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o r�l�ji0_: FOR CONSTRUCT.•JN PERMIT everett <br />the Eve,9 r LJJ TO BE COMPLETED IN INK —PLEASE PRINT <br />pR 15 1991 �/ <br />clrY of <br />everet HEATING SYSTEGAS J ELECTRIC - IJ <br />BUILDINo•r����YERETTM: - -- <br />259-BB10 Pabllo Works Dept' — <br />i DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br />WNER MAIL ADDRESS CITY ZIP HQNf <br />TEN4V/� ^^ MAIL ADDnF.55 CITY 71P PHONE <br />�Vv��� <br />ARCHITECT •OOR"" DESIGNFR MAIL ADDRESS CITY 71P PHONE <br />N TRACTOR V/IL�CI IYIII .".GAS INC. CIY , � lIl' PITON LICENSE1, <br />25 -S492,,-yA13�5nJ5I.R7n7EznINC. �1_t�� � <br />MECHANICAL CONTRACTOR FWD NICUOU({eIl CITY 711, PHONE LICENSE <br />Everett AIL_V---- <br />PLUMBING COW NACIOn MAIL ADOLIUSS AOI1RF55 CITY 71P PHONE LICENSE <br />1 CLASSOF WORK <br />1 1 NEW ' ADDITION �ERATION I I REPAIR I I DEMOLITION I I WOODSTOVE/FRPL INSERT BUILDING RELOCATION <br />1 111) 1 <br />CONTRACT PRICE Of WORNL I � `- (' <br />DESCRIBE nW K(\�-ND[k�IS(y EfOvD(/jA�(�'frlN VFT <br />CONTACT PERSON AND PHONE NO. <br />— <br />PROPOSED USE OF BUILDING <br />�� <br />- <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 />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY 10 VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFOnMANCE 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 />CONTnACTORS LAW 16.27 RCW AND 296.200 WAC. <br />SIRNAIHNEOI CONTRACTOR ON ANIIIONIZED AGENT DATE <br />t�k�c y �Old) <br />LEGAL DESCnIPTION OF PnornmY(SHOWN BELOW on AT FOUR COPIES) <br />LOT RI IX:K Of — . _ <br />_ <br />— --- <br />PROJECT ADDRESS <br />/.7� /1 <br />V C' <br />—ff — <br />i [ L(� �' <br />It+""1` / <br />— <br />APPLICANTS CITY BUS SSIIC SE NO AND BUSINESS NAME <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-AIHNDLG UNITS-H.P. <br />BATHTUB <br />FORCED AIR SYSTEMS-B.T.U. M E.A. <br />LAVATORY (WASH BASIN)-- <br />HEATERS-B.T,U. M <br />SHOWER <br />_UNIT <br />DRYERS <br />—�— <br />KITCHEN SINK & DISP <br />i <br />_CLOT_HES <br />VENTILATION FAN <br />DISHWASHER <br />�— <br />RANGE HOOD <br />---�— <br />LAUNDRY TRAY <br />WATER HEATEn <br />CLOTHES WASHER <br />_ <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE & CHIMNEY <br />DRINKING FOUNTAIN <br />) <br />INSERT <br />FLOOR DRAIN <br />--~— <br />_FIREPLACE <br />HEAT PUMP <br />---�— <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />1 ' <br />ROOF DRAINS-RAINLEADERS <br />I <br />EXHAUST FAN <br />SINK (SERVICE -BAR, ETC.) <br />; <br />I <br />1 <br />1 <br />- <br />I <br />, <br />SUB TOTAL $ <br />- — <br />' <br />SUB TOTAL $ <br />-- ----------PERMIT $ <br />PERMIT $ <br />TOIAL FEE $ <br />' <br />TOTAL FEE $ <br />�— <br />FOR OFFICE USE ONLY: <br />FRONTSETBACK <br />REAn SETBACK <br />SIDF.SE10A1K <br />P.%NCIIPCKNUMIIFR <br />III <br />RECEIPT NO <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />-- <br />--------- <br />---- ' <br />TYPE or CONIS ALLOWABI E <br />TYPE Of CONS). ACIUAI <br />rcDIn.M:r <br />x. 0IRAT111WIMRS <br />P,ImIm <br />PLUMBING <br />MECHANICAL <br />SIZE OF BLUE <br />NO OF STORIES <br />DAGEMFNI <br />ADDITIONAL PLANCHECK <br />`- -- <br />- - — <br />OCCUPANCYLOAD FIVE SPnNKLEnS FIEOT IIEIGNI LIMNAIION <br />ontEn <br />REASON ronSPRINKI.FnS <br />STAIF n1111 TBTL1 SIInCTAnGE <br />' <br />INTAKE BY -- — <br />T'Lnns nrrRoveo nG- <br />CITY OF EVEBETT <br />rum.Ic wonl<s <br />LOCAL SALES <br />TAX COOE IS 3105 <br />TOTAL <br />�d <br />