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.'� � APPLIC�'�TItiN FAR CONSTRU�Z �ON! PERMIT <br />the Evergioen everett <br />CITV OF � <br />everett <br />BUILDING DEPARTMENT <br />259-861U TO BE COMPLETED IN INK—PLEASE PRINT <br />!�� DEMOLITION COMBINATION BUILDIkG MECHANICAL I�PLUR7BING SIGN <br />OWNER MAILAUDR[55 CIiY (�uQ ZIP PHONE <br />/� c% �1��. 5() C. I l� <br />'J � fl5 Qa-$-�" �•,��, ;�:�_ 9BQ277 G,>S=/o � z <br />TENANT MN�:.. �pRESS CiTV ZIP FHONh <br />_(�d U.vtie y' fsi7r���D��ra,v��_P� i��< < l � 1�� c r' S.n�o Q�, <br />AFCHITECTORDESIGNER MAI�qpDRESS QiTY 21P FHONE � %� <br />GENERFLCONTRRCTOR MAl1.ADUFESS CITY 21P pHONE �� �ICENSEML <br />MECNFNICFLCONTRACTOR MqILA�ORE55 GITY ZIP PHONE LICENSEI <br />PLIIMBINGCONTPACTOR MAILADDRESS CITY ZIP PHONE UCENSF� <br />� � scfrs,�oz� �o boX a�e9 �v, 9��os o�.yy d�.s«�T �3zK� <br />CLASS OF WORK . <br />._; NEW ._: ADDI1lON k ALTERATIQN ._ REPAIR �.. �. DEMOLITION WOODSTOVE/FRPL INSERT i] gUILDING RELOCATION <br />TENANT IMPROVEMENT OR INiEFIOR REMGJEL ONLY L� CONTFCT PERSON AND PHONE N0. <br />GONTRACT PRICE OF WOFK: �8 og °� 3 3 7� a sG 9 <br />OES RIBEWORNAN�SOUFREFOOTAGEINVOLVED �-7 <br />U � �u <br />PROPOSEDUSEOFBUILDING I HEREPY CERTIFV THAT I HAVE R£AQ AND EXAMINED THIS <br />�C �/L APPLICATI�N AND KNOW THE SAME TO BE �fRUE AND CORRECT. ALL <br />LEGALDESCPIPiIONOFPRCPERIV�SHOWNBELOWORATiaCHFOURCOPIES! PROVISIONSOFLAWSANDORDINANCESaOVERNIl4G7HISTYPEOF <br />WORK WILI BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />�ot BLOCN oF NOT. THE GRANTING OF A PERMIT DOES NOT PR[SUME TC, GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STA7E O�i �OCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMAhCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPUCATION IS MADE AND I COMPLY WI7H THE STATE <br />CONTRACTO 1827 RCW AND 296.200 WAC. <br />SIGNATURE�F ONTRA ORORAUJ�10P2 AGEN��� <br />9 <br />X /1 i.s w /%� // //1 <br />PROJECTADOPE.S <br />�!o a� <br />���7 <br />LAVATORY (WASH BA; <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />IAUNDRY TRAY <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACf:FLOW PREVENTERS <br />FlOOF DRAINS—RAINLEADERS <br />SINK (SERVICE—BAR. ETC.I <br />FRONTSETBACN <br />USEZONE <br />iIPF OF CONSi ALLOWABLE <br />SIZE Of BLDG. <br />OCCUPANCYLOAD <br />RERSONFOFSPRINKLERS <br />.^.^FLICATION ACC. BY <br />BUSINE55 <br />TYPE OF EO <br />NC--NHNDLG UNITS- <br />FORCED AIR SYSTEM; <br />UNIT HEATERS—B.T.U. <br />CLOTHES DRYERS <br />NO. FND BUSINE55 NAME <br />— VENIILATIONFAN <br />— RANGEHOOD ^ <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLqCE�NSERT <br />� HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />M <br />SUE TOTAL $ �S ; Ut7 SUB TCTAI. <br />PERMIT $ U �U"� PERMIT <br />TOTAL FEE $ .35 ; OU TOTAL FEE <br />flEFR SETBALK SI�E SETBACK PLAN CMECN NUMBER FEE <br />LOTAREA vncnNisrce FEES VAL'JATION <br />'.� vEs -� No euanwc <br />iYPEOFCON51.ACtUAL u[Curexb NaarewRoucuYrts <br />GF�Ov <br />PLUMBING <br />NOAFSTJRIES BASEMENT MECHANICAL <br />�'�! YES - NO - <br />FIRE£PRNKLERSREO�C HEIGHTLIM��RION UTHER <br />�7 YES �� P�O STATF BUILOING Sl1FCHARGE <br />STATEENERGYSURCHARGE <br />PLANSAPPROVEDBV CITY OF EVERETT PUBLIC WORKS <br />LOCAL SALES <br />TAX CODE IS 3105 TOTAL <br />�S <br />flECEIPT NO. <br />