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-�, - <br /> APPLICATI`.N FOR CONSTRUC'. .ON PERMIT everett <br /> ��E,g,e,�„ TO BE COMPLETED IN INK—PLEASE PRINT � <br /> CITV OF <br /> everett I HEATING SYSTEM: U GAS ❑ELECTRIC O <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> l DEMOLITION C COMBINATION L BUILDING � MECHANICAL ?(PLUMBING SIGN <br /> OWNER MRILADURESS �"� c�Vercn Z�� r�G' PIqNE <br /> �.H Evr�tr lloo P��;s,� � . <br /> TENANT MAILAUDRES$ CITY 21P :'NONE <br /> (r,uw e4 h Co-a� Il uo Poc ��;. H UG C Ue r�71 �/� 20/ <br /> 11RCHITECTOH OES�.=NEP MAIL ADDRESS CiTY Z17 PHONE <br /> GENERALLONTR�CTOR MAILMDPE55 CITY IIP PHONE LICENSE• <br /> MECNRNIGLL CONTRACTOR MAIL ADDRE55 LITV :JP P1qNE LICENSE Ir <br /> PWMBINGCONTR�GTOR M�IL�DDflE55 GITV ZIP PNONE LICENSE� <br /> _W. �4. Qa ff�,.,� 0,0.8UX"3 706 S�sJf/� Q,g/37 3�Y -�A�10 w.4•Ru-TP- Kz�fiyp <br /> CLASSOFWORK �� <br /> X NEW ❑ ADDITION �; ALTERATION �-�. REPAIR f_ DEMOLITION .�� WOODSTOVE/FRPL INSERT ❑ BUILDING RELOCATION <br /> CONTALT PERSON ANO PHONE N0. <br /> CONTMCT PRIGE OF WOpK <br /> DE RIBE WdiK AND SOUARE FOOTAGE INVOLVED <br /> /htiG✓ � �G—.+C- <br /> P POSEDUSEOiBUILDMG I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> F '� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEG�LDESCRIPTIDNOFPROPERTV�SHOWNBELOWORATTACHFOJRfAPIES� PROVISIONSOFUWSANDORDINANCESGOVERNINGTH�STVPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> ior pLOCK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO V�OLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPI_ICATION IS MADE AND 1 COMPLY WITH THE STA�E <br /> CONPRACTORS LAW t8.27 RCW AND 296200 WAC. <br /> SIGN�TUREOFCONTqACTOROqAU1}iOqIZEDAGENT D�TE <br /> X ���sss��,""" Ci _ �/l.L✓l.L/n <br /> .PRQIECT MDRE55 �j1 <br /> N� / APPU'ANT$QTYBUSINESSUCENSENO.AND SMESSNAME <br /> v <br /> PLUMBIN6 MECHANICAL <br /> NO. TYPE OF fll(TURE OR 17EM FEE N0. TYPE OF EOUIPAAENT FEE <br /> WATER CLOSET(TOILET) NC--AMNDLG UNITS--H.P. , <br /> BATHTUB ; FORCED AIR SYSTEMS-B.T.U. M E.A. � <br /> LAVATORY(WASH BASIN) � UNIT HEATERS-B.T.U. M ; <br /> SHOWER � CLOTHES DRYERS <br /> KITCHEN SINK d DISP ; - VENTILATION FAN <br /> DISHWASHER RANGE HOOD <br /> LAUNDRV TRAY ; WATER HEATER <br /> CLOTHES WASHER � WOODSTOVE <br /> !:HINAL ' METAL FIREPLACE 8 CHIMNEV � <br /> DRINNING FOUNTAIN � F�REPLACE INSERT ; <br /> FLOOR DRAIN HEAT PUMP T <br /> BACKFLOW PREVENTERS ; GAS PIPING � <br /> ROOF DRAINS-RAINLEADERS � EXHAUST FAN , <br /> SINK(SERVICE-BAR,ETC.) � , <br /> � � <br /> � � <br /> � <br /> SUB TOTAL $ ; �" SUB TOTAL $ � <br /> PERMIT $ /e �� PERMIT $ ; <br /> TOTAL FEE $ r '� TOTAL FEE $ <br /> FOR OFFICE USE ONLY: <br /> FRONTSETB�CK REARSETBACK SIDESETBACK PLANCYEGKNUMBER FEE PECEIPTNO. <br /> use zoNe tor aAen V�C�NT SITE FEES VALUATON FEE <br /> BUILDING � <br /> iYR Oi CONiS.ALLOWABLE tYPE Uf CONSi.ALiUAL occun�Ntt No a owFwxGUrvirs <br /> cnow PLUMBING � <br /> /� i <br /> SIZEOFBLOG. NOAFSTORIES BASEMENT MECHANICAL � <br /> OLCUPANLY LOAD FIqE SPRNKLERS REO'D HEIGNT LIMITATION ADDITIONAL PLAN CHECK � <br /> OTHER <br /> HERSON FOH SPRINKLERS � <br /> STATE BUILDING SURCHARGE � <br /> INTqKE BY PLANSAPPROVEO BY CITY OF EVEflE7T PUBLIC WORKS i <br /> LOCAL SALES <br /> TAX CODE IS 3105 ror�� <br /> /� �;- <br />