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APPLICATION FO� fYB.B„ <br />OF <br />OF "" <br />CONSTRUCTION <br />CRY <br />LIP <br />everett <br />PERMIT <br />BUILDING DEPARTMENT <br />TO BE COMPLETED IN INK- PLEASE PRINT <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING SIGN <br />CLAs3DrwORA <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br />DII_ ULe.eI .nI, /.Z:7T1=dJr Fld G1JOA/Y Z S7//C PT ludZO 1-064710-a <br />u,EE Ol B(YLDING Cp//�2 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAM'NED THIS AP- <br />/)///✓G // <br />PLICATION ANDKNOWTHE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONSOF LAWSAND ORDINANCES GOVERNING THISTYPE <br />uou orxAlPlrox Or vROPERIr rs"owNnuow oP A+ncl'rouR coPlrsl <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE- <br />IN OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />101_eLOc1I_—OF <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIONgU CONiPACtO OR AUTHOB11CD AGENT DAEE <br />x �9ggdCr23�" <br />it <br />.ANi3CI1YnUAN LICENSE NO <br />PRO�ECI AWPf 43 <br />i <br />2u <br />MECHANICAL <br />PLUMBING <br />NO. <br />TTPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET ITOILETI <br />A,C — AIHNDLG UNITS — H P <br />REFRIGERATION UNITS — H P EA <br />BATHTUB <br />LAVATORY I WASH BASINI <br />BORERS — B T U rH P <br />OAS FIRED A C UNITS —S T U <br />SrOwER <br />KITCHEN SINK 3 OISP <br />FORCED AIR SYSTEMS — BTU MEA <br />WALL HEATERS — BTU M <br />DISHWASHER <br />UNIT HEATERS — BTU M <br />LAUNDRY TRAY <br />CLOTHESWASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHESORYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKFLOW PPEVEN I LES <br />WATER HEATER <br />ROOF DRAINS — RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE — BAR 1 <br />METAL FIREPLACE 3 CHPINEY <br />.ETC <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EAHAUSTFAN <br />sue rout <br />s <br />SEES TO <br />PERMIT <br />TOTAL HE <br />{ <br />TOTAL RT. <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO <br />Rf AR 3[IB.LCR SIDE <br />SETBACK <br />I FONt 3f iDAC. <br />Est tONE <br />LOTAREA <br />VACANTMTE <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />5 <br />OYES ONO <br />TYPE OF CON31 <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />PLUMBING <br />SIT Or BLDO <br />NO OF 40PIES <br />MAF COC LOAD <br />MECHANICAL <br />OTHER <br />STATE BUILDING SURCHARGE <br />FIRE SPRINKLERS REOUIRED O YES 0 NO <br />STATE ENERGY SURCHARGE <br />TRR.CANON ACC BY <br />PLANS CHECKED BY <br />APPR 'OR 133 F <br />PUBLIC \VDRKS <br />TOTAL <br />F Frt. n E,TCRM(NINC ALL <br />`F�JI� PROPERTYLINELGCATIONSAND RELATED EASEMENTS. <br />�I/LF� 'O' 30• F, <br />