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g r APPUCATI("i FOR CONSTRUCTDN PERMIT <br />TO BE COMPLETED IN BLACK INK —PLEASE PRINT a, <br />-NINA10, 1, <br />irs <br />'Lvid�ur r <br />0 <br />HEATING SYSTEM: <br />❑ GAS ❑ ELECTRIC ❑ ___ <br />RT BUILDING DEPA <br />259-8810 <br />❑ DEMOLITION <br />CJ COMBINATION C7 BUILDING ❑ MECHANICAL <br />CJ PLUMBING SIGN <br />OWNER <br />•R,EIM <br />MAR ADDRESS <br />IYGBO <br />CRY <br />DP PHONE <br />0#vy/07 <br />TENANT <br />('Lflfi��s <br />MAR ADDRESS <br />r�M� s <br />CRY <br />zs J/uV/&,, <br />ZIP PHONE <br />lot ilA10A,e'f del,F <br />9-61 ra <br />AROHMECTORDESKiNER <br />MAN. ACOREBS <br />CRY <br />2m PHONE <br />GENERAL CONTRACTOR MAILADORESS CITY DP PHONE STATE LICENSE# <br />I ... n .nnli . n AITCOATInM ; 1 RFPAIR I I DEMOLITION ❑ WOODSTOVEIFRPL INSERT ' I BUILDING RELOCATION <br />1J „"• u „V-• • • V - _. • ._ - <br />�� <br />CONTACT PERSON AND PHONE NO. <br />_ <br />CONTRACT PRICE OF WORK <br />DESCRIBE WORK AND SOUARE FOOTAGE INVOLVED <br />_ <br />4QC,/) <br />-J7S <br />dd <br />PROPOSED USE OFS ILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <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 />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 />CONTRACTORSL_AWW 18.27 RCW AND296.200 WAC. <br />PPOIECT ADOflE55SC <br />SK+N.TUR INiE <br />va7 <br />clry AuSNE LKEHNE No. <br />I <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C—A/HNDLG UNITS—H.P. <br />BATHTUB <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS—B.T.U. M <br />T <br />SHOWER <br />' <br />CLOTHES DRYERS <br />_ <br />KITCHEN SINK. 8 DISP <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE 8 CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />i <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS-RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE -BAR, ETC.) <br />I <br />� <br />' <br />_ <br />� <br />I <br />I <br />' <br />I <br />' <br />SUBTOTAL $ <br />i ' <br />SUBTOTAL $ <br />' <br />PERMIT $ <br />I <br />PERMIT $ <br />i <br />TOTAL FEE $ <br />' <br />TOTAL FEE $ <br />vnr� nrCin0 r IOO ^Mf V. <br />FRONT SETBACK <br />REM SETBACK <br />SIDE SETBACK <br />1-3 <br />FEE <br />RECEIPT NO <br />,2V <br />7�y/FEE <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />VALUATION <br />nBUILDING <br />TYPE OFCONTS. ALLOWABLE <br />TYPE OF CONSLACTUAL <br />acwPAvcr <br />w.alnnulxouxrt6SIDE <br />OF BLDG, <br />NO.OF STORIES <br />BASEMENT <br />' <br />PLAN CHECK <br />OCCUPANCY LOAD FIRE SPRNKLERS REOD HEIGHT LIMITATION <br />REASON FOR SPRINKLERS <br />SPRINKLER <br />SPRINKLER <br />STATE BUILDING SURCHARGE <br />INTAKE BY <br />PLANS APPROVED BY <br />JM <br />CITY OF EVERETT <br />LOCAL SALES <br />rax CODE IS 3105 <br />PUBLIC WORKS <br />TOTAL <br />L�Q <br />