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ri <br />APPLICATIC II FOR CONSTRUCT -,N PERMIT <br />TO BE COMPLETED IN BLACK INK —PLEASE PRINT <br />BUILDING DEPARTMENT <br />I HEATING SYSTEM: U GAS ❑ ELECTRIC U <br />259-88 : 0 <br />DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING f ' SIGN <br />J <br />GENERAL CONTRACTOR <br />MAIL A ESS <br />CITY ZIP ^_,A_5-yh,-ILI(V O <br />oET-i <br />CTATE LICENSE 4 <br />�MECNANICAL CONTRACTOP <br />MAIL ADDRESS <br />CITY ZIP P/40NE <br />STATE LICENSE <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP PHONE <br />STATE LICENSE 0 <br />CI ASS OF WORK <br />/ <br />,,, .11,' WnnnsTnVFIFRPL INSERT <br />BUILDING RELOCATION <br />NEW ADDIiIUN r ALICMAIIVIV <br />CONTACT PERSON AND PHONE N0. <br />1 er 9 <br />CONTRACT PRICE OF WORK A TOG <br />ESCRIBE WORK A SQUARE FOOTAGE INVOLV <br />JHREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />POSED USE OF BUIL7ING <br />CATION 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 DESCRIPTION PROPERTY (SHO B OW OR ATTACH FOUR COPIES) <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />LOT BLOCK 04 <br />OR CANCEL THE PROVISIONS OF ANY <br />in ' 0 - ' q <br />AUTHORITY TO VIOLATE <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />- <br />-APERFORMANCE <br />OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />�� <br />` <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCWAND 296.200 WAC. <br />-401 <br />N DArEI-1i_r'ia� <br />PROJECT ADORE <br />CITY BUS <br />NSE NO <br />C <br />PLUMBING <br />FEE <br />MECHANICAL <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />NO. <br />TYPE OF FIXTURE OR REM <br />A/C—A/HNDLG UNITS—H.P. <br />WATER CLOSET (TOILET) <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />BATHTUB <br />UNIT HEATERS—B.T.U. M <br />LAVATORY (WASH BASIN) <br />CLOTHES DRYERS <br />SHOWER <br />VENTILATION FAN <br />KITCHEN SINK & DISP <br />DISHWASHER <br />RANGE HOOD <br />WATER HEATER <br />— <br />LAUNDRY TRAY <br />WOOD STOVE <br />CLOTHES WASHER <br />METAL FIREPLACE & CHIMNEY <br />' <br />URINAL <br />FIREPLACE INSERT <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS—RAINLEADERS <br />rEA=PING <br />SINK (SERVICE —BAR, ETC.) <br />I <br />SUB TOTAL $ <br />---SUBTOTAL $ <br />PERMIT $ <br />HERMIT $ <br />TOTAL FEE $ <br />TOTAL $ <br />FOR OFFICE USE <br />ONLY: <br />FRONT SETBACK <br />REAR SETBACK <br />USEZONE <br />LOT AREA <br />TYPE OF CONTS ALLOWABLE <br />TYPE OF CONST AI <br />Ab oHAA <br />— <br />SIZE OF BLDG. <br />N OF STORIE! <br />FIRE <br />PLANS <br />SIDE <br />BUILDING <br />L <br />IXCOPANCY <br />N) O MLLLING11NIM <br />G4xp <br />PLUMBING <br />MECHANICAL <br />BASEMENT <br />ADDITIONAL PLAN CHECK <br />EOD HEIGHT LIMITATION <br />SPRINKLER <br />STATE BUILDING SURCHARGE <br />BY CITY OF EVERETT <br />PUBLIC WORKS <br />LOCAL SALES <br />. Iln TAX CODE IS 3105 <br />I TOTAL <br />DI <br />i 1 <br />