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APPLICATI J FOR GONSTRUC7.JN PERMIT <br />the Evotgreen TO BE COMPLETED IN INK —PLEASE PRINT <br />CITY OF <br />everett BUILDING DEPARTMENT HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING XMECHANICAL <br />OWNER I MAIL ADDRESS CITY ZIP eur <br />❑ PLUMBING L SIGN <br />PLUMBING CONTRACTOR MAILADDRESS CITY ZIP PHONE LICENSE <br />CLASS OF WORK <br />Z NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR F1 DrMnl ITInM n <br />• � • • •• � •• • �nvv nCLVU AI IUIN <br />CONTRACT PRICE OF 3 <br />CONTACT PERSON AND PHONE NO. <br />WORK <br />L �w fA c^�o?y—/// <br />HaJ` (� 7U' % <br />DESCRIBE WORN AND SQUARE FOOTAGE INVOLV D <br />�y° �'1.5�o d <br />P POSED BE OF BUILDING <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 />LEGAL DESCRIPTION OF PROPERTY(SHOWN BELOW OR ATTACH 'FOUR COPIES) <br />LOT_ BLOCK. OF <br />WORK WILL BE COMPLETED WITH WHETHER SPFCIFIED HEREIN OR <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 18.27 RCW AND 296.200 WAC. <br />SIGNATOE OFCOjITaA �gpUT GENT DATE p� p�t?/ <br />PROJECTADDRESS <br />9/00 //C/ 9,0 <br />APPLICANTS CITY BUSINESS LICENSE NO. AND BUSINESS NAME <br />MECHANICAL <br />PLUMBING <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />1 <br />A/C—A/HNDLG UNITS—H.P. <br />BATHTUB <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />' <br />LAVATORY (WASH BASIN). <br />1 <br />UNIT HEATERS—B.T.U. M <br />SHOWER <br />CLOTHES DRYERS <br />1 <br />KITCHEN SINK a DISP <br />; <br />VENTILATION FAN <br />DISHWASHER <br />' <br />RANGE HOOD <br />LAUNDRY TRAY' <br />1 <br />WATER HEATER <br />CLOTHES WASHER <br />I <br />WOOD STOVE <br />URINAL <br />' <br />METAL FIREPLACE & CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />' <br />FLOOR DRAIN <br />' <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />; <br />GAS PIPING <br />1 <br />ROOF DRAINS—RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE —BAR, ETC.) <br />1 <br />1 <br />i <br />1 <br />' <br />SUB TOTAL $ <br />; <br />SUB TOTAL $ <br />' <br />PERMIT $ <br />1 <br />PERMIT $ <br />TOTAL FEE $ <br />' <br />TOTAL FEE $1 <br />FOR OFFICE USE ONLY. <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLANCH CKNUMBER <br />FEE <br />RECEIPT NO. <br />9i ;z <br />USEZONE <br />LOTAREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />G <br />' <br />' <br />TYPE OF CONTS. ALLOWABLE <br />TYPE OFCONST.ACTUAL <br />muPANcr <br />NO.INMILLIWUNITS <br />CRWP <br />PLUMBING <br />i <br />1 <br />SIZE OF BLDG. <br />NO.OFSTORIES <br />BASEMENT <br />MECHANICAL <br />OCCUPANCY LOAD FIRE SPRNKLERS REO'D HEIGHT LIMITATION <br />ADDITIONAL PLAN CHECK <br />1 <br />OTHER <br />� <br />REASON FOR SPRINKLERS <br />STATE BUILDING SURCHARGE <br />INTAKE BY <br />PLANS APPR y <br />CITY OF EVERETT <br />LOCAL SALES <br />PUBLIC WORKS <br />roraL <br />TAX CODE IS 3105 <br />