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APPLICATIO.� FOR CONSTRUCT�.1N PERMIT everett <br />TQ BE COMPLETED IN INK—PLEASE PRINI � <br />fhe Evargrern <br />CI7Y OF <br />everett HEATING SYSTEM: � GAS ❑ E��CTRIC ❑ � <br />BUILDING DEPARTMEIJT <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION �7 BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br />py�ry`E/p, n MAILADORE55 CITV /; IP / PHONE <br />�/✓�t r Gkc 1�,n� G�lv 3 S.�/,t.` ��oa.� �/� /v 7 �a� -�� 3� <br />TE/N'ANT / MA1lADDR,E/SS <br />L/�/�O C �EK�eT7�4// <br />ARCl/ITECTOROESIGNER MAILA�OPESS <br />GENEFALCONTRACTOfl MAILADDRE55 <br />PLUMBING <br />V�4 jRr <br />CITV <br />CITY <br />CITV <br />�Q� <br />cirv <br />�K �7C �/ � � pOS— <br />Z�p PHONE <br />21P PHCNE <br />21P PHONE <br />�gio9 6as'-33, <br />ZIP PHONE <br />� <br />LICENSE P <br />NEW V❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION G WOODSTOVFJFflPL INSERT ❑ 9UILDING RELOCATION <br />CONTACT PEFSON PND PH E N0. '/ �7 <br />ITRACT PRICE OF WOPK U Q G � I �/ O <br />CRIBE WOFK AND SOl1ARE FOO!iAGE INVOLVED / <br />L��%��� ii/ .., P,..,titin /�� .in.�r 'd—CY��F <br />OF <br />LEGAL DESCRIF"i iDN OF PROPERTV �SHOWN BELOW OR ATTACH FOUFi COPIES� <br />LOT BLOCK OF <br />r 3c� 5�� <br />iOJECTR DHcSS <br />e�t � � � i �iG <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />WP:(ER CLOSET ITOILET) <br />SHOWER <br />KITCHEN SINK & <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASH <br />FLOOR DRP <br />BACKFLOW <br />ROOF DRAI <br />SINK (SERV <br />FEE <br />SUB TOTAL $ <br />FOR OFFICE USE ONLY: <br />FRONTS'eTBACK FEARSETBACN <br />USEZONE LOTAREA <br />lYPEOFCONT5.P0.0WABLE TVYEOFCONST.AC7U0.L <br />SIZEOFBL�G. NO.OFSiOFIES <br />OCCUPANCY LOAD FIRE SPHNHLERS REO <br />REASON FOR SPFINKLERS <br />INTANE BV PLANS APPflOVED 9Y <br />sioe sere.�cK <br />I HEREBY CEATIPY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION l�ND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL f:E 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 CONSTflUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED 8Y THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOF WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />SIGNATl1REOFCONTRACTORORAUTHORREJAGENT DATE <br />X �� �j� 6�� � <br />AP ICRNTS dTV BUSINESS LICENSE NO. AND BUSINESS AME � aO.7O� <br />MECHANICAL <br />JO. TYPEOFEQUIPMENT FEE <br />A/�A/HNDLG UNITS—H.P. � <br />FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br />UNIT HEATERS—B.T.U. N � <br />CLOTHES DRYERS ' <br />VENTILATION FAN � <br />RANGEHOOD ' <br />WATER HEATER ' <br />METAL FIREPIACE & CHIMNEY <br />FlREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />BUILDING <br />occucencr xao�owEwxcurvrts <br />'AWP PLUMBING <br />BASEMENT MECHANICAL <br />HEiGH7 uMITn7loN ADDITIONAL PLAN CHECK <br />OTHER <br />STATE BUILDING SURCHARGE <br />CITY OF EVERETT PUBLIC WOPKS <br />LOCALSALES <br />TeY r.nnF is a�n� rorn� <br />SUB TOTAL S <br />PERMIT $ <br />TOTALFEE $ <br />no <br />N„ <br />OH <br />tl <br />0 <br />