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APPLICATIO FOR CONSTRUCT{ .N PERMIT Se <br />TO BE COMPLETED IN BLACK INK -PLEASE PRINT <br />HEATING SYSTEM: 'P GAS ❑ ELECTRIC ❑ <br />BUILDING DEPARTMENT <br />259-8810 <br />DEMOLITION COMBINATIO BUILDING MECHANICAL PLUMBING SIGN <br />NER MALADORE56 CITY 21P PHDNE (2uC,) <br />i OWMc gm, m �ol� (o ,� p &'r a urn AFs cDu �C <br />T— CITY 71P PHONE <br />is, <br />TENANT M ADDRESS <br />ZIP PHONE <br />ARCHITECT OR DESIGNER �� MAIL CITY <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP ' PHONE STATE LICENSER <br />` <br />CLASS Of WORK TV1KI �/WrnnCtt1VLIFRPI INSERT BUILDING RELOCATION <br />NEWI IAUUIIIUN NLIcnnnvn .,.. ..... <br />__...__.__-- <br />CONTACT PERSON AND PHONE NO <br />C2 TNACT PRICE OF WgIX <br />DESCRIBE WORN AND SWARE FOOTAGE INVOLVED <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />PROPOSED USE OF BUILDING <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 />IEGAIDEBCRIPl10NOF PROPERTY ISNOWN BELOW OR ATTACH FOUR OIWIESI <br />OF <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />LOT BLOC< ._ <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 2299/8,200000 W%AC. <br />PROJECT ADDRE As <br />MDNArwL <br />PIRnI1'.SIFLNBLq <br />Lptc o hit r 1r <br />PLUMBING <br />FEE <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT FEE <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />A/C-A/HNDLG UNITS-H P. <br />FORCED AIR SYSTEMS-B.T.U. M E.A. <br />_. <br />BATHTUB <br />UNIT HEATERS-B.T.U. M <br />LAVATORY (WASH BASIN) <br />I <br />SHOWER <br />' <br />CLOTHES DRYERS <br />_ <br />KITCHEN SINK 8 DISP <br />7zf <br />VENTILATION FAN <br />-__ <br />DISHWASHER <br />' <br />RANGE HOOD <br />LAUNDRY TRAY <br />; <br />WATER HEATER _ <br />' <br />CLOTHES WASHER <br />I <br />WOOD STOVE <br />' <br />METAL FIREPLACE 8 CHIMNEY <br />' <br />URINAL <br />CIREPLACE INSERT .L <br />DRINKING FOUNTAIN <br />I <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREV TERS <br />GAS PIPING <br />ROOF DRAIN INLEADERS <br />E%HAUST FAN <br />' <br />SINK (SERV -BAR, ETC.) <br />I <br />I <br />I <br />SUBTOTAL f <br />' <br />SUB TOTAL f <br />' <br />PERMIT f <br />I <br />PERMIT f <br />TOTAL FEE $ <br />' <br />TOTAL FEE f <br />- <br />FUK Ul-rila UDe <br />UNLT: <br />FEE <br />RFCFIPr Nn <br />FRpiT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PUN CHECK NUMBER <br />uSEZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />— - _ <br />TYPE OF CONTS ALLOWABLE <br />TYPE 9 CONST ACTUAL <br />Y <br />IF IF wnuwc AlIl <br />PLUMBING <br />MECHANICAL <br />Ot_ <br />SIZE OF BLDG <br />NO Oc STORIES <br />BASEMENT <br />ADDITIONAL PLAN CHECK <br />OCCDPANCYLOAD <br />FIRE SPRNNLERS RFOO <br />NEIGRT LIMITATION <br />SPRINKLER <br />�. <br />REASON FOR SPRINKLERS <br />STATE BUILDING SURCHARGE <br />' <br />' <br />INTAKE BY <br />PLANSAPFROVEDBY <br />w new <br />CITY OF EVERETT <br />PUBLM. WORKS <br />LOCALSALE8 <br />TAX CODE 13 3105 <br />TOTAL <br />s ' <br />