PNpNE LICENSE� � <br /> CLASS OF WORN <br /> ❑ NEW ❑ AD�ITION �ALTERATION �� REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL INSERT ❑ BUILDING RELOCATION � <br /> TE/UNTWPROVEMENTOqMTERqR2REMO(�IOKIY LT7EHSONIVID ENO. � . <br /> CONTRAGTPflICEOFWdiI(: 3:JO� � DO • L/L.J� 1 i ' <br /> DESCRIBE Y/ORN MID SOUARE FOOTqGE INVOLVED ' � <br /> �Q P.C"tIL�.G CLCn ��tJ�J t0 I <br /> PppPOSEDUSEOFBUIL I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> 5 Ul� QIY�'U. APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALl <br /> LECu1LDESCRIPTqNOFPqpp ry�SIqWNBELOWOP�TTACNF COPIES� PROVISIONSOFLqWSANDORDINANCESGOVERNINdTHISTYPEOF <br /> �or BLOLN � WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN Oq <br /> . NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> I _ /q.�7 AUTHORITV TO VIOIATE OR CANCEL THE PROVISIONS OF ANY � <br /> i�� � lY� ' V( // � � I OTHEfl STATE OR LOCAL LAW qEGULATING CONSTRUCTION OR THE ;I; <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV 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'iB27 RCW AND 296.200 WAC. <br /> ShiN�TUREOFCONTMCT01iORAUI1qqIZEDAOEM DAYE <br /> �uNLnK. !NC <br /> PRPIECTADOREgg � �/� <br /> X � 02.03�2 <br /> ��� Q�U1 W APPIICANTSCIi/BUSINESSLICENSENO.ANOBUSINESSNAME <br /> ti\. <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FU(TUpE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> . WATER CL0.SET(TOILET) � A/C—A/HNDLO UNITS--H.P. , <br /> BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. � 1 <br /> . UVATORY(WASH BASIN) � UNIT HEATERS--B.LU. M ; � <br /> SHOWER ' CLOTHES DRYERS � <br /> KITCHE4 SINK 8 DISP ; VENTIUTION FAN � <br /> DISHWASHER � RANGE HOOD , <br /> LAUNDRV TRAY ; WATER HEATER � j' <br /> CLOTHES WASHER � WOOD STOVE ; <br /> URINAL � !'�' <br /> METAL FIFiEPLACE 8 CHIMNEY � <br /> DRINKINO FOUNTAIN � FIREPLACE INSERT ; ' '� <br /> FLOUR DRAIN � HEAT PUMP � <br /> BACKFLOW PREVENTERS ; GAS PIPING � � �, <br /> . ROOF DRAIN�RAINLEADERS � EXHAUST FAN , <br /> SINK(SERVICE—BAq,ETC.) ; � , � <br /> � <br /> i , <br /> _ ' � <br /> , <br /> � � <br /> � <br /> SUB TOTAL S ; SUB TOTAL S ' � <br /> PERMIT S � PERMIT S � � <br /> TOTAL FEE S ' TOTAL FEE S � � � <br /> FRUHTSETBACK REMSET&1CK SIDESETBACK GUNCH GKNUMBER FEE RECEIVTNO. � <br /> usEmne LOTAREA YACIWTSITE FEES VALUATION FEE � <br /> ❑ YES J NO BUIIDING . � � , <br /> nvE a cor�sr uiow� irre a coxsr.�cTuu �� �o a o��urcurns I <br /> PLUMBINO � � <br /> 6V'EOFBLDO. NO.pFSTORIES BASEMENT MECHANICAL i '� �� <br /> ❑ YES 17 NO ' �� <br /> � <br /> OCCUPANCYlW10 FIRESPRNKlER5RE0'0 NEIGHTLIMITATION OTHER � , <br /> ❑ YES O NO STAiE BUILDMCa SURCHARGE i <br /> i <br /> RE�SONFORSPRINKLERS • . <br /> STATE ENEflGV SURCHARfiF � � <br /> i <br /> APPLIC�TpNACC.BV PLANSAPPPOVEDBV CITYOFEVERETT PUBUCWORKS � �� <br /> LOCALSALES ' <br /> TAX CODE IS 3105 TOTAI � <br />