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Lr <br />APPLICATIG,4 FOR CONSTRUCTION PERMIT <br />TO BE COMPLETED IN INK --PLEASE PRINT <br />ma Evergawn <br />CITYOF <br />ev erett <br />BUILDING DEPAITTMENT <br />259-8810 <br />DEMOLITION D� <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC �L_�JrnrFc. nmx/ <br />BUILDING ❑ MECHANICAL ❑ PLUMBING <br />everett <br />ch <br />SIGN <br />OMErR,� MAIL ADDRESS <br />/eoa aen .n/ern- /yoz <br />s� �v m��� L,E.Ay <br />96.208 <br />TENANT MAIL ADDRESS <br />ORY <br />ZIP <br />PHONE <br />/fz'y <br />-- <br />ARCHITECT OR DESIGNER MAILADDRESS <br />CITY <br />21P <br />PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE <br />MECHANICAL CONTRACTOR MAILADDRESS <br />CITY <br />21P <br />PHONE <br />(35-s--3f//' <br />LICENSE <br />e7�P/. IV,A P, 371E- <br />,41r,,,me// A,-,r�— <br />-,tswo rPd --3— <br />%B?oy <br />PLUMBINGGONTRACTOR MAIL ADDRESS <br />CITY <br />21P <br />PHONE <br />LICENSE! <br />ncxrnl Innu (-1 WOODSTOVE/FRPL INSERT L' BUILDING RELOCATION <br />NEW I J AUUI I IUIv ^ IxLI onr+"+'• • •'-• • ••• <br />CONTACT PERSON AND PHONE NO, <br />CONTRACT PRICE OF WORK <br />DESCRIBE WORK AND SOUARE FOOTAGE OLVED <br />2-1 Yoo scQ. FTT- �owEC /8 <br />�Pls6 /3 <br />V <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE HEAD AND E� AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />list/G <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 />LOT 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 18.27 RCW AND 296.200 WAC. <br />SIGNATURE OF CONTRAACTT/OAR OR AUTHORIZED AGENT DATE <br />�p <br />PROTECT AODRE55 <br />AP CITY BUSNESIFLICENSEMO,AND IPUSINtbSNAMt <br />/6/012 SEE. Y ,x-77- rll <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPAIEM1T <br />FEE <br />WATER CLOSET (TOILET) <br />NC—NHNDLG UNITS—H.P. <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />I <br />UNIT HEATERS—B.T.U. M <br />SHOWER <br />CLOTHES DRYERS <br />' <br />KITCHEN SINK & DISP <br />VENTILATION FAN <br />DISHWASHER <br />RANGEHOOD <br />' <br />LAUNDRY TRAY <br />; <br />WATER HEATER_ <br />' <br />CLOTHES WASHER <br />I <br />WOOD STOVE <br />' <br />METAL FIREPLACE & CHIMNEY <br />URINAL <br />_ <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />' <br />HEfT PUMP <br />BACKFLOW PREVENTERS <br />; <br />GAS PIPING <br />ROOF DRAINS—RAINLEADERS <br />' <br />EXHAUST FAN <br />' <br />SINK (SERVICE —BAR. ETC.) <br />I <br />SUBTOTAL $ <br />I <br />SUBTOTAL $ <br />PERMIT $ <br />I <br />PERMIT $ <br />TOTAL FEE $ <br />TOTAL FEE $ <br />ruri urrIUC UAc <br />vnx-x <br />RECEIPT NO. <br />FRONT SETSACK <br />WARSETBACK <br />SIDE SETBAOK <br />PLAN CHECK NUMBER <br />FEE <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />_ FEE T_ <br />BUILDING <br />TYPE OF CONTS. ALLOWABLE <br />TYPE OF CONST. ACI➢AL <br />occuxc+ <br />xo or o-xOuxO uxn6 <br />' <br />GR <br />PLUMBING <br />i <br />MECHANICAL <br />SIZE OF BLDG. <br />NO.OF STORIES <br />BASEMENT <br />ADDITI NAL PLAN CHECK <br />I <br />r i �• <br />OCCUPANCY LOAD <br />FIRE SPRNKIERS PE00 <br />HEIGHT LIMITATION <br />i <br />OTHER <br />REASON FOR SPRINKLERS <br />STATE BUILDING SURCHARGE <br />INTAKE BY PLANSAPPROVEDBY CITY OF EVERETT <br />PUBLIC WORKS <br />LOCAL SALES <br />TAX CODE IS 3105 <br />TOTAL <br />6a <br />ff <br />