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APPLICATIOf FOR CONSTRIJCTl PERMIT <br />TO BE COMPLETED IN INK —PLEASE PRINT <br />CITY V <br />everett <br />T,'JILDING DEPARTMENT <br />..19 8610 <br />DEMOLITION <br />YVIHr1i <br />e <br />uc.TiuI Fev.Teu. I ,-,l IA RT e,-TCNr 'l I <br />x. <br />PLUMBING SIGN <br />DWN u. ow+ s <br />t' <br />zIP <br />. t O' / <br />TENANT AMILAVORISS <br />CRY <br />ZIP <br />Plprt <br />COUSWflL LOLLELTF <br />ARCNRECTCA SK.M1ER MUL ADOFESS <br />bT <br />SR <br />Pwprt <br />N/A <br />GENERµ CONTRACTOR MALL ADDRESS <br />CRY <br />SIP <br />PHONE UCCNSf• <br />N/A <br />MECHANICµ CONTRACTOR MALADDRE55 <br />CRY <br />SV <br />PHONE Ict.stA <br />AIR SYSTEMS ENGINEERING 909 S 28TH ST <br />TACOMA WA <br />98809 <br />(206)572.9488 AIRSYE-229KN <br />PLVMBINGCC;ZON MAT'. ADDRESS <br />CRY <br />ZIA <br />PHONE LfCENSEA <br />N/A <br />C $GP WORK <br />.. NEW . ADDITION ..J ALTERATION <br />REPAIR L1 DEMOLITION <br />I I WOODSTOVEIFRPL INSERT BUILDING RELOCATION <br />CdIlRAC1PRICE OEWORK TBU,D00 <br />COI(EfTEVACT PE, IRSON AND PHONE AD) <br />yE n DAN (206)572-9484 <br />DESCRIBE WORK AND EOMARE FOOTAGE dADLYE0 <br />1-LVFc TLAIRN� I Mpf-fi% It FOLLM <br />PROPOSED USE Of LOADING <br />COLLL(GE LLAS`rtS <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 />N07. 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 />SIGNATURE LAW1CION 27HOW AND 296 WA <br />CONTRACTORSLAW1827RCWADAGEN 200 DATE <br />X OLL — AIR IMTEY111 6N(71A16LR.IA1(T <br />LEGAL DESCRPTONOR PROPERTY IEHOYNSELOWORATTACHFOUR COPIES, <br />LOT L7-16 BLOCK LIFT OF EVLKETT <br />VOLUML• `1D Via ')Z <br />-LV.OZ. 100MOU AVE rVLF.ETT WiJl <br />CHTIs <br />PRD <br />APPLICANl5 CITY BJSNESS LKEAP E AND AND B R NE bS IMAL <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />NC—NHNDLG UNITS—H P <br />BATHTUB <br />FORCED AIR SYSTEMS-8 T. U. M EA <br />LAVATORY (WASH BASHN) <br />UNIT HEATERS —BTU. M <br />SHOWER <br />CLOTHES DRYERS <br />_ <br />KITCHEN SINK 8 DISP <br />VENTILATION FAN <br />DISHOJ'ASHER <br />gqS Mw-._n <br />LAUNDRY TRAY <br />WATER HEATER <br />_ <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE A CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS—RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE —BAR. ETC <br />17- <br />VRV VfOKES u11IN CIUCT <br />SUB TOTAL $ <br />BUB TOTAL S <br />PERMIT S <br />PERMIT E <br />TOTAL FEE $ <br />TOTAL FEE E <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK <br />BEARSETBACN <br />510ESETBACK <br />PLAN CHECK NUMBER <br />IC[ <br />RECEIPINO <br />USE ZONE <br />LOT AREA <br />YACAMTSRE <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />PLUMBING <br />TVPL OF DONIS µLBMA4E <br />11M BI COAST ACTLU <br />¢(oNA,, Aa IF-- <br />41pA <br />SILEDFBLOO <br />NO OF STORIES <br />BASEMENT <br />MECHANICAL <br />ADDITIONAL PLAN CHECK <br />OCCUPANCY LOAD FIRESPAWLERSREOO HECHT IMITATION <br />REASON FOR SPIUNMERS <br />OTHER <br />- - — <br />STATE BUILDING SURCHARGE <br />iNTAKEer PLANEAPPRDIEDBY <br />A <br />(p �� <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 31D5 <br />PUBUCWORKS <br />TOTAL <br />