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APPLICATIO..' FOR CONSTRUCT L )N PERMIT <br />she Emigrean <br />CITY OF <br />everett <br />BUILDING DEPARTMENT <br />259.8810 <br />TO BE COMPLETED IN INK —PLEASE PRINT <br />everett <br />e <br />HEATING SYSTEM: U GAS U ELECTRIC U I <br />DEMOLITION I COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br />OWNER MAILAODRE SS CITY ZIP PHONE <br />BDE!144 f//4 6/�Y ASSAVOLY 8L04 40-isyt6rr.c✓A. 9�zo/ 160 is <br />TENANT MAIL ADDRESS CITY ZIP PHONE <br />MAIL ADDRESS <br />CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE LICENSE <br />AVSnN COMPANY <br />/0/s- 47* 4&0 <br />6A,e�ww. 98201 <br />266-"Oo z23-*1-Au-$T-1 7MVj <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE LICENSE F <br />40ka f/R6 /Ko7FmW <br />/09/O-//71v <br />X.Nf. #",?xt4AV w4 900i3 <br />92,7-?la* COSCoMict4M_ <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE LICENSE IT <br />XC S OF WORK <br />NEW I. ADDITION I I ALTERATION REPAIR DEMOLITION WOODSTOVEIFRPL INSERT Li BUILDING RELOCATION <br />R <br />CONTRACT PRICE OF WORK A PRX^' <br />TACT PERSON AND PHONE NO — <br />CON27-46 S <br />DESCRIBE WORK AND SQUARE FOOTAGE 144TOLVED <br />PROPOSED USE OF BUPLOING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIC; IS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <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 />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />SIGNATURES OF CONTRACTOR OR AUTHORIZED AGENT OAT200 /L /�� <br />x Alf <br />coup r vow 1002+1414 <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH FOUR COPIES) <br />LOT BLOCK OF _ <br />��A' <br />Ir{/cT ZOA/ES 44 3 3 /O `P-/3 J FP- za <br />PROJECT ADDRESS <br />F I•PLICANTS .ITV DJ51IIESS LCI'NSI NO AND WI,JINESS NAME <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C—IVHNDLG UNITS—H.P. <br />_ <br />BATHTUB <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />_ <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS—B.T.U. M <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK 8 DISP <br />VENTILATION FAN <br />_ <br />—� <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE It CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />T <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS—RAINLEADERS <br />_ <br />EXHAUST FAN <br />SINK (SERVICE —BAR, ETC.) <br />Re vil/m/maias <br />SUB TOTAL $ <br />SUB TOTAL $ <br />i— <br />PERMIT ii <br />I <br />PERMIT $ <br />^ _ <br />TOTAL FEE $ 1 <br />1 <br />TOTAL FEE $ <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SET BACK <br />PLAN LHCCK NUMBER <br />FEE �— <br />2' <br />NEC IPT 140 <br />/ v <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />--- <br />T <br />TYPE OF CONIS ALLOWMLE <br />TYPE Of CONS) ACTUAL <br />Ixcul", <br />x0 9PAHI.Y6Vhn6 <br />---- <br />LxOur <br />PLUMBING <br />SIZE OF BLDG <br />NO OF STORIES <br />BASLMENT <br />MECIIANICAL <br />I <br />ADDITIONAL PLAN CHECK <br />OCCUPANCY LOAD FIRE SPRNKLERS REDD HEIGHT LIMITATION <br />q <br />OTi/fR— _:- )lo` ' <br />REASON FOR SPRINKLERS <br />STATE BUILDINGS RCHARGE <br />INTME BY <br />PUN P pvEDBY <br />CITY OF EVERETT <br />PUBLIC WORKS <br />LOCAL SALES <br />/^{T <br />TAX CODE IS 3105 <br />TOTAL <br />j0 SID <br />