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�APPFICATION FO"-,' PYReR <br />fho F°I'° <br />CONSTRUCTION � r <br />CITT <br />a"OF <br />everett <br />PERMIT <br />BUILDING DEPARTMENT <br />TO BE COMPLETED IN INK- PLEASE PRINT <br />259.8810 <br />❑ DEMOLITION ❑ COMBINATION <br />� <br />❑ BUILDING RIMECHANICAL ❑ PLUMBING ❑ SIGN <br />pWJGrITR <br />wo cm/4 At- <br />MMl AO RE S LItY LIP PIT II ' <br />5U� C-✓ljnyLLG/F! EVT• ZS ZU30 Bif% <br />ApCNIIECI Op Ok STONER <br />null Auon Es9 <br />CITY <br />LIP <br />Plloru. <br />MAII anURE55 <br />GtY <br />bl' <br />vUWIT <br />LlClllst <br />GENERAL LONTRACIOn <br />MECHANICAL COIITRACIOq <br />MAIL ADOBk55 <br />/49'ff' ,✓E 4SM <br />COT <br />(r��lu✓n <br />!IV <br />9/SZ <br />PHNIF <br />b$/ �zYl <br />llCF 4S1 <br />/•Fl/nKWy3 <br />i�G mr LN/�A/iL�aL <br />LIT' <br />PHurq <br />1pk N.' . <br />PLUMBING LONTn1CTOR <br />MAIL ADDRESS <br />CITY <br />CL ASS Or WORK <br />❑ ALTERATION ❑ REPAIR <br />I!) DEMOLITION ❑ LVOODSIOVB/F <br />RPL.INSE RT ❑ OUILDING RELOCAIIMI <br />❑ NEW ADDITION <br />YALWNON of WORK 1,051 o1 AT A I U n AL S PLUS I ADONI <br />—_ <br />OFlCAIBE WORK i.l��na n,L Ja�lf.Y/ /_D//L� /•1�71/•i11 �JJ1�11 G/ /�/VM/ 14?1 4ve11 A1i1/VU b,6101 6111 <br />/NSirtw Duw s�sT E„• r,,, J Y .. _ <br />USE OF BUILDING <br />I HEREBY CE.RTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />R&Al� <br />PLICATION AND KNOWTHESAME TOBETRUE ANDCORRECT ALL <br />PROVISIONS JF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />PROPEPiY ISnDwN BCL(Iw OR ATTACH rOUn COPK 51 <br />LEGAL DESCpIP110N Or <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 PROVISION: OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCT ION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIG NAIUN-Or N TRACTOR OR AUTHONIZFD AUL NT PATE <br />x <br />- <br />APILICAN rs CITY BUSINESS LICENSE NO <br />PROJECT ADDRESS <br />30S 6✓r/ttilnmt.u/�t`I � 23 <br />1J <br />off � <br />MECHANICAL <br />PLUMBING <br />NO. TYPE OF EQUIPMENT FEE <br />NO, TYPE OF FIXTURE OR ITEM FEE <br />AIC — AMNOLG UNITS — H P <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASINI <br />REFRIGERATION UNITS — N P EA. <br />.0 P <br />GAS FUNNjTS —B.T.U. <br />GASFIBOILERS — B.RED A C. <br />SHOWER <br />FORCED AIR SYSTEMS - <br />KITCHEN SINK B DISP <br />WALL HEATERS -B T.U. M <br />DISHWASHER <br />UNIT HEATERS - B.T U. M <br />LAUNDRYTRAY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE H000 <br />FLOOR DRAIN <br />— <br />WATER HEATER <br />BACKFLOW PREVENTERS <br />ROOF DRAINS - RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE - BAR. ETC) <br />METAL FIREPLACE B CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />I <br />f <br />SUBTOTAL <br />SUBTOTAL <br />PERMIT <br />PERMIT <br />f <br />TOTAL <br />FEE <br />TOTAL FEE <br />f <br />PLAN UHECK NUMBER <br />FEE <br />PECEIPT NO. <br />,BOAT SETBACK <br />NEAR SETBACK SIDE <br />SETBACK <br />VALUATION <br />FEE <br />USL LONE <br />101 AREA <br />VACANT SILL <br />FEES <br />DYES LINO <br />BUILDING <br />S <br />TYPE Of CONS! OCCUPANCYGnOUP NO OF DWELLING UNITS <br />PLUMBING <br />SIZE OF BIDU NO Or STORIES MAX OCC LOAD <br />MECHANICAL <br />/gyp <br />O(U <br />OTHER <br />STATE BUILDING SURCHARGE <br />FIRE SPRINKLERS REQUIRED D YES O NO <br />STATE ENERGY SURCHARGE <br />a'PVLANpB AA C/C' <br />I'L:NSCHECKEDDY <br />APPR ron ISSUANCE BY <br />PUBLICWOBKS <br />TOTAL � <br />NRcnnMgIRI F FOR DETERMINING ALL <br />PROPERTY LINE LOCATIONS AND RELATED EASEMENTS. <br />