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_ APPLICATIQ"' FOFy �ONSTRUCT�N PERMIT � <br />TO DE COMPLETED IN BLACK INK—PLEASE PRINT <br />BUILDING DEPARTMENT HEATING SYSTEM: C] GAS ❑ ELECTRIC ❑�. A. <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION D{ BUILDING <br />OWNER MAILAODRESS ��ry <br />Housing Authority of the City of Everett, 1401 <br />❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />ZIP P110gE <br />�lar, Everett, WA 98Z01 258-9�22 <br />TENRlT MPtl.RDDRESS CITV 21P PHONE <br />Same <br />ARCHITECTORDESIGNER MAILADDRE55 LITY ZIP PHONE <br />CNJJ Architects, 2722 Colby, Suite #607, Everett, WA 98201 259-1560 6�1-291-582 0 <br />GENERALCONTRALTOR MAIIADDBESS CITV ZIP PHONE STRTELICENSE• <br />MECHANICAICONTR�CTON MnIL�DDNE55 CITV 21P PHONE STATELICENSE� <br />PUIMBINGCONTRACTOR M�ILADORESS CITV 21P PHONE STATELICENSEs <br />CONTPACT PRIC° OF WOFK <br />DE fiIBE KANDSW�f7E <br />isce�aneous i <br />s, . an exte <br />PPOPOSED USE OF BUILOING <br />LEGAL DESCRIPTiON OF PROPERTV <br />LOT BLOCK — <br />PARGELTAXI.D.NUMBER <br />US OY ff1111U5 �OOO ICONTRGTPERSONANDPHONENO. <br />Rirk Vilhauor (f <br />tions in ewsUna <br />hlike <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />LOW ORARRCHTWOCOPIES) WORK WILL BG COMPLETED WITH WHETHEF SPECIFIED HEREIN OR <br />oF NOT. 7HE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEI THE PROVISIONS OF ANY <br />OTHER STAI'E OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMAPlCE OF CONSTRUCTION. TNAT I AM F�UTHORIZFD BY TH[ <br />OWNER OF THIS PRO?ERTY TO PERFOAM THE WOAK FOR WHICFi <br />-- APPLICATIOIJ IS IAADE AND I COMPLY WITH TF'E STA'.I: <br />CONTRACTORS LAVJ 1827 RC!N AND 296.200 WAC. <br />TYPE OF FI%TURE OR ITEM <br />WATER CLOSET(TOILETI <br />LAVATORY <br />SHOWER <br />DISHWASHER <br />LAUNDRYTRAY <br />VRINAL <br />DRINKING'rOUNTAIN <br />ROOF DRAINS--RAINLEADERS <br />SINK (SERVICE—BAii. ETC.1 <br />FOR OFFICE USE ONLY: <br />FRONTSE7BACN REARSETBFCN <br />USE30NE <br />ttPE Of LONST. <br />✓ �— �✓ <br />SIZE OF BLDG. <br />llyy Sq. <br />OCCUPANCVLGnD <br />K� h <br />HEASON <br />INTANE BY <br />CIiV 9US�NF.SS I ILEHS[ NO <br />MECHANICAL � <br />NO. TYP�: OF E�UIPMENT <br />� AIG�-NHNDLG UNITS—H.P. � <br />; FORCED AIR SYSTEMS--B.T.U. M <br />� UNIl HEATERS—B.T.U. M <br />' CLO'"HES DRYERS <br />; VENTILATION FAN <br />� RANGEHOOD <br />; WATER HEATER <br />� WOOD STOVE <br />; METAL FIREPLACE (WOOD BURNIN( <br />� FIREPLACEINSERT <br />� HEAT PUMP <br />; GAS PIPING <br />� EXHAUSTFAN <br />SUB TOTAL $ <br />PERMIT $ <br />TOTAL FEE $ <br />FIRE SPRIYNLERS flE0'D <br />N" <br />FIqE AURM REO'D <br />�aRc D�rrcr�ts <br />PLAN;i ?ROVED BY <br />�/ ��� <br />Dr1TE ', ' �s • j� ? <br />SIDE SETBACK <br />❑ YES ❑ NO <br />CUVUkv NO OfOwELLiNGUxrtS <br />BASEMENT <br />❑ YES n r+o <br />HEIGHT UMITATION <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />AODITIQNAL PLAN CHECK <br />OTHER <br />STA7F. BUILL7ING SURCHARGE <br />PUBLIC WO{iN5 <br />TOTAL <br />FEE <br />SUB TOTAL <br />PER611T <br />TOTAL FEE <br />$ <br />$ <br />FE� <br />b <br />