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' . APPLICATICA FOR CONSTRUCTININ PERMIT <br />WM EW TO BE CCMAPLETED IN MIX --PLEASE PRINT <br />CITY (W 16 <br />everett HEATINGSYSTEM: ❑GAS ❑ELECTRIC ❑ I <br />BUILDING DEPARTMENT <br />259-8810 <br />DEMOLITION COMBINATION Jl BUILDING MECKANICAL -' PLUMBING :-'. SKIN <br />OW _ v'waACdC1S cIn - n Ngr4 <br />ERM. N <br />CPAPJLV's zaol At.,AX-2 kvicecrr 4r}°t xr •YYYY <br />/3Aa� oX �u /�JoNaG[ _��P- s9r� <br />... _..... _. ..., T ZIP PR]RE LKSNSE• <br />AWRM OOAII CTOR wA ADDRESS CITY 2R PMONE LICESM. <br />.a.,...AYu RPPAIR Rruf)I ITION %-OODSTOVEiFRPL INSERT ❑ BUILDING RELOCATION <br />-1t o °= <br />corR,RA n PACE TO WDRK <br />CO ,ACT f-"D�/P.� �Tz—s'ryy <br />DscR EWaWARoswMEFNTAOE I,rvavco <br />d A Ner o cuss ON S, of--m <br />_ <br />PRorosfo usE6 Waovo <br />�£ <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />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 LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 11.27 RCW AND 22/2110 WAC. <br />$ GNA,J�nf D L/M1n Co,O OnCi,gfJnI/EM/fNI �Mi <br />�OJ-J'.•4 l /V • S��NV <br />LEG.4 DEscRmraN OEProP[R,rlvgrW BELanoR AnACNEwRcoPRSI <br />/ <br />for 4 SIM. 769 D 4 `0 T- o / <br />V <br />�T <br />O// I&A 7-,S <br />3 _ <br />�16 • <br />o N / 3 L <br />PROJ� SS <br />3'T E O/ k LL V Av` r <br />(�C/� <br />] /`V <br />AMARTS CITY55 LCENSE NO MD Bl1 MMNE <br />E <br />PLUMBING <br />MECIMMCAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />00. <br />TYPE OF EOUNIENT <br />FEE <br />WATER CLOSET (TOILET) <br />AKrAMNDLG UNITS-H.P. <br />BK.. HTUB <br />FORCED AIR SYSTEMS-B.TU M E.A. <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS-B.T.U. M <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK A DISP <br />VENTILATIOV FAN <br />DISHWASHER <br />_ <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />_ <br />URINAL <br />METAL FIREPLACE J CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />_ <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS-RAINLEADERS <br />EXHAUST FAN <br />SINK ISERVICE-BAR. ETC.) <br />SUP TOTAL f <br />SUBTOTAL f <br />PERMIT f <br />PERMIT f <br />TOTAL FEE f <br />TOTAI FED f <br />cno neclrc IICC nul V. <br />FRONr SE,RACN <br />RFAR51TBACN <br />IU <br />SUE SETBACK <br />PLMCNEOAM . <br />?1a7c <br />FfE <br />%75— <br />RECEroTW <br />S3Y/ <br />USE t <br />C-' <br />LOT AREA <br />0,600n <br />_ <br />YACANT SITE <br />FEES <br />VALUATIOTI <br />FEE <br />BUILDING <br />PLUMBING <br />5700. <br />CD <br />OR OI CONTS µLOWARI[ <br />TM EA CLNS1 ACTUAL <br />uni+K. <br />cw <br />pOMu+clllnn <br />— <br />WE Oi RIM <br />NO OF S,DRWS <br />BASEMENT <br />MECHANICAL <br />ADDITKXIALPLANCHECK <br />OCCUPANCY LOAD FIRE SRINKLCRS REOD MqM IMOA,CM <br />REASON FGR SPRINKLERS <br />OTHER <br />STATE BUILDING SURCHARGE <br />r <br />WAKE BY <br />"PONIED BY <br />CITY OF EVERETT <br />LOCAL IDLES <br />TAX CODE 13 710E <br />PUBLIC ITNRKS <br />TOTAL <br />79 SD <br />