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H 0 TIT <br />0 <br />APPLICATIOi",.FOR CONETRUCTI N PERMIT Vef11t <br />rho Evorpmen <br />TO BE COMPLETED IN INK —PLEASE PRINT <br />CITY OF <br />everett HEATING SYSTEM. ❑GAS ❑ ELECTRIC ❑ _ --- <br />BUILDING DEPARTMENT <br />259.8810 <br />I7 DEMOLITION COMBINATION --BUILDING MECHANICAL PLUMBING SIGN <br />OWNER / MAIL ADDRESS <br />CITY ZIP <br />Z,0 71 gg, <br />CITY ZIP <br />ZIP I t <br />GENERAL CONTRACTOR MAR ADDRESS CITY ZIP PHONE LRAw . <br />GECHAROMCONMACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />FOIMBWOCONTRACTOR MAIL ADDRESS CRY ZIP PHONE LICENSER <br />CLASS OF WORK <br />❑ NEW CADDITION <ALTERATION REPAIR DEMOLITION WOODSTOVE/FRPL INSERT —� BUILDING RELOCATION <br />CONTRACT PRICE OF WORK <br />CONTACT PERSON AND PHONE NO <br />DESCRIBE WOiK ND 50 ARE FOOTAGE INVOLVED <br />jK L ClAte c <br />PFI P USEOP BU ING <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 18.27 RCW AND 296.200 WAC. pp <br />SIGNATURE OF CONTRACTOR OORI AUTHORIZED AGENT DATE 1 JIB <br />LEGAtIBESCHIPTION OF PROPERTY EHOYM BELOW OR ATTACH FOUR COPIES) <br />LOT�BLOCK �7 OF <br />o _rl_ •Ad4, <br />Pf10JECTQDRES3 <br />1 <br />APPLICANTS CITY BUSINESS LICENSE NO. AND BUSINESS NAME <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/G—ARNNULG UNITS—H.P. <br />BATHTUB <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS—B.T.U. M <br />I <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK 8 DISP <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />; <br />WATER HEATER <br />' <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />' <br />METAL FIREPLACE 8 CHIMNEY <br />' <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />) <br />FLOOR DRAIN <br />' <br />HEAT PUMP <br />`— <br />BACKFLOW PREVENTERS <br />; <br />GASPIPING <br />' <br />ROOF GRAINS—RAINLEADERS <br />EXHAUST FAN <br />1 <br />SINK (SERVICE —BAR. ETC.) <br />1 <br />� <br />T <br />1 <br />1 <br />SUBTOTAL $ <br />SUBTOTAL $ <br />' <br />PERMIT $ <br />PERMIT $ <br />TOTAL FEE $ <br />TOTAL FEE $ <br />' <br />FOR OFFICE USE ONLY: <br />FRONTSETBACK <br />REARSETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />BUILDING%� <br />' a U <br />TYPE IW COOTS. ALLOWABLE <br />TYPE OFCONST. ACTUAL <br />RccUFAMY <br />pD wI'M Muwn <br />0R011° <br />PLUMBING <br />SIZE OF BLOT, <br />NO, OF STORES <br />BASEMENT <br />MECHANICAL <br />i <br />ADDITIONAL PLAN CHECK <br />U d0 <br />OCCUPANOYLOAD FIRE SPRINKLERS REOTI REIGHTLIMITATIDN <br />OTHER <br />REASONFOISPRINKLERS <br />STATE BUILDING SURCHARGE <br />i S-e <br />INTAKE BY <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />PUBLICWORKS <br />1 <br />LOCAL SALES <br />J <br />TAX CODE IS 3105 <br />TOTAL <br />sv <br />C� <br />1 <br />