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0 <br />r PPLICATION FOk) <br />CIT <br />CITY OF <br />CONSTRUCTION <br />everett <br />PERMIT <br />BUILDING DEPARTMENT <br />TO BE COMPLETED IN INK- PLEASE PRINT <br />259-8810 <br />n DEMOLITION <br />❑ COMBINATION ❑ BUILDING ❑ MECHANICAL <br />❑ PLUMBING <br />I <br />ereR <br />e <br />❑ SIGN <br />PLUMBINGCONIRACIOB TRAIL ADDRESS CITY LIP PIIVNF LKA1.11• <br />CLASS Of WORK <br />❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVEir RPL.INSERT ❑ BUILDING RELOCATION_ <br />rl F rT! Y - <br />U O <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />G�i <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />LUAL eScIUPNOII ON •POPGIII'IylOW1120WORAIIACIIfOURCOPiE81 <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE- <br />LOT— BLOCK- OF <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />FQr9E= %)A L1 <br />ANYOTHERSTATE ORLOCAL LAW REGULATING CONSTRUCTION <br />OR THE P RFORMANCE OF CONSTRUCTION. <br />SONATUI O ON TRACTOR OR AUTITORIZEII AGE N I PATE <br />PIIOIECf .. <br />A PPLICAnrs City BU51N SB LICENSE 10 <br />zoyff 2 <br />PLUMBING <br />MECHANICAL <br />NO. TYPE C F EQUIPMENT FEE <br />ZC — ATHNDLG UNI i ! — H P <br />REFRIGERATION UNITS —H P EA, <br />BOILERS — B.T U Ill P <br />GAS FIRED A . UNITS — B.T.U. <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET ITOII.ETI <br />BATHTUB <br />LAVATORY (WASH BASINI <br />SHOWER <br />KITCHEN SINK S DISP <br />DISHWASHER <br />FORCED AIR S\'STEMS —BT. U. MEA. <br />WALL HEATERS — Ell . U. M <br />LAUNDRY TRAY <br />UNIT HEAFERS —G.T V. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />URINAL <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />RANGE HOOD <br />WATER HEATER <br />HOOF DRAINS — RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE — BAR. ETC) <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACE INSERT <br />_ <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />SUBTOTAL <br />S <br />PERMIT <br />S <br />PERMIT <br />S <br />TOTALFEE S <br />TOTALFEE <br />PLAN CHECK NUMBER FEE <br />RECEIPT NO. <br />TRONT SETBACK REAR SETBACK SIDE SETBACK <br />41_ <br />ICI&k <br />USE ZO E <br />LOT AREA <br />VACA14T SITL <br />I FEES <br />VALUATION <br />FEE <br />�- <br />DYEs>I o <br />BUILDING <br />S.S(J �-U <br />S <br />TYPEOFCONST <br />OCCIIPANCYGROUP NO. <br />OF DWELLING I NITS <br />PLUMBING <br />.L---� <br />r"' N <br />13 —'L- <br />$" <br />SIZE Or Bt DG:�PAc=a <br />NO Or STONES <br />MAX OCC. TOAD <br />MECHANICAL <br />,9 o s <br />Z <br />OTHER <br />/� <br />FIRE SPRINKLERS REQUIRED PS D NO <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />A1'PLICAIIONACC BY <br />PLAIISC"ECKEDDY <br />APPR. FOR ISSUANCE BY <br />PUBLIC WORKS <br />` <br />12e— <br />TOTAL <br />rnvreHIT V1IIYC1J',I"n�.,. �......__..... __.____ _.-- <br />PROPERT(LINE LOCA110NS AND RELATED EASEMENTS. <br />