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�#PPL�CA'f'Iv�N �OR CON�TRUC . �ON P�i�MYT <br /> everett <br /> �n��r��:�,�•�� � <br /> CRV OF <br /> everett <br /> BUILDING DEPARTMENT TO BE COMPLETED IN INK—PLEASE PRINT <br /> 259-8810 <br /> DEMOLITION I 1 COMBINATION : BUILDING MECHANICAL PLUMBING SIGN <br /> OY:NER MAILRDDRE55 Cltt 2iP PMOtIG <br /> r� n . ,. � zan��L LYZ� "verc.r+ ��.,. NSz�� '�37'- ZYL� <br /> � � � tCN�NT ' MAILADDRE55 CITY ZIP PHONE <br /> tC y <br /> Cy H AfiCHITECTORDE5IGNEN MAILAOORE55 GTV 21P PHONE <br /> r y y w ✓ <br /> y � p�j GENERALCONTRACTOR MAILR�ORESS CITY 21P PHONE UGENSE• <br /> K (1 <br /> H �7 <br /> b H r� MECNANICALGONTRACTOR MAILA��RESS CITY ZIP PMONE L�CENSEe <br /> N M <br /> � � � PIUMBINGGONTRAGTOR MR�LRDDRE55 Gltt ZIP PHONE LICENSEII <br /> lL <br /> O H <br /> H � � CLASSOFWORN _ <br /> H � . � NEW I.�'� ADDITION �..d ALTERATION X REPAIR '��I DEMOLITION L� WOODSTOVE/FRPL INSERT '_i BUILDING RELOCATION <br /> y y �q TENnN71MPPOVEMENTOBiNTERIORFEMODELONIY CONiACTPER50NANDPNOHENO. <br /> ' /5oU <br /> t' H H CONTPRCT PHICE OF WORN: <br /> N OESC EWORKAN�SOURFEFOOTAGEINVOLVED <br /> N <br /> l*1 !^ t�'l fA M� lti� <br /> PROPOSEOUSEOFBUILOING I HEREBV CERiIFY THAT I HAVE READ AND EXAMINED THIS <br /> r] y S �' APPLICATION AND KNOW TFIE SAME TO BE TRUE AND CORRECT.ALL <br /> O <br /> LEGALDESCRIPTIONOFPROPERTY�SNOWNBELOWORATfACMFOORCOPIES� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISNPEOF <br /> WORK WILL BE COMPLETED W�TH WHETHER SPECIFIED HEREIN OR <br /> ior e�ocK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOI ATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LPW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTF�UCTION.THAT I AM AUTHORIZED BV 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 1827 RCW AND 296.200 WAC. <br /> SIGNATUFEOFCONTRAGTORORAU"HOR2EDRGENT DATE <br /> X <br /> PPOJECTRDOFE55 <br /> '��aO �p �� APPLIG� i YBUSMESSII ENSENO.ANDOUSWESSNAME <br /> f� <br /> i���, PLUMBING MECHANICAL <br /> _ NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A,�C—A'HNOLG UNITS--H.P. <br /> � BATHTUB FORCED AIR SVSTEM:i—B.T.U. M E.A. ! <br /> LAVATOFY(�YASH BASIN) UNIT HEATERS—B.T.U. M <br /> I �_=+ _ SHOWEF i CLOTHESDRYERS � <br /> KITCHEN SINK 8 DISP � VENTILATION FAN <br /> DISHWASHER RANGE HOOD <br /> --T <br /> LAUNDRVTRAV ' WATER HEATEF <br /> { CLOTHES WASHER � WOOD STOVE � <br /> I �� URINAI ' METAL FIREPLACE 8 CHIMNEY <br /> DRINKIMG FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP ' <br /> BACKFLOW i'REVENTERS GAS PIPING i <br /> !t�►' ROOF DRAINS—RAINLEADERS � EXHAUST FAN � <br /> � SINK(SEflVICE—BAR,ETCJ i . <br /> i <br /> q ' � � _ � <br /> �,� " --T <br /> ' SUB TOTAL S SUB TOTAL S <br /> � PERMIT S PERMIT S <br /> �I�I. TOTAL FEE 5 TOTAL FEE S <br /> FRONT SETBACK fiERR SET�ACK SIpE SETB/.CK PLAN�G a 3R7� � �F E — �EGEIPT NO. <br /> USEZONE LOTARE� VACANTSITE EES VALUATION FEE <br /> CJ YES ! I NO Ow�oiNG -3 S;L}, <br /> , <br /> lYPEOfCONSt.AILOWABLE TYPEOLCONSt.ACiIIAI ocaraxtt xoarow[u�xcuxns � <br /> aeouv p�UMBWG i <br /> 512EOFBLOG. NO.OFSTORIES BASEMENi MECHANICAL <br /> I-i YES �: 1 NO � <br /> OCCUPANLVLOAD FIRESPFNKLERSRE�'D HEIGHTLIMITRTION OTHER ���u �� i <br /> !.I YES I� NO STATEBUILDINGSl1RCNARGE �5 / <br /> RERSONfONSPflINNLERS <br /> STATEENERGYSURCHARGE <br /> APPLICATIONACC.�Y PIANSRPPROVEDBY CITY OF EVERETT PUBLICWORN$ i <br /> ,��� LOCAL SALES <br /> TAX CODE IS 3105 TOTAL 6 �I �3,�j <br /> S�(,� �,�� �, ��`'r:�!:� � ��, :t� <br />