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NP Evorgroon <br />CITY OF <br />everett <br />BUILDING DEPARTMENT <br />259.8810 <br />APPUZATION FOR CONS) AUCTION <br />PERMIT <br />TO BE COMPLETED IN INK - PLEASE PRINT <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Jib J PLUM MFG. 1D, foc qMD 111M= °IP9:CLE 3�(0 • [D40� <br />TENANT MAIL ADDRESS CITY SIP PIIDNE <br />ARCHITECT OR DESIGNER MAIL ADDRESS CRY ZIP PHONE <br />MI <br />,sFa_,Fc3 7A IVO <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSER <br />NEW DSI ADDITION '10 ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOOOStOVHFRPLINSERT ❑ BUILDING RELOCATION <br />TENANT IMPROVEMENT OR INTERIOR REMODEL ON I%o C.L. Lam„• .nA <br />CONTRACT PRICE OF VORK FMB P '^KLi, � VnYC�� <br />DESCRIBE MAK AND SQUARE rOOIAGE INVOLVED <br />A LAW Ilis,' <br />CONTACT PERSON AND PHONE NO <br />�� SO& • kioj <br />M <br />EO USE OF BUILOINO O <br />CPT-y_E 1 ( WbeF� <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND <br />KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND <br />ORDINANC ES GOVERNING THIS TYPE OF WORK WILL BE COMPLETE D WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANYOTHER STATE OR LOCAL LAW REGULATING )ONSTRUCTIONOR THE PER- <br />FORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE OWNER OF <br />THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE <br />AND I COMPLY WITH THE STATE CONTRACTORS LAW 18.27 RCW AND <br />298.200 WAC <br />SIGNATURE OF COT TRACTOR OR AU04ORIZED AGENT DATE <br />,��._. 31.; ��?g <br />APPLICANTS CITY 5NN SSIICE SENO AND BUSINESS NAME <br />LEGAL DESCRIPTION OF PROPERTY ISHOVIN BELOW OR ATACH POUR COPIEM <br />LOT BLOCK__ OF _ - - <br />-- --- - <br />�1/gL—J %1 . �%V.�. F�J Lf-♦[11.1 1` <br />PROJECT ADDRESS <br />7 <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSETITOILET) _ _ <br />BATHTUB <br />LAVATORY (WASH BASINI _ - <br />SHOWER _ _ <br />KITCHEN SINK 8 DISP _ _ _ <br />OISHWABHER _ _- <br />LAUNDRY TRAY <br />_ _ <br />_ <br />_ <br />_ _ _ _ _ <br />_ _ <br />ARC - A/HNDLO UNITS -H.P. <br />_ <br />FORCED AIR SYSTEMS - BTU M EA <br />UNIT HEATERS -ET.U. M <br />CLOTHES DRYERS <br />_ <br />VENTILATION FAN <br />RANGE HOOD <br />_ <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACES CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACEINSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />_ <br />ROOF DRAINS - RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE - BAR ETC) <br />SUBTOTAL i <br />SUBTOTAL S <br />PERMIT 5 <br />PERMIT S <br />TOTAL <br />FEE 5 <br />TOTAL <br />FEE i <br />FRONTSETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />/ )3p �s <br />RECEIPT NO. <br />33a-orb' <br />USE ZONE <br />1�11-�, <br />TYM CON <br />uL EACIUA <br />_ _ <br />LOT AREA <br />OCCUPANCYGROUP <br />a-� <br />VACANT BI. Tf <br />O YES NO <br />NO OFOWEIIIHG UNITS <br />-- <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />PLUMBING <br />--f-�-� <br />���///QQQ <br />7 <br />SIZE OF B, <br />93 <br />NO OF STORIES <br />BSMT. <br />o Y <br />N <br />OCC LOAD <br />MECHANICAL <br />OTHER <br />FIRE SPRINKLERS REOUIRED O YEB NO <br />HEIGHT LIMITATION <br />i to <br />STATE BUILDING SURCHARGE <br />4 <br />APPLICATION ALC BY PLANS APPR BY <br />�� 7 <br />STATE ENERGY SURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />