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' • , APPLICATIO i FOR CONSTRUCT JN PERMIT everett <br /> ��E��9��� TO BE COMPLETED IN INK—PLEASE PRINT � <br /> CITV OF <br /> everett HEATING SYSTEM: ❑GAS [t(,ELECTRIC ❑ <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING XMECHANICAL PLUMBING SIGN <br /> OWNEfl MAILADURE55 CITV 21P PHONE <br /> ��9� tuo wu� <br /> WdSHI►.1Ct1a.� Mtf7LMl. sq0 040� S�Al'SLQ �BWI <br /> TENRNT MAILAO�RE55 CITV ZIP PMONE <br /> l .aa.. �. F11'li]M fOOIZ. <br /> �YI' DtVQ SH EVL'46TT <br /> ARCNITECiORDE5IGNER MAILRDDRESS CITY 21P PHONE <br /> GENERRICONTRAGTOF MRILADORESS CITV 21P PNONE LIGENSE� <br /> MECHANICAI CONTRAGTOR MAIL�ODRESS dTY ZIP PMONE LICENSE• <br /> ...`'";�.�„��c n::d�t �,a s,w Sew �oa-�aa� 7�7-'1995 ►�acoer��z4�tnu <br /> PLUMBINGCONTRAG70R MAILqDORE55 piY 21P PMONE LICENSE• <br /> CLASS OF WOFN <br /> : �. NEW � � ADDITION `,��. ALTERATION � REPAIR ��. �. DEMOLITION �. -� WOODSTOVEfRPL INSERT C. BUILDING RELOCATION <br /> /y��� CONTFGi PERSON AN�PHONE NO. <br /> CONTR�LT PRICE OF WORN��S�,JLJ � <br /> DESCFIBEWORNANDSOUAREFOOTAGEINVOLV[0 �N�Nu� � �� <br /> Z4 3'b10� <br /> PROPOSEDUSEOFBUILOING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APf'LICPTION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEGALDESCRIPTIONOFPOOPERiV�SMOWNBELOWOPATTRCHFOURGOPIES� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �ot BLOCN ov NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GI'JE <br /> AUTNORITY TO VIOLATE 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 /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTtiACTORS LAW 18.27 RCW AND 296200 WAC. <br /> SIGNRTJREOFCONTftACTORORAUTHORI2EDAGENT DATE <br /> PRQIECTADD�SS �` � ��rS � /'I <br /> `J��1� I S F� AP GANTS CITY BUSINESS LICENSE NO.�NO BUSMESS N�ME �� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET) � A/C—NHNDLG UNITS—H.P. � <br /> BATHTUB FORCED AIR S1'STEMS—B.T.U. M E.A. <br /> LAVATORI'(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> SHOWER ' CLOTHES DRYERS � <br /> KITCHEN SINK 8 DISP � VENTILATION FAN <br /> DISHWASHER � RANGE HOOD <br /> LAUNDRY TRAY ; WATER HEATER ' <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL ' METAL FIREPLACE 8 CHIMNEV � <br /> DRINKING FOUNTAIN � FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DFiAINS—RAINLEADERS � EXHAUST FAN � <br /> SINK(SERVICE—�BAR,ETC.) I PCFV� i— <br /> l. <br /> SUB TOTAL S SUB TOTAL $ <br /> PERMIT $ PERMIT $ i <br /> TOTALFEE $ ' TOTALFEE $ <br /> FOR OFFICE USE ONLY: EE <br /> fNONTSETBRCN REAPSETBRCK SIOESEIDPLK PLANCHECNM1'U�% FEE RECEIPTNO. <br /> Y <br /> use zon� ior naea VACANT SIT[ FEES VALUATION FEE <br /> BUILDING <br /> IYPEOfCONiS ALLOWABLE tVPEOfCONSi ACtUAI OCCuveNtv x0 Orpw¢�wcu�.rts i <br /> cnouv PLUMBING i <br /> S12EOFBLDG. NO.OFSTORIES B�SEMENi MECHANICAL � <br /> . OCCOPANCY LOAD FlRE SPRNKLERS REO'0 NEIGNT LIMITATION <br /> ADDITIONAL PLAN CHECK � <br /> OTNER <br /> -- - T <br /> ' REASON FOR SPRINNIENS <br /> STATE BUILDING SURCHARGE <br /> INTANEBV PLANSAPPROVEDBY CITYOFEVERETT PUBLICWORKS <br /> LOCAL SALES <br /> TAX CODE IS 3105 rorn� <br />