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APPLICATIO� FOR CONSTRUCTI JN PERMIT everett <br /> me E�ro�� TO BE COMPLETED IN INK—PLEASE PRINT � <br /> arv oF � <br /> everett HEATING SYSTEM: .3AS ❑ELECTRIC ❑ <br /> BUILDING DEPARTMENT <br /> 259-8810 ' SIGN <br /> DEMOLITION - COMBINATION BUILDING xMECHANICAL PLUMBING �-� <br /> OWNER M�ILADORESS C�n' ZIP �MONE <br /> ('Sl 'PA�1-1F.�-Sfi'1 D� 2801 WE'fMOf..� 4•IE �IER�� K16 q8�01 <br /> TEH�Ni <br /> MAIL ADDR SS GITY ZiP FM�NE <br /> � � <br /> �RCHI ECTOIiOE IGNEfl MAIL�D�RESS QTY ZIP PHONE <br /> � � �a (206� 38s-33 <br /> GENER0.0 �GTOP /MR�UDRE55 Gltt 21P PHONE ��uNSE• <br /> SdL GORa��-naJ.�O•� lfo85 gEu.EJ� uJb q800s �o6�e4q-G000 <br /> NECHANIG�LCONTMGTOR M�ILADORESS --����� =�P PHONE.�A�e���CENSE� <br /> 7�� MEl',F�JI� xJ� ��� `",� �(��e S�SE4-rrc.E uld 98l08 T � PSFME=�Ic�R�/�� <br /> ��n. � PMONE ��CENSE I <br /> p��pp�pry��Tpp MIIILADDRE55 <br /> — ` � � <br /> CLASSOFWORK _ - - <br /> !_' NEW ❑ ADDITION : ALTERATION C REPAIR ._'�. DEMOUTION . : WOODSTOVElFRPL INSERT � BUILDING RELOCATION <br /> CONTACT PERSON AND PINONE NO. <br /> CONTNIICTPPIGEOFWORK � �lG y• � �S <br /> DESCRIBE WORN ANO SOUARE FOOT�GE INVOLVED• O � - � � <br /> �e� 4 g <br /> PRpPOSEDUSEOFBUILOINGR[��L.QIL PJC�S G6S 11R� I HEREBY CERTIFV THA7 I HAVE READ AND EXAMINED THIS <br /> t.Jp$1IT1C.7QG�FVL�l1F6•�D ApPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> 1�����'�-- ���C� � PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OP <br /> lEOALDESCHIPTIONOFPROFERTV�SHOWNBEL ORATfACnrwnwPlES� yyORK WILL BE COMPLETED WITH WHETHER SPEGFIED HEREIN OR <br /> ioT e�ocK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> � � AUTHORITY TO VIOLATE OH CANCEL THE PROVISIONS OF ANV <br /> (,OTS � 3 Z� •� ?,4. �CJ E OTHER STATE OR LOCAL UW REGULATING CONSTRUf"ON OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> �1�5 V�C'Q•"(�� aL� OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> I� $�k � APPLICATION IS MADE AND I C MPLY WITH THE STATE <br /> CON RAC ORS LAW 7827 RCW 200 WAC. <br /> ✓,'� ^ SIGN RE CONTR�:TORO UTNOR� A NT TE , <br /> �/ J <br /> X , . Q-l7�l�� <br /> PROJEGT�DORE55 APPLIGANTS CItY BUSINESS LIGENSE NO.IND BUSINESS N�ME <br /> ��) ��� �� MECHANICAI _ <br /> PLUMBINO �E <br /> NO. TYPE OF flXTURE OR rtEM f�E � a�qMNDLG NF E�UI,P ENT <br /> WATER CLOSET(TOILET) ' �— <br /> BATHTUB ' FORCED AIR SYSTEMS--B.T.U. M E.A. <br /> � � <br /> LAVATORV(WASH BASiN� UNIT HEATEFS—B.T.U. M � <br /> SHOWER CLOTHES DHYERS ' <br /> KITCHEN SINK&DISP VENTIUTION FAN � <br /> RANGEHOOD ' <br /> DISHWASNER � <br /> LAUNDRYTRAY WATER HEATER <br /> CLOTHES WASHER � WOOD STOVE ' <br /> URINAL ' METAL FIREPLACE 6 CHIMNEV ' <br /> ORINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP 1 <br /> BACKFLOW PHEVENTERS ; GAS PIPING <br /> ROOF DRAINS—RAINIEADERS � EXHAUST FAN ' <br /> SINK(SERVICE—BAR,ETC.) � � <br /> I T <br /> 1 I <br /> SUB TOTAL 5 ' SUB TOTAL S 'U <br /> PERMIT S PERMIT S /J �/O <br /> TOTALFEE 8 ' TOTALFEE S 'C <br /> FOR OFFlCE USE ONLY: RECE,PTra. <br /> FUNCHECKNUMBER FEE <br /> FRONT 5[TB�CK PEAR SETBI�CK SIDE SETBRCK ���a� <br /> USE ZONE <br /> lOT�REA VRC�NT SITE FEES VALUATION �E <br /> BUILDING <br /> nrEofcaxiS.Atlow�etE 7YFEOfCONSTALiORI occua�r xoamvcwx�un"'s pLUM81NG � <br /> i <br /> SREOFBIDG. NO.OFSTORIES B�SEMENT MECHANICAL / i�%// <br /> i <br /> _ 1 <br /> OCCUPANCVIOR� FIRESPRNKLERSREO'0 HEIGHTUMIT�TION <br /> ADDITIOHAL PLAN CNECK <br /> OTHER � <br /> REASJN FOR SPRINKLEFS <br /> STAtE BUILDING SURCHARGE <br /> INTAKE BY PLANS RPPflOVED BY CITY OF EVEREIT PUBLIC WORNS � <br /> LOCAL SIILES y�m <br /> �� .-' TAX CODE IS 3105 TOTAL <br />