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L <br />C� APPLICATIGA ^3R CONSTRUCT JAL PERMIT everett <br />IAe Evergreen TO BE COMPLETED IN INK —PLEASE PRINT <br />CITY OF <br />eve rett HEATING SYSTEM: U GAS U ELECTRIC <br />BUILDING DEPARTMENT <br />259-8810 <br />DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />BOEINb Veep# SAY ASA M&Y 8�04 4o-2S E✓fREsrT t�dA 9Y�1 12�'iG� <br />TENANT MAIL ADDRESS CITY ZIP PHONE <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTMCTOR MAR ADDRESS CITY ZIP PHONE LICENSE <br />AUS71N foMPAN`/ /0/f 47a A✓E� ✓E+ ,IOA 9#20i 266-"oo Z23-ol-Au-ST-lC7Mj <br />MFCLHANICACONTRACTOR MAIL ADDRESS CITY 21P PHONE_ _ — LICENSE a <br />CONTRACTOR -- - MML ADDRESS CITY ZIP PHONE <br />n C..rll ITInM WnnnRTn VFrFRPL INSERT L� BUILDING RELOCATION <br />NEW I.. AULA I Ivry I I nu ..�. ..... __...__. <br />r-1 <br />� <br />CONTACT PERSON AND PHONE NO <br />27-96 f <br />CONTRACT PRICE OF WORT( y�f /RI ' <br />DESCRIBE WORKANDSOUARE FWTAGE I LVED <br />ZcAYAs # 8 9 <br />Makit <br />PROPOSED USE OF BUILDING <br />1 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 />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATUCH FOUR COPIES) <br />OF <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />LOT BLOCK <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. <br />SIGNATURE OF CONTRACTOR _OFLAUTHORIZEDA S-/SAT9L <br />x 4coeo/`I fVj�oJ^_Er_•_Ii�tW now' >�jozq-�G �¢ <br />PROJECTADDRESS /- c./O 2 i! <br />/PPLICANTS CITYBUSINESSLICIi NSF. NO. AND BUSINESS NAME <br />/4-e <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—/VHNDLG UNITS—H.P. <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />BATHTUB <br />UNIT HEATERS—B.T.U. M <br />LAVATORY (WASH BASIN) <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK d DISP <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD — <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR GRAIN <br />BACKFLOW PREVENTERS <br />--- <br />— <br />WOOD STOVE <br />METAL FIREPLACE 6 CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />_r <br />ROOF DRAINS—RAINLEADERS <br />SINK (SERVICE —BAR, ETC.) <br />�_ <br />EXHAUST FAN <br />f <br />IG <br />SUB TOTAL E <br />SUB TOTAL 8 <br />PERMIT $ <br />TOTALFEE E <br />_ <br />PERMIT E <br />TOTAL FEE S <br />FOR OFFICE USE <br />ONLY: <br />RECEIPT NO <br />FRONTSETBACN <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMOER _ FEE <br />/ , / <br />JFE`E-S—L-/f�JJ/— <br />VALUATION <br />FEE <br />USE ZONE <br />LOT AREA <br />VACANT SIZE <br />BUILDING <br />TYPE Of CENTS ALLOWABLE <br />TYPE Of CONST ACTUAL <br />atmvAKr <br />cnwr <br />xo pownuxu ux�Is <br />-- <br />PLUMBING <br />MECHANICAL <br />SIZE OF BLDO <br />NO OF STORIES <br />BASEMENT <br />ADDITIONAL PLAN CHECK - <br />2 I I <br />OCCUPANCY LOAD FIRE SPRNNlER5 PEQO HEIGHT (IMITATION <br />-ATNER� <br />I�/ <br />STATE BUILDING'SURCHARGE <br />REASON FOR SPRINKLERS <br />PUBLIC WORKS <br />INTAKE BY <br />P SAPPROVEDBY <br />CITY DFEVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />TOTAL <br />— <br />