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APPLICATION FOR CONSTRUE: rION PERMIT <br />everett <br />CITY(!; <br />everett <br />BUILDING DEPARTMENT TO BE COMFLETED IN INK —PLEASE PRINT <br />259-8810 <br />DEMOLITION COMBINATION >cBUILDING MECHANICAL PLUMBING SIGN <br />OWNf❑ MAIL ADWIFSS -- CIIY ZR' 1'IgNF. <br />TENANT AMR ADDRESS Clir 71P pf"JE <br />"Aj� T!• 2n/ -r Zs8-42Li <br />^ -" •� ��0 CIT O 7Ir — r'KMJF <br />ARCHI1FC10R DESIGNER MAIL MIDRFSS <br />G.ni��v9 2P at Sao &g (ll-1330 <br />GENERAL CONTnACIOn MAIL ADDRESS CITY 7Ir rpoNE LICENSER <br />_14" 13(c C) etotATrAt DA.S� earF 9aLoa __Z� 7c�'/ 3caE�A,ayE�F rat AD <br />MECIMr_W'CM..l TE cion MAR ADDRESS CRY7Ir nlON[ LICENSER <br />oror�u id ur/: twlneftDR MAR ADDRESS CITY ZIP PHONE LICENSER <br />I I nnAin I I ncAJrn IrInN I I WOODS70VE/FRPL INSERT I I BUILDING RELOCATION <br />I I NEW 1 I nUUIIIuPI AL. All rvI wim <br />..�. ..... __...__..._ <br />IENANIrAPnovEMF.NIOn-NIEIIIDn RFMMr,LONIY <br />ee <br />CONTACIrERSO.NA1AN�DLPII(NJr: <br />CONIRACI PRICE Of WORK' O� Q,,, <br />D--DEESCC'RRII�BEE�IyWORK AND SCAIMIC FOOIADE INVOLVED <br />�'SF <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />PnoPosfo'�"' or TIML'ING <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />GOVERNING THIS TYPE OF <br />PROVISIONS OF LAWS AND (ORDINANCES <br />IlEml ueSCnu'TKxJ ur rnER•FRrvISIKAxN Arrow on nnncN <br />ramlxllnrBl <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />aF <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />LOI moc:K <br />--- <br />__ <br />AUIHORIIY 10 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 7111S PROPERTY TO PERFORM THE WORK FOR WHICH <br />_ <br />APPLICATION IS MADE AND29 OMPLY WITH THE STATE <br />CONIRACIORS LAW 18.27 RCWIfD D .200 WAC. <br />SIGNANINF OT TRA(lIONO 111 O DATE <br />A!`PUCA IDII MISS ICFNSE NO AND BUSINESS NAME <br />PROJECT ADDRESS I <br />'ALPLUMBING <br />MECHANICAL <br />FEE <br />NO. TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. PE OF EQUIPMENT <br />CLOSET <br />A/C—A/HNDLG UNITS—H.P. ' <br />WATER (TOILET) <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />' <br />BATHTUB <br />_ <br />____ __ —i- <br />UNIT HEATERS—B.T.U. M <br />LAVATORY (WASH BASIN) <br />_ <br />CLOTHES DRYERS <br />SHOWER <br />_________ <br />VENTILATION FAN <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />1_ <br />--- <br />-- <br />_WATER HEATER <br />' <br />LAUNDRY TRAY-_--_ <br />CLOTHES WASHER <br />_- <br />WOOD STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />URINAL <br />FIREPLACE INSERT <br />DRINKING FOUNTAIN <br />I <br />FLOOR DRAIN <br />' <br />HEAT PUMP <br />_ <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS—RAINLEAD_ERS <br />I <br />EXHAUST FAN <br />' <br />SINK (SERVICE_ BAR. E1C) <br />SUBTOTAL $ <br />SUBTOTAL <br />$ <br />— <br />_-_ PERMIT $ _---~— <br />PERMIT <br />_$ <br />TOTAL FEE $ <br />NC11 C 1lLI 0 ❑ rLE �/]1 e RECEIPT NO. <br />FRONT SE IBACK <br />TOTAL FEE <br />REAR SETBACK <br />$ ' <br />SIDE SEIDACY <br />USE ZONE <br />LOT AREA <br />vZ TSnE <br />FEES <br />VALUATION <br />FEE <br />RlllI. RING <br />PLUMBING <br />L �1�� <br />__� •' <br />I I YES ! I NO <br />TYPE orcoxST.auowaaU <br />lYr[Drc c111AI <br />F <br />ottvra'rr <br />SIZE OF RLDG. <br />NO. OF STORIES <br />RASEMrNI <br />MBCIIANICAI. <br />OUTER <br />OCUPANCYLOAD II PRNLrnSnEO <br />RYES <br />IIO-IR LIMITATION <br />r <br />SL <br />/G�IV6 I ! NO <br />--STATE <br />BUILDINGA_RGF <br />- — <br />--_ <br />i <br />REASON Pon SPIVIIKLER$ <br />STATE ENERGY SURCHARGE <br />APrLlcnuoNACC nY PIANsnrrP6�rDDr <br />CITY OFEVERETT <br />ru0ucwonKs <br />_ <br />iD� <br />LOCAL SALES <br />�• �� <br />TAX CODE IS 3105 <br />TOTAL <br />v <br />