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- .-. <br /> APPLICATI4.� FOR CONSTRUCT►�1� PERMIT �'�'fe« <br /> . � <br /> ���„�ro,�„ ' • TO BE COMPLETED IN IIdK—PLEASE PRINT <br /> GTY OF <br /> everett HEATING SYSTEM: D GAS ❑ELECTRIC ❑ <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> i_l DEMOLITION ❑ COMBINATION i= BUILDING [7 MECHANICAI ❑ PLUMBING ❑ SI�N <br /> ONMER M�IL RDDflESS CITV ZIP PHONE <br /> TENANT MAILADDRESS CITY ZIP PMO`!E <br /> ARCMRECTON DESIGNER MAIL ADOHE55 CITV ZIP PHONE <br /> GENERALCONTRACTOR MAILADDRESS CITV ZIP PH E �ICENSEi <br /> . MECHiUIICRLCONTRACTOR MAILADDRESS CIN ZIP HONE LICENSEt <br /> , PLUMBING CONTRACTOR MAIL ADOflESS GITY ZIP PIqNE UCENSE t <br /> . CLASS OF WORN '-- <br /> � . � ❑ NEW ❑ ADDITION ❑ ALTERATION f_7 RE IR L] DEMOLITION ❑ W DSTOVE/FRPL INSERT ❑ BUILDING RELOCATION <br /> . . CONTACTPERSONA PHONENO. <br /> � ' CONTflACT PRICE OF WORN � <br /> . DESCRIBEWORKANDSOUARFFOOTAGEINVOWED <br /> '� �. vRoroseouseoFeui�oiruc I HERE Y CERTIFY THAT I HAVE READ AND E%AMINED THIS . <br /> � � APPLIC ION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> '�� i �EGALDESCflIPTIONQ�PROPEFTY�SHOWNBELOWORATUCMFWRCA�IES) PROV IONSOFLAWSANDORDINANCESGOVEP.4INGTHISTYPEOF <br /> ' � ' WO N/ILL BE COMPLETED WRH WHETHER SPECIFIED HEREIN OR <br /> � �. i �or BLOCK __ OF NO . THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ' � A HORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> � I _ . O HER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> , � � F.FORMANCE OF CONSTRUCTION.THAT I AM AUTHOflIZED BY THE <br /> � WNER OF THIS FNOPF.RTY TO PERFORM THE WORK FOR WHICH <br /> , � —� APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> � � � CONTRACTORS U1W 1827 RCW AND 296200 WAC. � <br /> ' � . � SIGN�NFlEOFCONTRACTOROqAUTMORIZEDAOENT DATE ' <br /> � <br /> �. � PHOJECTADDRESS � <br /> � _ APP 11NTS 6iTY BUSINESS LICENSE NO.AND BUSINESS NAME . <br /> PLUMBIN6 ME ICAL <br /> � NO. TYPE OF FlXTURE OR ITEM FE H0. TYPE OF EOUIPMENT FEE <br /> i <br /> . � WATER CLOSET(TOILE� � AIHNDLG UNIT�Fi.P. � <br /> � . BATHTUB ;� F ED AIR SYuTEMS--B.T.U. M E.A. � ; <br /> ' LAVATORV(WASH BASIN)- � UNI EATERS—B.T.U. M ; � <br /> ; SHOY:ER � CLOT ES DRVERS � �� <br /> !` KITCH�=N SINK 8 DISP ; VENTI TION FAN ' <br /> ' <br /> . OISHW �SHER � RANGE D � � <br /> t LAUNC YTRAY ; WATER H TER ' � <br /> � <br /> � CLOTf S WASHER � WOOD ST E ; <br /> � � URINAI. ' METAL FIRE LACE 8 CHIMNEY � <br /> DRINK" �;n FOUNTAIN I FIREPLACE I RT ; <br /> � FLOOF. RAIN � HEAT PUMP � <br /> � BACKFLOW PREVENTERS ; GAS PIPING ; <br /> �� ROOF DRAIN�RAINLEADERS � EXHAUST FAN T– <br /> �-- <br /> � , SINK(SERVICE—BAR,ETC.) ; ; � <br /> � <br /> � i <br /> —�– <br /> i <br /> � , <br /> � i <br /> � � <br /> � i � <br /> SUB TOTAL $ ; SUB TOTAL $ ' <br /> PERMIT $ � ERMIT $ � <br /> � TOTAL FEE g ' T TAL FEE 5 � <br /> FOR OFFlCE USE ONLY: � <br /> FRONTSETBACK flEARSETBACK . SIDESETBACN PUNCNECKNUMBER FEE flECEIPTNO. <br /> � <br /> � USEZONE LOTAREA VACANTSITE FEES VALUATION FEE <br /> BUILOINCa i <br /> TYPEOFCONTS.ALLOWABLE TVPEOFCONSTACTURI ar:UPeNCY NO.OfOWEIIINGuxRS � <br /> GRWP pLUMBING � <br /> SRE OF BLUi. NO.OF STOPIES BASEMENT MECHANICAL � <br /> � OCCUPANCY LOAD FIRE SPRNKLERS REQ'D HF.IGH7'LIMITATION ADDITIONAL PLAN CHECK i <br /> i <br /> _ OTHER � <br /> REASON FOq SPRINI<lERS �— <br /> STATE BUILDING SURCHAR3E i <br /> INTAKE BY PLANS APPROVED BV CITY OF EVENEIT PUBLIC WORKS � � <br /> LOCALSALES <br /> TAI(CODE IS 3105 TOTAL � <br />