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APPLICATION FOR CONSTRUC? ION PERIMIT <br />Ihe Erergreen <br />CITY OF <br />everett <br />BUILDING DEPARTMENT <br />259-8810 TO BE COMPLETED iN ItIK—PtEASE PRINT <br />❑ DEMOLITION i] COMBINATION CI BUILDR:G �MECHANiCAL <br />OR DESIGNER <br />PUUHt55 <br />UIY LIY YMUNG <br />I l PLUMBING <br />�� l�i — <br />everett <br />� <br />Ll SIGN <br />❑ N�W ❑ ADDITION <br />TENANTIMPROVEMENTORII <br />CONTRRCT PflICE OF WORN: <br />ALTERATION I 1 REPAIR I 1 DEMOLITION I 1 WOODSTOVE/FRPL INSERT I..I BUILDING RELOCATION <br />.� <br />PflOPOSED USE�� l <br />1/ � <br />L./ <br />LFGRL DESCPIPTION OF PROPERTV �SHOWN BELOW Ofl ATTACH FOUR COPIES) <br />LOT BLOCK _ OF <br />PaaecT <br />WATER CLOSET (T( <br />BATHTUB <br />LAVATORY(WASHE <br />SHOWEfl <br />KITCHEN SINK 8 DI: <br />DISHWASHER <br />LAUNC�IY THAV <br />CLOTH�S WASHER <br />DRINKING FOUiJTAII I _ <br />FLOOR DRAIN <br />BACKFLOW PREVENTEAS <br />FRONTSETBACK <br />USE 20NE <br />7YPE Oi LONSi. ALLOWABLE <br />SIZE OF BIDG. <br />OCCUPANCYLOAD <br />REASON fOB SPRINKLEflS <br />APPUCATION AGC. 9Y <br />OR ITElA <br />SUBTOFAL $ <br />PERMIT S <br />REARSETOACN <br />LOT AREA <br />iYPE OF CONSi. ACiURt <br />NO. OF STORIES <br />FIpE SPPNNLEflS flE0'D <br />❑ YES f ] NO <br />PLANS APPROVED BY <br />FEE <br />CONTACI FERSON ANO PHONF NO <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO dE TRUE AND CORRECL ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITfI WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CAIJCEL THE PRCVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION UR THE <br />PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 FiCW AND 296.200 WAC. <br />SIGNFT REOFCON7RACTORORAUTHORIZEO GENT DATE <br />.� � � yr�, <br />FPPLICnNTS LITY BUSINESS L Y5E NO. NO OUSINFSS NAME <br />mc�.nnnwn� <br />N0. TYPE OF EOUIPMENT <br />A/C—NHN�LG UNITS—H.P. <br />FORCED AIR SYSTF.MS—B.T.U� <br />UNIT HEATERS—B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />METAL FIREPLACE & <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAl1ST FAN <br />SiDESE1BACN PLANCHECNNUTAB[R <br />VACAIlT SITE FEES <br />—I —I �YES �I.I NO DUILDING <br />IIC[IIPANCY 1.� 'o Of�N'fIIiNGulii�5 <br />cnaun p�UMBWG <br />BASEIAENT MECHANICAL <br />I-.I YES ❑ NO <br />HcIGNTL'IAITFTION OTHER <br />STATE �UIIDING SL'FCHARGE <br />STATE ENEFiGY SURCHARGE <br />CITY OF EUERETT PUBLIC WORKS <br />LOCAL SALES <br />TAX CODE IS 3105 TOTAL <br />SUB TOTAL E Y <br />PERMIT $ <br />TOTHL FEE $ <br />FEE RECEIPTNO. <br />FEE <br />