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ppPLICAT60.i FOR CONSiRUCY..,�N PERMIT <br />TO BE CQMPLETED IN INK--PLEASE PRINT <br />I�e Everp�ean <br />CITY OF <br />everett <br />BUII_DING DEPARTMENT <br />259•B810 <br />NEATING SYSTEM: "� GAS ❑ ELECT?IC U <br />DEMOLITION I : COMBYNATION <br />� ��E�• MAILA��FESS � ��� <br />1ENANT M� E 5 � <br />_.� i Q �f - /� <br />! BUILDING bC MECHR NICAL <br />—cnr e zir Nno��e <br />_ . <br />PHONE <br />�'�- �✓ — —� � _ CITY 21P rnvnc <br />ANCMITECTOROCSIGNER MAIL�D�RESS <br />CItY ZIP PHONE <br />��.��oei rnuTPRCTOF MAILADDHESS <br />I � PLl!N181NCi <br />LiCENSE t <br />everett <br />� <br />L SIGN <br />CUSS OF WORK � _ <br />', N[yy I' ADDITION 'iQ ALTERATION i REPAIR � 1 DEMOLITION WOODSTOVE/FRPL INS[RT �. i BUILDINO RELOCATI N <br />�--- CONTAG7 PLIISUF ANU FIIONC N0. <br />•/AAl � _ <br />AND <br />��T OLOCN <br />� .. ... -- <br />I HEREBY CERTIFY THA7 I HAVE READ AND E%AMINED THIS <br />"�'�`��''/ qPPLICATION AND KNOW 1NE SAME TO BE TRUE AND CORRF.CT. ALI. <br />�owORATi�CH�OUAC IES� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />oF NOT. THE GRANTING OF A PERMIT DOES NO7 PRESUME TO GIVE <br />AUTHORITV 70 VIOLATE OR CANCEL THE PROVI610NS OF ANY <br />PERFORMAN'CE OF�CONSTRUCTION. THAT I AM AUTHURIZ D BY THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY ,WITH THE STATE <br />CONTRACTOFS LAW 18.27 RCW AND 296.200 WAC. <br />5IGNAIUREOFCUNTRnGTO�GflAUiHOR12EU�ENf D�TE <br />� �ti� <br />APPLICANIeGTYBU51NES5UCENSENO ANDUUS'�NESSNR <br />N0. TYVE OF FIXTURE OR <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />i ALINDRY TRAY <br />SINK <br />FOR OFFICE USE ONLY: <br />FRONTSETBACK REA,+SFIBACI: <br />USE ZONE �� �n�A <br />OCCUP�NC�LOAD � <br />� <br />PBASON fOR SPRINNLERS <br />INiANE BV <br />7rY4 0� <br />Sl1B TOTAI <br />P[RMiT <br />TOTAL FEE <br />AEOD <br />PLANSAV?ROVED <br />fEE <br />� <br />� <br />$ <br />SI�E SETB�CK <br />NCrA1HNDLG UNITS—H.P. � <br />=ORCED AIR SYSTEMS—B.T.U. M E.A. �Q1 <br />JNIT HEAT[RS—B.T.U. b1 <br />CLOTHES ORYERS � <br />� <br />VGNTILATION PAN <br />fiANGE HOOD � <br />WATER HEATER � <br />WOOD STOVE <br />METAL FIREPLACE 8 CHIMNEY _ __ i <br />FIAEPLACE INSERT ' <br />HtA1 PUMP <br />GAS PIPING <br />EXHAUST FAN . _ -- <br />WCANI SITF <br />eui�e:Nc <br />OCfUPA4(� F�MOWlIU411UXI15 — <br />c+ur PLUMBING <br />BASEMENT MECHANICAL <br />NFiGHt uunnri0'+ ADDITIONAI PLAN CHECK <br />OTHER <br />STATE BUILDWG SURGMARG[ <br />CITY OF EVERETT PUBLIC WOAKS <br />LOCALSALES <br />TAl( CODE IS 3105 Tor�� <br />- SUBTO7AL S <br />PERMIT S <br />TOTALFEE 3 <br />NO <br />_�_ <br />