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APPLICATO FOR CONSTRUC*ON <br />PERMIT GMeEPIE <br />TO BE COMPLETED IN INK —PLEASE PRINT <br />rre E <br />CITY OF <br />everett <br />F HEATING SYSTEM: 0GAS ❑ELECTRIC ❑ <br />BUILDING DEPARTMENT <br />--- <br />259 8610 <br />DEMOLITION <br />COMBINATION BUILDING MECHANICALfPLUMBING <br />SIGN <br />OWNER <br />MAIL ADDRESS CITY ZIP PHONE <br />TINY($ !�c£:YZFlUA/7 <br />///ice ��� ZVE2s_i7� 93"ao5' <br />TENANT <br />MAL ADDRESS CRY ZIP PHONE <br />AROATECTOADESIGNER <br />MIL ADDRESS CITY ZP PHONE <br />MAL ADDRESS CITY DP PH^ E 33T-1Fi9Y LICENSE. <br />ZiGEIIEMLCONiGAC10R <br />/S HOLM <br />% e%/.M //6'2`_Xor- /%E LK67£Jt,✓S <br />C//IL�S He�icti� <br />MECHANKA CONTRACTOR <br />MAL ADDRE99 CITY ZIP PHONE <br />LICENSE. <br />PLUMBING CONTRACTOR <br />MALADDRESS an ZIP PHONE <br />LICENSE. <br />cussawaAK <br />-. NEW U ADDITION <br />X ALTERATION C! REPAIR C7 DEMOLITION WOODSTOVE/FRPL <br />INSERT Ci BUILDING RELOCATION <br />CONTMLi f RICE OF WOILK <br />CONTACT PERSON AND PHONE NO <br />DESVASE WORK ANO FOLIAGE FOOTAGE MOLVED <br />PRovoSEp DunnwG <br />B 1, <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT, ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL 3E COMPLETED WITH WHETHER SPECIFIED HEREIN OR <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 REGULATING CONSTRUCTION 09 THE <br />PERFORMANCE OF CONSTRUCTION. THAT I 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 RCW AND 296.200 WAC. <br />56"WRE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />X <br />LEGALOESCRIPTIONOF PROPEWYISHORNDELOWDRATTACHFOURGOPIESI <br />LOT _ BLOCK . OF <br />PROIECTADLHFSS <br />•f� Y1^ �✓ �f7 <br />�t�a� <br />T <br />APPLICANTS CITY BUSINESS LICENSE NO AND BUSINESS NAME <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />- TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />NC-AHNOLG UNITS-H.P. <br />BATHTUB <br />FORCED AIR SYSTEMS-B: F.U. M E.A. <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS-B.T.U. M <br />SHOWER <br />CLOTHES DRYERS <br />S" <br />KITCHEN SINK & DISP <br />VENTILATION FAN <br />' <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE & CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />-,7- <br />FLOOR DRAIN $ Nk <br />I HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />_ <br />ROOF DRAINS-RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE -BAR, ETC.) <br />_ <br />'A7£P- £AT£2-. <br />i. <br />SUB TOTAL 4 <br />SUB TOTAL 4 <br />PERMIT S <br />Q <br />PERMIT 4 <br />TOTALFEE 4 <br />TOTAL FEE $ <br />FOR OFFICE USE ONLY: F, a(o2 j Li <br />FNONTSETBACK <br />REARWEACK <br />SNESETBACK <br />PLANCNECKNUMBER <br />FEE <br />RECEIPt NO <br />USE ZONE <br />LOT AREA <br />VAGNTREE <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />PLUMBING <br />TYHdCON1541DRABLE <br />TYPEMCDNFTACNHL <br />acR.ABO MIRpN1LM. <br />LEI' <br />SIZECFELDO <br />NO OF STORIES <br />BASEMENT <br />MECHANICAL <br />ADDITIONAL PLAN CHECK <br />OCCUPANCY LOAD FIRE SPTWKLERSREOD HEIGHTLIMITATION <br />REASON FOR SPARKLERS <br />OTHER <br />STATEBUILDING' RCHARGE <br />INTAKE BY <br />PLANSAPPROVEDBr <br />CITY OFEVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />PUBLICWORKS <br />TOTAL <br />