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AppL1�ATIC"`1 FCR CONSTRUCT'-1N PERMIT �✓� <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT • <br />HEATING SYSTEM: J GAS <br />�) <br />BUILDING DEPARTMENT '— <br />259-8810 <br />;_] DEMOLITION i7 COMBINATION L! BUILDING !-1 MECHANICAL ❑ PLUMBING i; SIGN <br />OWNEB MAtLA�DRESS CITY ZIP PHGHE <br />Jerry Cindv Michaelis 8523 Xavier Wav Everett 98�08 353-8279 <br />TENPNT N41L 4ppRE55 CITV ZiV PMONE <br />ARCHITECTORDESIGNER AIAILADOPE55 CITV ZIP PHONE <br />GENERRL CpNTR4LTOR MAIL ADORESS CITV 2iP PNONE STATE LICENSE e <br />Everett Buildera Inc �q010 6�sr AvP NF It9 Ari;nprn� qR�y3_ 353-7161 EVERF.B*301PH _ <br />MECMANICALLONiRAGiOR MFILAODRE55 CITY ZiP PHOYE STpTELICENSE� <br />GONTFAGTOR MAILFD�RESS <br />CONiR�CT PRICE OF WORK <br />J �� O <br />INVOLVED <br />t„9G1 <br />CIiV ZiP <br />existinp, garaRe and 2nd story deck 8'x16' <br />with stair.s. <br />PFOPOSED USE OF BW LOING <br />LEGAI �ESCRIPTION OF PdOPERTV ISNOWN BELOW OR 4iTACH TtYD LOPIES� <br />LOT BLOCH OF <br />and p,a <br />PARCELTA% <br />' //W �Q� l� • <br />CONSTRUCTION <br />WATEF CLOSET <br />BATHTUB <br />LAVATOflY(WASI <br />SHOWER <br />KITCHEN SINK 8 <br />LAUNDRY TRAY <br />CLOTHES WASh <br />URINAL <br />DRINKING FOUP <br />FLOOR DRAIN <br />BACKFLOW PRE <br />ROOF DRAINS— <br />SINK (SERVICE- <br />SUBTOTAL <br />PERMIT <br />FOR OFFICE USE ONLY: <br />FROHi5ET0ACN R[ARSETBACK <br />._ � ��� <br />USE.'ON[ <br />� <br />lYPE Oi CONS� <br />� <br />SRE D� <br />OCCUPANCY <br />_N_L <br />�[n50N <br />INTAKE �Y <br />IOTPREA <br />NO OF STORIES <br />2 <br />P� FIRESPRiNKLER5RE0'D <br />UV� �% <br />p FIRE�LARMR[O� <br />No <br />VL�NS APP[iOVLD BY <br />�AtE �,/.0 /G r <br />S <br />STATE LICENSE r <br />N0. <br />I HEREBV CERiIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE 7RUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PfiOVIS10NS OF ANV <br />OTHER STATE OR IOCAL LAW REGULAI iNG CONSTRUCTION OR THE <br />PERFORMANCE 9F CONSIRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNEA OF THIS,PROPERT.Y TO PERFORM THE WORK FOR WHICH <br />APPLICATION I� MADE AND I COMPLY WITH THE STATE <br />�CONTR TORS LA 78.27 RrW AND 296200 WAC. <br />.�-� . , . .� (�.�r � Q a A ,l . %n _ �.-i- N5 <br />FEE N0. TVPE OF EOi <br />A�C—A�HNDLG UNITS— <br />FORCED AIF SYSTEM: <br />UNIT HEATERS—B.T.U. <br />� CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WFTER HEATER <br />WOODSTOVE <br />� METALFIREPLACE�Wi <br />FIREPLACE INSERT <br />HEAT PUMP <br />� GAS PIPING <br />� EXfiAUST FAN <br />SIOE SEiDAGIy <br />S' <br />VpGANi SIiE <br />YES �I NO <br />orc���<a� mooror:nn.�v.ns <br />BASEIdENT <br />�. -. YES :�O <br />MEIGIR liMliAilOy <br />CITY OF EVERETT <br />LOCALSALES <br />TAX COOE IS 3105 <br />PIAN CNt'R � <br />,� � <br />., <br />BUILDING <br />PLUMBiNG <br />MECHANICAL <br />�1DDITIONAL PLAN Cl1ECK <br />OTHER <br />STATE BUILUING SURCHAfiGE <br />PUBLIC V!O(iNS <br />TOTAL <br />M E.A. <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />E � _ I REII �lC <br />. < <br />I7a �� J I <br />8 <br />