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APPLICATIO'6: FOR CONS-TRUCTIJ14 PERMIT everett <br />TO BE COMPLETED IN INK —PLEASE PRINT <br />Ihn EveYCYoon <br />CITY OF <br />everett HEATING SYSTEM: IJ GAS ❑ ELECTRIC ❑ <br />BUILDING DEPARTMENT — <br />259-8810 <br />1 1 DEMOLITION I I COMBINATION I! BUILDING _MECHANICAL I I PLUMBING I I SIGN <br />UWNFR MAIL ADDRESS cHv ZIP - PHONE <br />SIhYIl�I°4>cJ� SILO 33 �& EvT r > a y 33yfr e2zG� <br />TENANT MAIL ADDRESS CITY ]IP PHDNE <br />ARCHITECT OR DEC IGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSER <br />MECH IC AL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICFJISEA <br />jo. ' lb C 5i je�d7- c1�2o1 aRT(f[✓N 103KL <br />FLUMBINGCONTRACTOR MAIL ADDR[Sq CITY ZIP PHONE LICENSER <br />CLASS OF WORK <br />I I NEW I I ADCITION n( ALTERATION 11 REPAIR I I DEMOLITION I I WOODSTOVE/FRPL INSERT 11 BUILDING RELOCATION <br />CONTACT PERSON AND 1111111 NO, <br />CONTRACT PRICE OF WORK " •� ODr <br />DESCIIIBE WORE. AND SQUARE FOOTAGE INVOLVED <br />PROPOSED USE OF BUILOING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AP'D KNr!W THE SAME TO BE TRUE AND CORRECT. ALL <br />PRCVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />LEGAL DESCRIPTION OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COME <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />LOT_ BLOCK OF <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REIrULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />- <br />APPLWATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296,200 WAC. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGEN DATE <br />PRDJECT ADDRESS <br />A <br />PLI;ANTS T BUST _SS LICENSE NO ANOB INESSNAME <br />PLUMBING <br />M CHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />_ <br />WATER CLOSET (TOILET) <br />AIC-NHNDLG UNITS—H.P. <br />I <br />BATHTUB <br />; <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />' <br />LAVATORY (WASH BAS6N) <br />UNIT HEATERS—B.T.U. M <br />SHOWER <br />_ <br />' <br />CLOTHES DRYERS <br />' <br />KITCHEN SINK & DISP <br />; <br />VENTILATION FAN <br />; <br />DISHWASHER <br />RANGE HOOD. <br />I <br />LAUNDRY TRAY <br />WATER HEATER <br />_ <br />CLOTHES WASHER <br />+ <br />WOOD STOVE <br />•� 11 <br />URINAL <br />; <br />METAL FIREPLACE & CHIMNEY <br />'I1 ' <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />) <br />FLOOR DRAIN <br />HEAT PUMP <br />' <br />BA.CKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS—RAINLEADERS <br />' <br />EXHAUST FAN <br />SINK (SERVICE —BAR, ETC.) <br />' <br />I <br />I <br />I <br />— <br />� <br />I <br />--I <br />I <br />i— <br />I <br />SUB TOTAL $ <br />SUB TOTAL $ <br />PERMIT $ <br />I <br />PERMIT $ <br />/ <br />TOTAL FEE $ <br />TOTALFEE $ <br />FOR OFFIC;� JSE ONLY: <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />— <br />BUILDING <br />I <br />I <br />— <br />TYPE 0/ CONTS. ALLOWABLE <br />TYFE Of CONS(. ACTUAL <br />MC01'ANCY <br />NO OF nwR011B WITS <br />raNur <br />PLUMBING <br />SIZE OF BLDG. <br />NO. OF SIONES <br />BASEMENT <br />MECHANICAL <br />y I ' l <br />ADDITIONAL PLAN CHECK <br />I ' <br />OCCUPANCY LOAD FIRE SPRNKLEHS REO 0 HEIGHT LIMITATION <br />OTHER <br />' I _ <br />REASON FOR SPRINKLERS <br />Y� <br />STATE BUILDING SURCHARGE <br />i <br />INTAKE BY <br />PLANS APPROVED BY <br />CITY OF EVEREU <br />PUBLICWORKS <br />' <br />LOCAL SALES <br />TAX CODE IS 3105 <br />TOTAL <br />1tJ <br />