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_ � <br /> APPLICATIbN FOR CONSTRUC'► �ON PERMIT everett <br /> ,. ,E�,�,�„ TO BE COMPLETED IN INK—PLEASE PRINT � <br /> un oF <br /> everett HEATING SYSTEM: O GAS ❑ELECTRIC ❑ <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> " DEMOLITION COMBINATION BUILDING V1G�IECHANICAL "pLUAABING I SIGN <br /> ONTlER M�IL�UDRESS suj�� � CITY ZIP PNONE <br /> /yIArTJ�>I .f'a4ii.cs�i /.�Og--�/yr.v �Si. .F���_� �1.��?a s <br /> TEN�NT MRIL RDDRESS �y. -7�`� CITY :IP PHONE <br /> B17FL �ihirl ��OD9 iti�S'ir,�11 FY��T 9fIa20� ,� a— ��/�� <br /> ARGMITEGT OR DESIGNER MAIL RODFESS {��1✓.� dTY ZIP PHONE <br /> GENERALCONTRACiOR MAILADDRE55 GIN ZIP PHONE LICENSE� <br /> 7�vLad� <br /> MECHANICAL CONTRRCTOR MRIL AODRE55 CITY Z1P PHONE LICENSE� <br /> PLUMBINGCONTR�CTOR MAILADDRESS ��T�' Z�P PNJNE LICENSEI <br /> CLA55OF WORK���� � �� <br /> '--; NEW Y ADDITION .YAL7ERATION . . REPAIR I �. DEMOLITION ...��. WOODSTOVE/FRPL INSERT :� BUILDING RELOCATION <br /> � CONT�Ci PERSON AN�PHONE/N0. \ <br /> CONTR�GT PRICE OF WORK ��� f�j� ��7-p�7a y ��J7Jf/ <br /> DESCRIBEWORKANDSOUAREFOOTAGFINVOLVED � I (p �� <br /> Fi,�r�„1,F l� — - cJ� 2� 2 — Z4 8`fi <br /> PROPOSEDUSEOfBUILDIN4 I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> — — APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> LEG�LDESCRIPTIONOFPROPERTY�SHOWNBELOWORATTALHFOURCOPIES) PROVISION30FLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �or e�ocK oF NOT, THE GRANTING Of A PEHMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEI 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 /> ���� CS• � ^��� 1.�j OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> � C� APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> SIGN�TURE OF GONTR�CTOR OP RUiHORIZED�DENT OATE <br /> . PR0.IECTAODRESS Uf�Q,�.G -� GI�aO� � ��/llw����� �/I�,� <br /> -��) >� �7`�)� �PPLI RNTSCITVBUSINESSiICENSENO.ANDBlI51NE55NRME � <br /> (��d7 �S��T/7 /7l�E�y�/�_ <br /> PLUMBING MECMANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—NHNDLG UNITS—H.P. <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. � <br /> LAVATORY(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> SHOWER CLOTHESDRVERS � <br /> KITCHEN SINK 8 DISP VENTILATION FAN <br /> DISHWASHER � RANGE HOOD <br /> LAUNDRV TRAV ; WATER HEATER <br /> CIOTHES WASHER � WOODSTOVE <br /> URINAL ' ?f WE?¢Ly1FiGPL9C�8 CHIMNEY <br /> DRINKING FOUNTAIN � FIREPLACE INSERT ; <br /> FLOOR DRAIN � HEAT PUMP � <br /> BACKFLOW PREVENTERS GAS PIPING ; <br /> ROOF DRAINS—RAINLEADERS I X E%HAUST FAN <br /> �— <br /> SINK(SERVICE—BAR,ETC.) ' <br /> � <br /> — � <br /> � <br /> � <br /> SUB TOTAL $ SUB TOTAL $ ' <br /> PERMIT $ PERMIT $ � <br /> TOTALFEE $ TOTALFEE $ � <br /> FOR OFFICE USE ONLY: <br /> FRONTSETBAGK REARSETBACK SI�EiETBACK PLANLHECNNU ER FEE RECEIPTNO. <br /> I S 5� ` <br /> use z�+= ior aaen YnCR!!T SITE FE S VALUATON FEE <br /> G � BUILDING � � � <br /> iYPEOFCONiSALLOWABIf TYPFOiLON57.AG1UAl oCcuvnHCr NOaowu:ixcuui*5 � <br /> ceour p�UMBIPIG � <br /> i <br /> SREOFBLDG. NO.OFSTORIES bASEMENT MECHANICAL � <br /> OCCUPANCV LOAD Fl^E SPRNKLERS FEO'� MEIGHT LIMITqTiON ADDITIONAL PLAN CHECK � <br /> 1 <br /> OTHER � <br /> RE�SON FOR SPRINKlERS —�— <br /> STATE BUILDING SURCH/.RGE � <br /> INTAKEBY PLFNSRPPROVEDBV i <br /> CITY OF EVERETT PUBLIC WORKS , <br /> LOCAL SALES ' <br /> o..II�,J- TAX CODE IS 3105 TaTa� 9. /�� <br /> �f <br />