612 MAULSBY LN 2018-01-02 MF Import

APPLI&TIONPERMIT FOR MITNSTR TION everett IAB EYupresn ....CITY OF everett BUILDING DEPARTMENT TO BE COMPLETED IN INK - PLEASE PRINT PLUMBINGCONTRACTOR MAIL nuuncaa ❑ NEW ❑ ADDITION T LOT BLOCK OF PLUMGi..N Cl REPAIR ❑ DEMOLITION ❑ WOODSTOVEIFRPL INSERT ❑ BUILDING RELOCATION NO. TYPE OF FIXTURE OR ITEM WATER CLOSFJ (TOILET) BATHTUB _ LAVATORY (W:wH BASIN) SHOWER KITCHEN SINKB DISP. DISHWASHER _- - LAUNDRYTRAY CLOTHES WASHER _ URINAL DRINKING FOUNTAIN FLOOR DRAIN BACKFLOW PREVENTERS ROOF DRAINS—RAINLEADERS SINK(SERVICE— BAR, ETC.) SUBTOTAL $ PERMIT $ TOTAL FEE S FPONT SETEACN REAR SETDACA SI[ LSEZONE LOT AREA YAK TYPE OF CONS, OCCUPANCYGROUP Nf ALLOWABLEIACTUAL SIZE OF BL00 NO. OFSTORIEB BSMi. pY Of N ❑ D ❑ YES ❑ BY I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL AWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BIEIOONSOFE ED WITH WHETHER SPECIFIED HEREIN OR NDOES NOT PRESUME TO GIVE AUTHORITY TOVIOLATE OR CANCEL HEERMIY PROVSIIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR HE PER- FORMANCE OF CONSTRUCTION. THAT I AAA AUTHORIZED BY THE OWNER OF I AND PIRCOMPLYTWITHPERFORM STAEWCCONTRACTORSRK FOR WHICH LICATIJN IS MADE LAW182- ROW AND 296.200 WAC. o SIGNATUR OF CONTRACTOR OR AUT110nRED AGENT DATE II APPL NTSCITYSUSMES ICENSE NO. AND BUSINESS NAME MECHANICAL FEE NO. TYPE OF EOI Air. ArH NDLG UNITS- 5 — B.T.U. M YERS _ FAN WOOD STOVE METAL FIREPLACE 8 FIREPLACE INSERT HEAT PUMP SUBTOTAL S PERMIT $ TOTAL FEE $ ;ANT SITE FEES IES ❑ NO BUILDING .OF DWELLING UNITS PLUMBING o.LOAD MECHANICAL IDNT L1AInAT1oN OTHER STATE BUILDING SURCHAR ;E STATE ENERGY SURCHARGE PUBLIC WORKS TOTAL FEE WER