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M~ <br />' 1 APPLICATOR FOR CONSTRUCTNIN PERMIT everett <br />n. EAO O MR TO BE COMPLETED IN INK —PLEASE PRINT <br />CATY OF <br />M everett �ATINGSVSTEM: ❑GAS ❑ELECTRIC ❑ __� <br />7 BUILDING DEPARTMENT <br />259-8810 <br />❑ DEMOLITION COMBINATION BUILDING MECHANICAL >c:12LUMBING SIGN yi <br />M� R IMII. ADDRESS Cltt ZIP PHONE } <br />11 <br />ENANTTIP <br />ET NANT <br />MAIL ADORES. <br />CI1V <br />PHONE <br />R <br />11'�} <br />'} <br />ARCH/ITE7CT OFL DESIGNE(RT <br />-- <br />MAIL ADDRESS —r^ <br />CITY <br />ZIP <br />_ <br />7 PHONE <br />M <br />,t <br />PHONE <br />LICENSE <br />AMCCC <br />Tj <br />GENERAL DONTACTOR <br />MAIL ADDRESSCITY <br />ZIP <br />~ <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS ?f <br />CITY <br />ZIP <br />PHONE <br />LICENSEE <br />T <br />PL C0/17RACTOR + <br />MAIL ADDRESS Z <br />CITY <br />zip <br />PHONE <br />LICENSE f <br />N <br />CLASS OF WORK <br />' 'NEW C] ADDITION <br />TERATION REPAIR <br />DEMOLITION <br />WOODSTOVE/FRPL INSERT <br />71 BUILDING RELOCATION <br />I <br />t <br />t <br />C'; <br />TACT PERSON AND PHONE NO <br />CONTRACT PRICE OF WORK <br />DESCBW WORK AND SOLIZE FOOTAGE INVOLVED <br />PpOPOSED USE OF BE, DING <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 />LEGAL A— PROPERTY ISHOWR BELOW OR ATTACH FOUR COPIES) <br />LOT_ BLOCK OF <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 16.27 RCW AND 296.200 WAC.� <br />i%/Z AY/ <br />SIGNATUREOFC TOR M RI GENT DATE <br />X <br />PROJECT ADDRESS <br />2 r <br />S <br />APPLICANTS CITY BUSINESS LICENSE NO ANDBUSNES AM <br />PLUMING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />0 1— <br />AIC—A/HNDLG UNITS—H.P. <br />BATHTUB <br />p — <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />LAVATORY (WASH BASIN) <br />p 1— <br />UNIT HEATERS—B.LU. M <br />SHOWER <br />CLOTHES DRYERS <br />_ <br />KITCHEN SINK & DISP <br />qo <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />- <br />WATER HEATER <br />— <br />CLOTHES WASHER <br />S 1 <br />WOOD STOVE _ <br />URINAL <br />METAL FIREPLACE 6 CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PPEVENTERS <br />GAS PIPING <br />ROOF DRAINS--RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE —BAR, ETC.) <br />u <br />r� fNrrlIII, L LCr nuF v <br />S <br />FRONTSETBACK ` <br />v,HEAR SETBACK <br />CIDE SETBACK <br />PLAN CIIECK NUMBER <br />FEE <br />RECEIPT NO <br />USE ZONEJ_E <br />LOT AREA <br />VACANT SITE <br />FEE <br />VALUATION <br />FEE <br />BUILDING <br />TYPE OFCONTS <br />TYPE OF CONST.ACTUAL <br />XCUI'ANCY <br />NOMPffiuINGUNOS <br />PLUMBING <br />/ 8oSIZE <br />OF BLDGNO. <br />OF STORIES <br />BASEMENT <br />MECHANICAL <br />ADDITIONAL PLAN CHECK <br />OCcuPANCY LFIRE SPRNKLERS BeO'D HEIGHTTIMITATION <br />OTHER <br />REASON FOR SPRINKLERS <br />STATE BUILDING SURCHARGE <br />INTAKE BY <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />PUBLIC WORKS <br />LOCAL SALES <br />TAX CODE IS 3105 <br />TOTAL <br />b+ p w <br />