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� <br />� ,-, <br /> APPLICATIO.J FOR CONSTRUCT.JN PERMIT everett <br /> r TO BE COMPLETED IN INK—PLEASE PRINT � <br /> fhe Ewrgreen <br /> CITY Of <br /> everett HEATING SYSTEM: ❑GAS D ELECTRIC ❑ <br /> BUILDING DEPARTMENT <br /> 259-8�310 <br /> �J DEMOLITION �] COMBINATION ] BUILDING -MECHANICAL C PLUMBING �}�,SIGN <br /> Ep MAILADDRE55 CI ZIP PHONE <br /> �fl�v,�Y�w' S 1e � u�c�.�—��i-�' A�� sr- �v�� 5�L�i 3 3 7-�ss�. <br /> TEN/�M MAILI.ODRESS CIN ZIP �PHONE <br /> �c� r-� <br /> ARCHITECTORDESIGNEP MAIL�D�RE55 CIN ZIP PHONE <br /> �i1�F � <br /> GENEfULCONTRALTO�R � " MAILADDRESS �CIN P PHON LICENSEI <br /> �IGN e4vtcE ,Z.�E-�.�q�nES 2z� � r���'T �t` �/£ fiifizt! `l�zu� Si6NssZ li3 P3 <br /> MECHIWICALCONTiUCTOF MAILADDRE55 QTY ZIP 3 PHONE UGENSE• <br /> PLUMBINGCONTPAGTOR MAILADCflE55 CITY ZIP PHONE LICENSEI <br /> CLA55OF WONK <br /> ❑ NEW ❑ ADCITION _ LTERATION -'. REPAIR ❑ DEMOLITION ❑ WOODSTOVFIFRPL INSERT G BUILDING RELOCATION <br /> ��^U CO u�iSGANDP�E,`NO.�� �S^� O <br /> �:OMBALT PR:CE OF WORK t�i <br /> DESCRIBE MIORN�NO SOUARE T�GE INVOLVED / <br /> �p�..E �� 6N � � Z 1LJ <br /> PqOPO USEOFBUILDING I HEREBY CERTIFY THAT I HAVE fiEAD AND EXAAAINED THIS <br /> � „ �,P _ �.e APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LE6ALDESCRIPTI OFPqOPE (SHOWN BE�OW OFP?TACH FOURCOPIES) PROVISIONS OF LAWS A�'D ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILI BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �or e�ocK oF 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 REGULATING CONSTHUCTION OR THE <br /> �y PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> ` J+� �� i/� OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> �'v APPLICATION IS MADE AND I COMPLY WITH TNE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> SIGNATUREOFCONTFACTORORRl1TXORIZEDAGENT OATE <br /> � X ✓/}�11/lir.c., .��/� 3—. i <br /> i PRQIECTApDDRF.Su �J� y��£ S � • � 5'�wi � /�TSCITV USINESSLIC NSE .ANDBUSINESSNAME <br /> 1 � � D � ��1 Tl <br /> � PLUMBIN6 MECHANICAL <br /> ' yp, TYPE OF FlXTUHE OR REM FEE NO. TVFE OF ECUIPMENT FEE <br /> WATER CLOSET(TO�LEn � A/�A/HNDLG UNITS—H.P. �_ <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> LAYATORY(WASH BASIN)� � UNIT HEATERS—B.T.U. M � <br /> Sl10WER <br /> � CLOTHES DflYERS : <br /> KIl'CHEN SINK 8 DISP � VENTILATION FAN � <br /> DISHWASHER RANGE HOOD � <br /> LAUNDRY TRAY ; WATER HEATER <br /> CLOTHES WAF,HER � WOOD STOVE ' <br /> URINAL ' METAL FIREPLACE 8 CHIMNEY ' <br /> DRINKING FOUNTAIN � FIREPLACE INSERT � <br /> FLOOR DRAIN � HEAT PUMP ' <br /> BACKFLOW PREVENTERS ; GAS PIPING � <br /> ROOF DRAINS—RAINLEADERS � EXHAUST FAN ' . <br /> SINK(SERVICE—BAR,ETC.) � , <br /> ' 1 . <br /> � ' <br /> � ' <br /> � <br /> SUB TOTAL $ ' SUB TOTAL $ ' <br /> PERMIT $ � PERMIT S � <br /> TOTALFEE $ ' TOTALFEE $ ' <br /> FOR OFFICE USE ONLY: <br /> FRONTSETBACN REARSETBACK SIDESETBACY PIANCHECKNUMBER FEE FECEIPTNO. <br /> �%2(o <br /> USEZONE LOTARE� VACANTSITE FEES VALUATION FEE <br /> �. <br /> �"� � BUILDING ' <br /> ifPEOFCONTS.AILOWABLE ttPEOFCONSI.AC7Un� a[cqW r xociow[luNGUNrtS � <br /> PLUMBING � <br /> r— <br /> SIZE OF A�DG. NO.OF STORIES BASEMENT MECHANICAL � <br /> OCGUPANCV LOAD FI9E SPRNNLERS REO'D HEIGHT LIMITA�IJN ADDITIONAL PLAN CHECK � S <br /> i <br /> OTHER � <br /> REASON FOR SPRINNLERS � <br /> STAT[BUILDING SURCHARGE � <br /> � � <br /> INT�NE BV PUNS PROVE�BV CITY OF EVEREIT PUBLIC WOiiKS � <br /> � LOCAL uALES � <br /> TAX CODe IS 3105 T�TAL ' <br />