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.o, - <br /> APPLICATION FOR CONSTRUCT�JN PERMIT <br /> everett <br /> the Everpreen � <br /> CITY OF <br /> everett <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETE�7 IN INK—PLEASE PRINT <br /> 7 DEMOLITION - COMBINATION ✓BUILDING MECHANICAL 1 PLUMBING � SIGN <br /> ON?!ER M�IL�DDRE55 GITY ZIP PHONE <br /> Af�i�iNo'L/1�►�s B2�Csti't�t7 ��r�'lT 513Z0! <br /> TEN�NT MAILADDRE55 CITV 21P PNONE <br /> ./���/q�GH�ITE�GT�O�R�DE5�1f.N�ERp MAIL�DDHE55 GTY 21P � oMO�NEp <br /> /!�rill�.v�i7�/7 i�i/r����/�/�n�i r��.I�C� �/�� ZJ/'`�J�� <br /> GENERALGOMTR�CTOR MNLADORESS CITY ZIP PHONE LICENSEY <br /> c�r-^laYG'GM� �7i5�f�R..5e.�7r5�� 3�zrr•¢ p?!"Y�/VG=/Gt4K3 <br /> MECHRNIG��LONTR�CTOR MRIL AODRESS Cltt 21P PHONE LICENSE Y <br /> PLUMBINGCONTH�CTON MAIIADDRE55 CITV ZIP PHONE LICENSE� <br /> G�L.A/SSOF WORK <br /> Y, rvEW ❑ ADDITION ..: ALTERATION [1 REPAIR �_' DEMOLITION �_'. WOOCSTOVE/FRPL INSERT ❑ BUILDING RELOCATION <br /> TEN�NT IMPROVEMENT OH INTERIOR REMOOELONLY CONTRCi PERSON AND PNONE N0. <br /> � ��� <br /> � CONTR�CT PRICE OF WOAN:'� ��y� <br /> UESGHIBE WOR�AND SOU�RE F T GE INVOLVED 35 '�'f u/�Y/• <br /> /�TYlP'N/Ne� Wrr� <br /> PROPOSEqusEOFBl11lDiNG I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> /���' APPLICATION AND Y.NOW THE SAME TO BE TRUE ANO CORRECT.ALL <br /> LEGALDESGRIPTIONOFPROPERTYISMOWNHELOWOPATTRCNFOURCOPIE51 PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �or BLOCK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOGAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296.�00 WAC. <br /> SIGNP.TUREOFCONTRACTORORAUiHOR12EDAGENT OATE <br /> -�1'C������'���" <br /> VPOJECTADDRE55 �n IC�NTSQTVBUSINESSLICENS NO.ANDBUSMESSNR1.y�.ry�� <br /> �+9a �cic� <br /> PLUMBINfi MECH�NICIIL <br /> N0. TYPE OF flXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT fEE <br /> WATER CLOSET(TOILET) A/C—A/HNDLG 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&DISP � VEN7ILATION FAN � � <br /> DISHWASHER RANGE HOOD � <br /> LAUNDHYTRAY WATER HEATER / _ <br /> C�OTHES WASHER WOOD STOVE <br /> URINAL ' METALFIREPLAC CHIMNEY <br /> DRINKING FOUNTAIN FIREPLACE I RT <br /> FLOOR DRAIN � HEAT PU ' <br /> BACKFLOW?REVE ERS GAS ING � <br /> T <br /> ROOF DRAINS AINLEADERS � AUST FAN <br /> SINK(SERV —BAR,ETG) <br /> � <br /> � <br /> . — � <br /> � <br /> SUB TOTAL $ ' SUB TOTAL S ' <br /> PEFMIT $ PERMIT 8 <br /> TOiALFFE $ ' TOTALFE[ $ ' <br /> FRONTSETBACK REARSETBRCN SIOESETOACN PLANCHEC NlIMOER FEE RECEIPTNO. <br /> ��� ��� 9 /of 30 �3aG 4' <br /> USE ZONE lOT AREA VAGANT SITE FEES VALUATION FEF�_ <br /> �_] VES I NO BUILDING �° � ) ��p ' (/v <br /> TYPE OF LONSi.AIIOWABIF TYPE OF CONST AGiUAL o[[uawcv xo a ow[wNG murts i <br /> caouv p�UMBING <br /> SRE OF BLDG. NO.OF STORIES BASEMENT � <br /> MECHANICAL <br /> I l YES i � NO � <br /> � <br /> OCGUPANCVLOR� FIRLSPRNNLERSREO'D HF.IGNTI.IMITATION OTHER — <br /> !-J YES `� NO STATEBUILDINGSURCHFRGE ' � <br /> i <br /> REASON FOR SPRINKLERS i <br /> STATEENERGVSURCHARGE <br /> � <br /> RPPIIC�TION ACC. PLA 5 FPPROVED BY CITY OF EVERETT PUBLIC WORK$ i <br /> ����1� TAI(CODE SL3105 TOTAL i �v �� <br /> V <br />