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t-PLICATION FOK <br />CITY OF CITE "° CONSTRUCTION S <br />OF <br />everett PERMIT <br />BUILDING DEPARTMENT <br />269.8810 TO BE COMPLETED IN INK- PLEASE PRINT <br />❑ DEMOLITION ❑ COMBINATION IJ BUILDING ❑ MECHANICAL 0 PLUMBING ❑ SIGN <br />(MEN 11 MAII Ab11111 'vt III/ <br />t r>�Tr l<. Perpicr P.O. � �j8 mq�`r U11%.4 "203 <br />RL1IEI L NALIJ ' �MAII Anfllll 11 �v � � I.iI r uv& low11NON[ �m 6471ICLN. <br />1-wM mx. 431E 148-ksE. II VMLsLLI,"%A- WIS g31-314� <br />IN <br />CLASSOI WORK <br />❑ NEW ❑ ADDITION M ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ OUILDINU RELOCAHON <br />VALtdIIONOI WOOV ICQSTDF IAAIERIALS PLUS LAROnI <br />USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL <br />PROVISIONSOF LAWSAND ORDINANCES GOVE RNI NG THISTYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE- <br />IN OR NOT. THE GRANTING OFA PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />A ER STATE R L CAL LAW REGULATING CONSTRUCTION <br />TH F F CONSTRUCTION. <br />51 NAl nE Or I 1 On o AUI iOnIZED AGENT DATE <br />I �F�• Aftd!l <br />LEGAL DESCRIPTION OF PROPERTY ISHOWN BELOW on AT TACH FOUR COPIES$ <br />LOI_SLOCX__oF <br />PROJECT ADDRESS <br />-76 a I J� I (. <br />L t <br />AP LICANT I y(IT! i 44LICLNRr GD <br />// <br />PLUMBING <br />MECHANICAL <br />Nk <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />ATER CLOSET (TOILET( <br />F <br />A/C — A/HNOLO UNITS — H P. <br />BA TUB <br />FRIGEMTION UNITS — H.P. EA. <br />LAVA Y(WASN BASIN( <br />SHOWER <br />GAS FIR OAC. UNITS—B.T.U. <br />KITCHEN SIN DISP <br />FORCED h3 SYSTEMS — B.T.U. M EA <br />DISHWASHER <br />WALL HEATER —B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS B.7.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL `S <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />_ <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS — RAINLEADERS <br />`� <br />WOOD STOVE <br />SINK (SERVICE — BAR. ETC.I <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />HFLTPUMP <br />It <br />GAS PIPING <br />EXHAUST FAN <br />SUBTOTAL <br />IT <br />SUBTOTAL <br />PERMIT <br />f <br />PERMIT <br />TOTALFEE <br />81 <br />TOTALFEF. <br />IRONT SEIDCK A <br />PLAN (;HECK UMBER <br />/FEES <br />! 1 /-- <br />RECEIPT NO. <br />REARSETBACK <br />SIDE SETBACK <br />USE LONE <br />TYPE OF CONST <br />LOT AREA <br />OCCUPANCY GROUP <br />VACANT SITE <br />DYES ONO <br />NO OF DWELLING UNITS <br />VALUATION <br />FEE <br />BUILDING <br />s'r( z/,/ <br />PLUMBING <br />SITE or BLoo <br />NO OF sionlEs <br />MAX OCC LOAD <br />MECHANICAL <br />FIRE SPRINKLERS REQUIRED O YES WINO <br />OTHER <br />STATE BUILDING SURCHARGE <br />3150 <br />STATE ENERGY SURCHARGE <br />APPI ICATION ACC Br <br />1 Y� <br />PLANSCHECKEDBY <br />APPR FOR I45UANCE BY <br />PUBLIC WORKS <br />TOTALS <br />E <br />Ej U <br />YHUYCHI T UVIINCHSAHC HCOYUNJIOLC FUH UCICHMININU ALL <br />PROPERTY LINE LOCATIONS AND RELATED EASEMENTS. <br />