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the ETBrpwn <br />CITY OF <br />everett <br />BUILDING DEPARTMENT <br />25"810 <br />?r. <br />APPLICi,VION FOR CONSTRICTION <br />PERMIT <br />TO BE COMPLETED IN INK — PLEASE <br />PLUMBING CONTRACTOR MAILADDRESS <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVETFRPL INSERT ❑ BUILDING RELOCATION <br />TENANT IMPROVEMENT OR INTERIOR REMODEL ONLY <br />CONTRACT PRICE OF WORK <br />CONTACT PERSON AND PHONE NO <br />11NE WORK AND SQUARE FOOTAGE INV�OLLVVE�0 <br />C <br />�i PRIt" <br />ED USE IT BUILDING �� Cl..l <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND <br />KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND <br />ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OFAPERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PEW <br />FORMANCE OF CONSIRUCT QN. THAT 1 AM AUTHOR12E0 BY THE OWNER OF <br />THIS PROPERTY TO PERF MTFIiWORK FOR WHICH APPLICATION IS MADE <br />AND I COMPLY WITH TH STA CONTRACTORS LAW 18.27 RCW AND <br />296.200 W C. <br />SIGGNAL UREO ON ACTOR IAUIH IZEDAGENT DATE <br />LEGAL DEWPIPTIONOF PRORCRTY(SHOWN BELOWORATTACH rOURCOPIES) <br />LOT- BLOCK__ OF <br />PROJECT PROJECT ADOREESIL <br />I <br />damn <br />APMICANTSCI"BUSINES�IZENSENOANDBUSINESSNAME <br />PWM�INO <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIC— A/HNDLG UNITS —H.P. <br />_ <br />BATHTUB <br />FORCED AIR SYSTEMS— B.T.U. M EA <br />LAVATORY (WASH BASIN <br />UNIT HEATERS —BT.U. M <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK& DISP. <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />_ <br />_ <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE& CHIMNEY <br />_ <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS — RAINLEADERS <br />EXHAUSTFAN <br />_ <br />SINK (SERVICE — BAR, ETC) <br />_ <br />SUBTOTAL $I <br />I <br />SUBTOTAL E <br />PERMIT $I <br />I <br />PERMIT E <br />_ <br />TOTAL FEE $I <br />_ <br />TOTAL FEE E <br />_ <br />FRONT SETBACK <br />REAR SETBACK <br />SIDESETBACK <br />VACANT SITE <br />O YES ❑ NO <br />P HE K UMBER, <br />[1 <br />C�_l1l/C_EE /'.�Jl <br />FEES <br />fn--L <br />' TI <br />VALUATION <br />RECE�HO. <br />FEE{(� <br />FEE <br />USE ZONE <br />Lor AREA <br />BUILDING-.BUILDING-fil, 4 <br />TYPE OF CON54 <br />ALLOWABLE/A <br />s <br />OCCUPANCY GROUP <br />fe-z, <br />NO OF DWELLING UNITS <br />PLUMBING <br />SIZE OF RLDG. <br />3 / Goo <br />NO OF sfoRIES <br />pSMT. <br />xfN <br />OCC LOAD <br />/ s 9 <br />MECHANICAL <br />FIRE SPRINKLERS REOUIREO 41E9 ❑IIO <br />HEIG141G141 LIMITATION <br />STATE BUILDING SURCHARGE <br />% <br />�D <br />APPLICATION ACC BY PLANS APPR. BY <br />\ <br />SW <br />STATE ENERGY SURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />.7 <br />