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APPLICATIG.1 FOR CONSTRUCT ��N PERMIT <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT �T <br />BUILDING DEPA <br />259-8810 <br />I DEMOLITIUN <br />r�� � <br />� COMBINATION <br />M�IL AD�RESS <br />n <br />, <br />I PLUMBINGCONTRACTOR MAILA�ORE55 <br />� <br />CLASS OF WORK <br />f 1 NEW I'. ADDITION �ALTERATION <br />CONTRACTPRICEOFWORK /( ��`' � <br />OESCRIBE WORK A SOUARE fOOIAGE INVOLVED <br />^'�� l <br />�✓r. iP �li'14�� i4'�^C�ti��i7�'N'� <br />PROPOSEDUSEOFBUILUIHG � <br />LEGAL DESCRIPTION OF PROPERTV (SNOWN BELOW OR ATTACH <br />LOT BLOCK _ OF <br />PFQiECT ADDRESS <br />PLUMBING <br />NO. TYPE OF FIXTURE OR <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS—RAINLEADER <br />SINK ISERVICE—BAR. ETC.1 <br />FOR OFFICE USE ONLY: <br />FRONTSETBACK RE�FSE7 <br />USEZONE LOTAREA <br />iVPE OF CONiS. ALLOWPBIE <br />SREOFBLOG. <br />FEASON FOR SPRINKLEPS <br />TYPE OF CONSC ACtUAL <br />NO.OF STOFIES <br />REO'D <br />PLANS APPROVE� BY <br />HEATING SYSTEM: (,Q1 <br />BUILDING <br />cirv <br />�Li��� � <br />CITY / <br />cirv <br />. � CITY <br />REPAIR <br />$ <br />S <br />FEE <br />❑ ELECTRIC ❑ <br />M�CHANICAL ' I PJ <br />ZIP PHONE <br />/� J � n / . <br />_ � �. <br />/ZIP PHOI E `� <br />DEMOLITION <br />ZIP <br />ZIP <br />_1/Y .1'�YAY•� <br />�-,'+a1� :� L , <br />PMONE STATELICENSE• <br />��S- 37 �l� � <br />PNONE STATEUCENSEt /(�//! <br />7P,�}`,�S /1��-'�c�c�,/-/ <br />PHONE ATE LICENSC� <br />WOODSTOVE/FRPL INSERT , '. BUILDING RELOCATION <br />AND PHONE N0� <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 TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW qEGULATING CONSTqUCTION 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 1827 RCW AN 296.2UO WAC. <br />� �" ; .. <br />� --7 0 — � <br />sicr�eruN[ onm <br />TYPE OF EOUIPMENT I FEE <br />FORCED AIR SYSIEMS-8 <br />UNIT HEATERS—B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE & CHIM <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SIDE SETBACK PLAN CY.ECN NUM�tH <br />vncnNrsrte FEES <br />BUILDING <br />O[CUVAACY NO OiDWELLING11N115 <br />°w0°P � PLUMBWG <br />BrSEMENr MECHANICAL <br />HEIGNT LIMITATION ADUITIONAL PLAN CHECK <br />SPRINKLER <br />STATE BUILDING SURCHARGE <br />CITY OF EVERETT PUBLIC WORKS <br />LOCAL SALES <br />TAX CODE IS 3105 TOTAL <br />5 <br />TOTAL <br />FEE � PECEIPTNO. <br />0 <br />