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EYeE/BFR• • <br />K�. PLICATION FOR.. <br />TAF <br />CITY OF <br />CONSTRUCTION <br />We <br />everett <br />PERMIT <br />BUILDING DEPARTMENT <br />259.8745 <br />TO BE COMPLETED IN INK- PLEASE PRINT <br />DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL <br />❑ PLUMBING <br />❑ SIGN <br />OWNER <br />MAIL ADDRESS CITY ZIP <br />PHONE <br />X Dennis & Linda Irving <br />P.O. Box 1045 Everett 98206 <br />368-5285 or <br />252-4323 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY ZIP <br />PHONE <br />GENEML CONTRACTOR <br />MAIL ADDRESS CITY ZIP <br />FHONE <br />LICENSE <br />X Newland Construction <br />P.O. Box 958 Everett 98206 <br />259-9191 <br />NEwenes49LO <br />MECHANICAL CONTRACTOR <br />MM•._ADDRESS CITY ZIP <br />PHONE <br />LICENSE It <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY ZIP <br />-- <br />PRONE <br />LICENSE• <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR 01 DEMOLITION ❑ N.'OODSIOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br />VX Demolition of structure <br />'J\ <br />USE OF BUILDING <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAMETOBETRUEANDCORRECT.ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE- <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS Or <br />ANYOTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />X <br />LEGAL DESCRIPTION OF PROPERTYISHOWN BELOW OR ATTACH FOUR COPIES) <br />LOT_BLOCK _OF <br />copies attached <br />PROJECT ADDRESS <br />N3 Everett Mall Way Everett, WA 98?04 <br />APPLICANTS CITY BUSINESS LICENSE NO. <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET (TOILET <br />I <br />AIR COND. UNITS-H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS-H.P. EA. <br />LAVATORY (WASH BASIN) <br />BOILERS-H.P. EA. <br />_ <br />SHOWER <br />OAS FIRED AC. UNITS -TONNAGE EA <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS-B.T.'J. MEAL <br />_ <br />DISHWASHER <br />WALL HEATERS-B.T.U. M <br />_ <br />LAUNDRY TRAY <br />UNIT HEATERS-B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLCRS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />_ <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT- C.F.M. <br />_ <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS- RAINLEADERS <br />METAL FIREPLA E & CHIMNEY <br />SINK SERVICE -BAR. ETC. <br />WOODSTOVE/FIREPLACE INSERT <br />_ <br />SUB TOTAL <br />SUBTOTAL & <br />PERMIT S <br />PERMIT 5 <br />_ <br />TOTAL FEE 3 <br />TOTAL FEE & <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />FRONT SETBACK REAR SETBACK SIDE SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br />TCE I RECEIPT NO <br />USE ZONE LOT AREA VACANT SITE <br />OYES ONO FEES VALUATION FEE I <br />OF CONST. <br />DUILDING <br />NO. OF STORIES MAX OCC. LOAD <br />PLUMBING <br />MECHANICAL <br />IKLERS REQUIRED O YES ❑ NO <br />OTHER <br />PENALTY <br />ACC. BY PLANSCl/ECKED BY APPR FOR ISSUANCE BY <br />TOTAL <br />S <br />