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APPLICATIOI r FOR CONSTRUCTI�N PERMIT everett <br /> rne eVer�,een TA BE COMPLETED IN INK—PLEASE PRINT � <br /> CITV OF <br /> everett HEATING SYSTEM: ❑GAS ❑ELECTHIC U <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> }�DEMOLITION L"1 COMBINATION I I BUILDING I.I MECHANICAL ❑PLUMOING ❑ SI(3N <br /> OWNER M�lAODflESS ��ry Z�p pHONE <br /> �o13ErzrG , �i�iq���l�'�' I�N� v1�AQys�.�iub� �f�27� G5�� �1d`ly�TcsS..l�l�l <br /> TENANT AIAIL11DpqESS GTY ZIP p{�pryE <br /> _ NnNt <br /> ARCMIiECTOqDE51GNER IMILIIDDRE55 CITY Z�p pFpryE <br /> 7 W IJI= (Z- SA'�'�1t- .� �-� �i lt�t <br /> GENEMLCON7AACTOP MAILROORESS CITY Z�p p�E �� <br /> N/��-p�AU��'��ST rc�.,��rlv�l 2L'�Z I� l(d��A►�D E �JEI�! �j$Zol NA•►-B-A�.t�,oN <br /> , . MECHANICN.CphfRACTOq ALIILADDpESS CI1Y ZIP PNONE IICENSE� <br /> — CII-���A((1 W ►�I <br /> ' PLUMBINOCONTR�ICTOR IMIl110DPE55 CITY ZIP PMONE 110ENSE/ <br /> � Y <br /> cuss aF woaK <br /> . I I NEW f 1 ADDITION LTERATION I I REPAIR F OLITION I -I WOODSTOVE/FRPL INSERT ❑ BUILDING RELOCATION <br /> , � " � CONI�CT PENSON AND PHONE NO. <br /> � CONTRACT PRICE OF M/(MK �A � <br /> - DESCR9EWORKANDSOWflEFO0iA0ENlVOW 7� e��V�r ��� � � �� <br /> � <br /> i . t <br /> �.. rrrorosenuseoFem�onra � I HEREBY CERTIFY TH,1T 1 HAVE READ AND EXAMINED THIS <br /> j ���.� � SI rlG LL W�I(� E C� AppLICATION AND KNOW THE SAME TO BE TqUE AND CORRECT.AL� <br /> � . , � LEGAL DESCHIPTKKJ OF P OPERiV(SIqWN BE�pW pq�ttACH FOUR COPIES) PROVISIONS OF LAWS AND ORDINANCES�OVERNINO THIS TYPE OF <br /> '�� ` �o L � p� �� pF U WORK WILL BE COMPLETED WITH NiHETHER SPECIFIED HEREIN OR <br /> ! ' � NOT. THE GFANTING OF A PERMIT DOES NOT PRESUME TO 61VE <br />� I��:�; � AUTHORITY TO VIOLATE OR CANCEL THE PROVIS�ONS OF ANY <br /> �� ;�'�-�� � OTHER STpTE OR LOCAL LAW REOULATINO CONSTRUCTION OR THE <br /> � .�,�_��. . <br /> ! PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> i OWNER OF THiS PROPERTY TO PEiiFORM THE WORK FOR WHICH <br /> ��r ��� � APPLIC O IS MADE AN COMPLY WITH THE STATE <br /> j ;,�. . ' CONT CTOR LAW 1827 R AN 20p W . <br /> i i <br />� i I SICiNl1 E OF C RACTOH OR Ni <br /> i. E�, y I <br /> � A <br /> � . � VRCJECTIIDDRESS � <br />�;i ' 2 .. 2 �1 �P AN CITY BUS�NESS LIC SE NO.M!D BUSINESS N <br />� � � � � � PLUMBINO MECHANICAL <br />� � O. TYPE OF fl7(TURE OR REM FEE N0. TYPE OF EOUIVMENT FEE <br /> � WATER CLOSET(TOILEn � AIC—AIHNDLG 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 � CLOTHES DRYERS � <br />� , KITCHEN SINK 8 DISP ; VENTILATION FAN � <br />� i DISHWASHER � RANGE HOOD , <br /> �. LAUNDRYTRAY ; WATER HEATER � <br /> � CLOTHES WASHER � WOOD STOVE ; <br /> , � � URINAL � METAL FIREPLACE 6 CHIMNEY � <br /> � �, DRINKING FOUNTAIN � FIREPUICE INSERT ; <br /> �� FLOOR DRAIN � HEAT PUMP � <br /> BACKFLOW PREVENTERS ; OAS PIPING � <br /> ROOF ORAINS—RAINLEADERS � EXHAUST FAN , <br /> SINK(SERVICE—BAR,ETC.) ; � <br /> i <br /> � � <br /> � � � <br /> � <br /> 1 ' I <br /> SU8 TOTAL S ; SUB TOTAL S � �'� <br /> PERMIT S � PERMIT S ; I <br /> TOTAL FEE S ' TOTAL FEE 3 � .. <br /> FOH OFFICE USE ONLY: I <br /> FppNTSETBACK RE�RSETBACK SIDESEiBACK PLANCMECKNUMBER FEE RECEIPTNO. �I <br /> Z � 1g3.38' U <br /> . USE20NE LOT�REA VACANTSITE FEES VALUATION FEE <br /> BUILDINO � <br /> TYPFOfCON15.ALLOWABIE 1VPEOFCONST./itTUI! ottu>�Ncr 1AIXUY[LlIN0UX118 i <br /> �"aP PLUMBING � <br /> i <br /> SI2EOFBLD(7. NO.pFSTONIES BASEMENT MECHANICAL i <br /> OCCUPANCY LOAU FIRE SPRNI(LERS REO'0 HEIGHT LIMITATION ADDITIONAL PUN CHECK � <br /> t <br /> � <br /> OTHER i <br /> REASON FOIi SPRtt1KlERS ' <br /> . STATE BUILOING SURCHARGE � <br /> INTAKE BV PUNS�PPROVEO BY CITY OF EVERETT PUBLIC WORKS � <br /> LOCALSALES I <br /> TAX CODE IS 3105 TOTAL ; <br />