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I <br />*tMw <br />zi <br />APPLICATION FOR CONSTRUCTION PERMIT <br />TO BE COMPLETED IN BLACK INK —PLEASE PRINT <br />BUILDING DEPARTMENT <br />I HEATING SYSTEM: J GAS XELECTRIC 0 <br />OSO_aaln <br />✓.. oeTinNl I I OPPAIR I I nPMOIJTION I I WOODSTOVE/FHPLIN5EHI I I LiUILUIrvUHbLUtaAIHJW <br />L Warr i i nu......... ..�. _......_.. .._..... <br />NO <br />CONTACT PERSON AND i E�LL��� . <br />CONTRACT PRICE OF WORN <br />DESCRIBE If AND SQUARE FOO AGE INVOLVED <br />(I <br />PROPO ED US q�oF BOIL ING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />����� OL <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />GOVERNING THIS TYPE OF <br />-e- <br />PROVISIONS OF LAWS AND ORDINANCES <br />LEGAL>ESCRIPIKk10F PROPERTY (SHOWN BELOWORATTACH FOUN/FTPPROPERTY(SHOWN BELOWORATTACH FOUR LOPIES) <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />LOT BLOCK OF <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 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!/2(77 RRCCW AND 296.200 WAD. <br />-7 <br />SIGN RE MTE <br />I /L <br />PROJECT ADDRESS <br />�L <br />CITY BUSINESS LICENSE <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />NO. TYPE OF EQUIPMENT FEE <br />WATER CLOSET (TOILET) <br />A/C—MHNDLG UNITS—H.P. <br />_ <br />.Q <br />BATHTUB <br />; <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />' <br />LAVATORY (WASH BASIN) <br />, <br />UNIT HEATERS—B.T.U. M <br />SHOWER <br />' <br />Q <br />CLOTHES DRYERS <br />KITCHEN SINK 8 DISP <br />i <br />N FAN <br />SHWASHER <br />' <br />OD <br />' <br />LA DRY TRAY <br />TER <br />CLOT S WASHER <br />VE <br />PGASPIPING <br />URINAL <br />' <br />E CEB CHIMNEY <br />' <br />DRINKING F NTAIN <br />INS T <br />_�_ <br />FLOOR DRAIN <br />L <br />P <br />' <br />BACKFLOW PREV TERS <br />i <br />ROOF DRAINS —RAIN ADERS <br />EXHAUST FAN <br />SINK (SERVICE —BAR, E <br />) <br />I <br />' <br />I <br />' <br />SUB TOTAL <br />SUB TOTAL $ <br />' <br />PERMIT $ <br />I <br />PERMIT $ <br />TOTAL FEE $ <br />' <br />TOTAL FEE $ <br />' <br />FRONT SETBACK <br />USE ZONE/ <br />C-IIL <br />REAR SETBACK <br />LOTAREA <br />SIDE SETBACK <br />VACANT SITE <br />�U <br />PLAN CHECK NUMBER FEE <br />gL <br />FEES <br />VALUATION <br />RECEIPT NO. <br />FEE <br />BUILDING <br />2 1/2. <br />L <br />,IYPEO�/iS. ALLOWABLE IYPE OST ACTUAL BOAT Koa VKIrt <br />N F�J 1 N <br />SIZE OF SLOG. NO. OF STORIE5 BASEMENT <br />jg,►i(o � 2 I A" <br />OCCUPANCY LOAD FIRESPRNKLERS REOD HEIGHTLIMITATION <br />9,671 Y <br />REASON FOR SPRINKLERS <br />µ� <br />A" <br />PLUMBING <br />MECHANICAL <br />' <br />' <br />ADDITIONAL PLAN CHECK <br />I <br />SPRINKLER <br />i <br />STATE BUILDING SURCHARGE <br />L <br />PUBLIC WORKS <br />i <br />INTAKE BY <br />PLANS APPROVED BY <br />1 92 �M <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />TOTAL <br />276;50 <br />10 <br />T <br />