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the EPBTpreen <br />CITY OF <br />everett <br />BUILDING DEPARTMENT <br />259.8810 <br />�A <br />is <br />APPLICA i'�ON <br />FOR CONETRUVTION <br />PERMIT <br />IJ <br />TO BE COMPLETED IN INK— PLEASE PRINT <br />ZIP PHONE LICENSE F <br />tx NEW IA ADDITION ❑ ALTERATION ❑ REPAIR X DEMOLITION ❑ WOODSTOVE/FRPLINSERT ❑ BUILDING..ELOCATION <br />TENANT IMPROVEMENT OR INTERIOR PkMOD�ETLON//L�VY//yM <br />CONIRACT PRICE Of WOnK / "'moo <br />CONTACT PERSON AND PHONE NO �j' (� pp���� <br />_ tJ IJ q?oyll'F� C,56-77$3 _ <br />pf Stnl EWDnK ANp SQUARE FOOTAGE IVVOLVEO <br />PROMISEDUSEOF BUILDING 1'` <br />-R-lia{L �IaRP G J. WO 4,0 <br />LEGAL DESCRIPTION OfOf PROPERIVHOM'N BELOW OR ATTACH FOUR <br />�t� <br />LOT BLOCK 000 OF llJCIs TLAToO� i�LAT <br />W�STI/JOO Y�LPeT O <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND <br />KNOWTHE SAMETOBETRUEAND CORRECT.ALL PROVISIONS OF LAWS AND <br />ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WITH <br />WHETHER SPECIFIEDHEREINOR NOT THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY 70 VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PER- <br />FORMANCE OF CONSTRUCTION THyy I AM AUTHORIZED BY THE OWNER OF <br />THIS PROPERTY TO PERFORMTH gMRKFORWHICHAPPLICATIONISMADE <br />AND I COMPLY WITH THE E CONTRACIO S LAW 1e.27 RCW AND <br />R96200EOf CON RACE A IIgDIZFO AOENi DATE <br />IGNAT 0 WAC. <br />SIGNATURE <br />X — , `1-%ci 6EP <br />r'� L/ <br />U L K Dpu a - bo 4o ,— - <br />- <br />4231'Brzct%-�N T I—E) rim FOU <br />OJ PRECT ADDRE95 <br />APPLICANT C BV'MESSMENSE ^D RUSINESS NAME <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />NC- NHNDLG UNITS - H P. <br />_ <br />BATHTUB <br />FORCED AIR SYSTEMS- B.T.0 EA <br />LAVATORY(WASH BASIN <br />_M <br />UNIT HEATERS -aT.U. M <br />SHOWER <br />_ <br />CLOTHES DRYERS <br />KITCHENSINKA DISP. <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />_ <br />CLOTHES WASHER <br />_ _ <br />WOOD STOVE <br />URINAL <br />METAL FIRE^LACE A CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE IN RT - <br />_ <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS - RAINLEADERS <br />EXHAUSTFAN <br />_ <br />SINK ISERVICE - BAR, ETC.) <br />SUBTOTAL t <br />SUBTOTAL <br />—_ <br />$ <br />_ PERMIT_-- S <br />_PERMIT <br />TOTAL FEE t <br />TOTAL FEE E <br />FRONT SETBACK <br />?3' <br />REARSEFBACK <br />A, S� <br />SIDE SETBACK <br />-�A <br />PLAN CHECKN DER <br />BY A7 <br />FEE <br />57.-75- <br />RECEIPT NO <br />370 <br />USE ZZppwMLL <br />�I� <br />LOT AREA <br />eco'A`� <br />/ <br />VACANt S�-n""E��II <br />OYES ItYAO <br />/ <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />PLUMBING <br />—-- <br />MECHANICAL <br />OTHER <br />j <br />- -- <br />TYPE OFCONBT. <br />AIIOWABLE/AC1U <br />OCWIPANCYORDUP <br />r/ / <br />NO pDWEllIHO UNITS_.� <br />SIZE OF BLIND <br />�- <br />NO OF STORIES <br />I BSMT <br />❑ Y <br />OCC. LOUD <br />FIRE SPRINRLEAl AE UIPED D YE8 170 <br />NEgHT pMITA1gN <br />57ATE BUILDING SURCHARGE <br />r <br />�M91GtION AM BY PLANS APPN BY <br />F. <br />s— 1 <br />L.S 1 <br />STATE ENERGY SURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />_ <br />3 <br />�^ <br />`�: <br />