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r <br /> APPLICATIO.� FOR CONSTRUCTL,�N PERMIT everett <br /> rrbe„e,prea„ TO BE COMPLETED IN INK�LEASE PRINT � <br /> cirv oF <br /> everett HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> BUILDING DEPARTMENT <br /> 259•8810 <br /> DEMOLITION COMBINATION BUILDING MECHANICAL i PLUMBING SIGN <br /> OIW�NE,R IL��O�DRESS�{_,�,.�1,( y.� �y G�IIY�✓-/f.y�� A21P r �M PHO`N�E���. } <br /> �`� '� ��3J^DI�1 SU ,•��GIINJ 'IW��fti��ICi H'Z� �' IL �)HONW✓�^� I I 7�y " Z��� <br /> �r/ <br /> ARCMITECTORDESIGNER M�ILADDRES GITY ZIP PHONE <br /> 1e� PR�K��►� Aflu��T4�7 'f9r Z-�dgv +it.� E11�� k1A •Z-S Z,- Zr5� <br /> GENERu pMTR�CTOR M ILADDy�55 q GTY ZIP� HpryE LICENSE• <br /> � �Suti. ��?� 5�3 O/ 9(v � 5 cc> /��� /`�� 7.S �� `�7�/S <br /> V� �LCONTRALTOR MMLADDRE55 CITV 21P PNONE LICENSE� <br /> I�I I) �A/'L�C , i�D rl N <br /> PI�B�lGCONTRAGTOR M�ILADDRESS CITY ZIP PNONE LICENSE• <br /> ��% <br /> CLA55 pF WpqK <br /> �.� NEW ; �. ADDITION , ALTERATION ' � REPAIR �. ��. DEMOLIT�ON .. -, WOODSTOVE/FRPL INSERT C. BUILDING RELOCATION <br /> /� �y� CONT�CT PERSpry AND P///N���ORE NO <br /> CONiR�CTPRICEOFWIXiK (�j �,yO • 0� ���� ���'r{�� �Jf'Z�71�� <br /> �v C 7 6� <br /> DESCRIBE WORK AND SOUARE FOOTAGE INVOLVED <br /> � O 5 � a ll�(FXaDR i�IJAUl� !�'I�1 <br /> PROPoSEDUSEOFBUILDMG 1�� I HERE9Y CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> � ��� �i l APPIICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEGAI UESCRIPTION OF P t�TV�SMOWN BELOW OR ATTACH OUR COPIES� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> �oT O� �I�K rj(�� �(/I�� WOflK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GFANTING OF A PERMIT DOES NOT PqESUME TO GIVE <br /> AUTHOR!TY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL UW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PqOPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND 1 COMPLV WITN THE STATE <br /> CONTRAC OflS UW 18.27 RCW AND 296.200 WAC. <br /> SIGNATUP OF ONTq��TO � NOPIZFA�GENT O�tE <br /> X_.. <br /> PRQIECTADDNE/$J�Q!� y��1,..'(q�� 1 � ,r�� _ �_ <br /> I 1 DO 1 �`�'���L �/ {�V� 1 �3' D� ICAN CITV SINE 5 LICENSE NO.ANO BUSINE55 NAME <br /> PLUMSIN6 MECMANICAL <br /> NO. TYPE OF FlI(TUNE OR ITEM FEE N0. TYPE Of EOUIPMENT FEE <br /> WATER CLOSET(TOILET) � NC—NHNDLG UNITS--H.P. , <br /> BATMTUB FORCED AIR SYSTEMS—B.T.U. M E.A. � <br /> LAVATORV(WASH BASIN) � UNIT HEATER&—B.LU. M ; <br /> SHOWER � CLOTHESDRVERS , <br /> KITCHEN SINK 6 DISP VENTILATION FAN <br /> DISHWASHER � RANGE HOOD � <br /> LAUNDRV TqAY ; WATER HEATER <br /> CLOTHES WASHER WOODSTOVE <br /> URINAL � METAL FIREPLACE 8 CHIMNEV <br /> DRINKING FOUNTAIN ; FIREPLACE INSERT � <br /> FLOOR DRAIN HEAT PUMP , <br /> BACKFLOW PREVENTERS ; GAS PIPING � <br /> _ ROOF DRAINS—RAINLEADERS E%HAUST FAN , <br /> SINK(SEHVICE-6AR, ETC.) � � <br /> � <br /> �— <br /> SUB TOTAL S ' SUB TOTAL E ' <br /> PERMIT E PERMIT S <br /> TOTALFEE S TOTALFEE $ � <br /> FOR OFFlCE USE ONLY: <br /> FRONT SETBRCK RERH SETBACN SIDE SETBRCK PLA MEC NUMBEF F �0 PECEIPT NO. <br /> - ,s,z�- �i� �/3 3 <br /> UfEZONEI1 �pTARE� VACANiSITE FEES VALUATION FEE <br /> �"YC-O �l�LL7 �,� /�1O BUILDING / � ' <br /> 1YPE Ot GON15 ALLOWhBIE iYPE Of CONSi.ACIURL acUv�N[v xo or pvrtunkUHns V S O 7 J �� <br /> � K S �c L G9p'L l PLUMBING � ' <br /> SIZE OF BLDG. NO.OF STORIES BASEMENT MECHANICAL � <br /> 3�l`/� T.F 3 `� � <br /> OGCUPANCY LOR� FIRE SPRNKLERS REO'D NEI T IIMI�ATION ADDITIONAL PLAN CHECK ' <br /> Zy 17/ OTHER ' <br /> REASON FOR SPRINKLERS !�s i <br /> STATE BUILDING SUACNARGE ir U <br /> IhTANEBY p�pNSAPPROVEUBY CITYOFEVEREIT pUBLICWORKS i <br /> � LOCIIL SALES ' � <br /> TA)I CODE IS 3105 TOTAL ; <br /> N�� �� <br />