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APPLICATIG.. FOR CONSTRUCT . "N PERMIT eV1fP11 <br />Ins Evurgr"n TO BE COMPLETED IN INK —PLEASE PRINT <br />CITY OF <br />everett HEATING SYSTEM: U GAS U ELECTRIC U <br />BUILDING DEPARTMENT <br />259-8810 <br />DEMOLITION COMBINATION BUILDING _MECHANICAL PLUMBING SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />BOEIN6 HIeW BAY Assame y AIL64 40 -2s E✓oieolr 0/ 4. 9Fw1 ZZ4-4 &) <br />TENANT MAIL ADDRESS CITY ZIP PHONF <br />ARCHITECT OF, DESIGNE❑ MAIL ADDRESS <br />CITY .'IP <br />GENERAL COITMLION <br />MAIL ADCRESS <br />CITY ZIP <br />PHONE LICENSE Ir <br />AUS77IJ COKimNY <br />/o/s-47ur <br />A✓Eo ✓ER�7�,w4. 98zop <br />266-"oo 223-DI-AU•ST-IC73Wj <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE LICENSE• <br />40SCv_f/fE ileo� <br />MO-/l7sr <br />X.N.f. K7RK44AV44f 9/033 <br />837.91S4 CoSCoMicNM <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />/ . jITY ZIP <br />PHONE LICENSE <br />XS OF WORK <br />I , ADDITION I I ALTERATION REPAIR DEMOLITION WOODSTOVEIFRPL INSERT I.; BUILDING RELOCATION <br />r-1^45 <br />CONTRACT PRICE OF WORK /� Piemlki <br />CO44TAC7 PERSON AND PHONE NO <br />27-947 <br />DESCRIBE WORK AND SOUARE FOOTAGE iftavEn <br />:01ag ZoA1NE .07 S sl&Akaa -sy5mvy <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 />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./ ^2�� 2 <br />SIGNAIURREEGFCONTRCTOB AORAUTHORIZEDAGENT DATE G <br />f/tt .e_ 4 <br />"w ��_E__ ��__02�,�' • <br />LEGAL DESCR.PTIONOF PROPERTY ISHOWN BELOWOR ATTACH FOUR COPIES) <br />,Or-- BLOCK OF _ <br />PROJECTADDRESS <br />_ <br />APPLICANTS CITY BU5111E SS LICI:NSF NO AND UUSP!¢3S NUAE <br />PLUMBING <br />MECHANICAL <br />_ NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET( <br />A/C -A HNOLG UNITS-H.P. <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 />_ <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE & CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />_ <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS-RAINLEADERS <br />_ <br />_ <br />EXHAUST FAN <br />_ <br />SINK (SERVICE -BAR, ETC.) <br />__ <br />r <br />Zo .so <br />le goo <br />SUB TOTAL $ <br />_ SUB TOTAL $ <br />o <br />z :SOD <br />PERMIT E <br />PERMIT $ <br />TOTAL FEE $ <br />TOTAL FEE $ <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHOCK NUMBEy <br />'EE <br />RECEIPT NO <br />32"5�3 <br />///. <br />USE ZONE <br />LOT AREA <br />VACANT 511E <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />TYPE OF CONTS ALLOWABLE <br />TYPE OF CONST ACIIMI <br />ocarAAtr <br />AoaMl:ulwurns <br />-- <br />A"a� <br />PLUMBING <br />SIZE OF BLDG <br />NO OF STORIES <br />EASEMENT <br />MECHANICAL <br />ADDITIONAL PLAN CHECK <br />OCCUPANCYLOAD FIRE SPRNKLERS REG D HE'AHT LIMITATION <br />OTHER J r <br />Da 'moo <br />REASON FOR SPRINKLERS <br />STATE BUILDING SURCHARGE <br />INTAKE BY <br />PU APPROVED BY <br />CITY OF EVERETT <br />PUBLIC WORKS <br />LOCAL SALES <br />" 'I <br />` <br />TAX CODE IS 3105 <br />TOTAL <br />