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APPLICATIlL.4 3R CONSTRUCT .dr PERMIT everett <br />me EYe(preoR TO BE COMPLETED IN INK —PLEASE PRINT <br />CITY OF <br />everett EATING SYSTEM: U GAS ❑ ELECTRIC ❑ <br />BUILDING DEPARTMENT <br />259.8810 <br />DEMOLITION COMBINATION BUILDING XMECHANICAL PLUMBING SIGN <br />OWNER MAIL ADDRESS <br />BOEIN 1l1* ;; ,4zm&cY <br />CITY ZIP PHUNi <br />g 40 - s EvfRf�rr 9�zol <br />12446tz <br />TENANT <br />MAIL ADDRESS <br />CITY <br />21P <br />PNONE <br />ARCHITECr OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />AVSnN COMPANY <br />MAIL ADDRESS <br />leis-47g, Alf <br />CITY <br />fEv <br />ZIP <br />Owe 982oi <br />PHONE <br />266-Koo <br />LICENSE• <br />223-OI-0-sT-114VA <br />MECHANICAL CONTRACTOR <br />Lefly fl" ntow4cnw <br />MAIL ADDRESS <br />CITY <br />X M..E. <br />ZIP <br />K/,?,gAAV Wi 9103 <br />PHONE <br />837- <br />LICENSE) <br />f* COSCOMIONM <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE 0 <br />CPS OF WORK <br />NFW I : ADDITION i ! ALTERATION REPAIR DEMOLITION WOODSTOVE/FRPL INSERT L; BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO <br />CONTRACT PRICE OF WORK A PRiNk� <br />927-96 S+ <br />DESCRIBE WORK AND SOUARE FOOTAGE 141O.VED <br />IwK mia u b3 <br />PROPOSED USE OF BUILDING <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 />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH FOUR COPIES) <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />LOT BLOCK OF <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 />--- <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATEt 28-7-7 <br />� i �i. <br />- <br />1 <br />3Ex , l ( .QIn? i) fi� — <br />X <br />eff6a fAtl ACM9074N * VZ+14.14 <br />P CT SS <br />Y <br />--- <br />I PPLICNITS CITY BUSINESS LK:IiNSf. NO. AND BUSINESS NAME <br />PLUMNINO <br />MECHANICAL <br />140. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />MC-AvHNDLG UNITS—H.P. <br />I <br />BATHTUB <br />FORCED AIR SYSTEMS-B.T.U. M E.A. <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS-B.T.U. M <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK 6 DISP <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE 8 CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <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 />� <br />s � <br />SUBTOTAL $ <br />SUB TOTAL $ <br />'LSO <br />PERMIT $ <br />PERMIT $ <br />TOTAL FEE $ <br />TOTALFEE $ <br />rri P ocl rO I Ino ^uI V. <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLANCHECKNUMBER <br />FEE <br />RECEIPT NO <br />36 sc F <br />1 /,7 r %r- <br />I/ y/ n <br />USE ZONE <br />LOTAREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />-- <br />TYPE OF DONIS ALLOWABLE <br />TYPE OF CONS) ACTUAL. <br />xcnrArcY <br />rO W DARu44Urns <br />1iR01' <br />PLUMBING <br />_ <br />T <br />SIZE OF BLDG <br />NO OF STORIES <br />BASEMENT <br />MECHANICAL <br />ADDITIONAL PLAN CHECK <br />OCCUPANCY LOAD Fit E SPRINKLERS REDO tNE IGHTLIMITATION <br />OTHER ��' t,��'ri.. <br />S-7 ro <br />REASON FOR SPRINKLERS <br />STATE BUILDING SURCHARGE <br />PUBLIC WORKS <br />INTAKE BY <br />PLAN77�y <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />TOTAL <br />5 :S(/ <br />7 <br />