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u <br />the Erorprean APPLICATIO.. FOR CONSTRUCT:'�N PERMIT <br />TO BE COMPLETED IN INK —PLEASE PRINT <br />CITY OF <br />everett HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />BUILDING DEPARTMENT <br />259-8810 <br />1 DEMOLITION -i COMBINATION x BUILDING ❑ MECHANICAL PLUMBING SIGN <br />....... .. MeN AnnRF55 CITY ZIP PHONE— _ ^ <br />SF Z2 17ew �iYS✓�!r %T J �✓ hn7%1�JA <br />ARCHITECT OR DESIGNER MAIL AOOflE55 CITY ZIP PHONE <br />uai.— -I/G -'Ikl brat <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY 21P PHONE LICENSE <br />CLASS OF WORN <br />uFnntYCTlTVFIFRPI WFFR7 ❑BUILDING RELOCATION <br />LI NEW LJ AUUI I IUIN /p ML. <br />CONTACT PERSON AND PHONE NO, <br />,y/�j <br />70 <br />-5 3 <br />CONTRACT PRICE OF WORK ` �/ <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLV D <br />1 <br />ci <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />PROP sEDUBE QF wL ING <br />(JA <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 ATTACH FOUR COPIES) <br />OF <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />UOT 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 .8.27 RCW AND 296.200 WAC. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />X <br />PROJECTADDRESS _ <br />I♦�� ��_LI <br />lA l� <br />NTS CITY BUSINESS LICENSE NO. AND BUBINE AME <br />PLUMBING <br />MECHANICAL <br />FEE <br />NO. TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. TYPE OF EQUIPMENT <br />WATER CLOSET (TOILET) <br />I <br />AIC—A/HNDLG UNITS—H.P. <br />' <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />' <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />I <br />UNIT HEATERS—B.T.U. M <br />SHOWER <br />' <br />CLOTHES DRYERS <br />KITCHEN SINK & DISP <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />' <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />I <br />WOOD STOVE <br />' <br />METAL FIREPLACE & CHIMNEY <br />' <br />URINAL <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />' <br />HEAT PUMP <br />' <br />BACKFLOW PREVENTERS <br />; <br />GAS PIPING <br />ROOF DRAINS—RAINLEADERS <br />EXHAUST FAN <br />' <br />SINK (SERVICE —BAR, ETC.) <br />SUB TOTAL <br />$ <br />; <br />SUB TOTAL $ <br />PERMIT <br />$ <br />PERMIT $ <br />TOTAL FEE <br />$ <br />' <br />TOTALFEE $ <br />run urrv,c uoc <br />FRONTSETBACK <br />vLCI. <br />REAR BE;BACK , <br />1 NLT <br />SIDE SETBACK <br />PL CH KNUMBER <br />FEE _1� <br />06DI <br />RECEIPT NO, <br />'J <br />/ <br />USE ZONE <br />C I <br />LOT AREA <br />VACANT SITE <br />� <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />/d <br />iYPE OF CONTS. ALLOWABLE <br />TYPE OF CONST. ACTUAL <br />1— <br />^f <br />=uatluum. <br />N00FPNFLLINGUNITS <br />PLUMBING <br />MECHANICAL <br />' <br />SIZE OF YNB6yr'Q.l� <br />NO.OF STORIES <br />BASEMENT <br />ADDITIONAL PLAN CHECK <br />OCCUPANCY LOAD <br />FIRE SPRNKLERS REO'D <br />S <br />HEIGHT LIMITATION <br />OTHER <br />REASON FOR SPRINKLERS <br />STATE BUILDING SURCHARGE <br />' <br />INTAKE BY <br />mw\ <br />PIANS APPROVED BY <br />CITY OF EVERETT <br />LOCAL ALES <br />TAXXCODDEEIS 3105 <br />PUBLIC WORKS <br />I <br />TOTAL <br />