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APPLICATI(od FOR CONSTRUC7.ON PERMIT Everett <br />in. E.Twr, TO BE COMPLETED IN INK —PLEASE PRINT <br />CITY OF } <br />BUILDING DEPARTMENT eVCPeHEATING SYSTEM: GAS OELECTRIC O <br />259-8810 <br />1 DEMOLITION _ I I COMBINATION t I BUILDING ZMECHANICAL I IPLUMPING I I SIGN <br />ONNEII MAM1 ADDPE55 cnr <br />So .� <br />O VR6 Atl 9 _ 11 _ 13 <br />/ L// <br />Sf <br />ZIP <br />PMON[ <br />ARCHITECT OR DESMNLM <br />MAR AWRESS <br />LqV <br />2. <br />P E <br />PNDNE 16fN5EA <br />GENERAL CONTRACN>R <br />MAIL ADOIFSB <br />CITY <br />ZIP <br />nLNAN ON IRACTDR <br />MAK Am... — <br />LILY <br />TV <br />n....... .. .. _ <br />m.....,w�oo C.1y ZIP PHLWt 1'ClNSkP --J <br />I I NEW I I ADDITION >4 ALTERATION 1 REPAIR 1 I DEMOLITION I WOODSTOVE/FRP <br />LINSERT ,.I BUILDING RELOCATION <br />%�/O.Ud <br />CDNTACl rLn50NAN0 rIgN[Iq <br />WWAAC}PRCEOFIVORK <br />D qOE VIDRK ANp50UAR[FOO}AOE MVOIVE <br />PgnPO. O DSF OF gllllOV10 <br />inn J <br />I E �[•W�'�e�—/''_�_T_L <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND <br />1FOAt ofuRlr}qN DrtbAOPrflIYISND�{NeELowoRAnACHFWq`I';II(51 <br />KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />LOr BtM. pr <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO 31VE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION.MAT 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 />-- <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />IIUNAIUNE O/IBC/E]�N}/n�AL�}D�q (�q Zl"' GATE <br />APP0CANTSCI7YBUSINELSLKl,t,l ANDBUSiNESSNA IAr <br />PPWECI ApDRt55 <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WAYER CLOSET <br />. SET (TOILET) <br />AC-AIHNDLG UNITS-H.P. <br />_RATHTl1B <br />LAVATORY ('.VASH BASIN) <br />FORCED AIR SYSTEMS-B.T.M E.A. <br />U. <br />a <br />SHOWER <br />UNIT HEATERS-B.T.U. AI <br />KITCHEN SINK A DISP <br />DISHWASHER <br />_ <br />CLOTHES DRYERS <br />VENTILATION FAN <br />-- <br />—T_- <br />_ <br />- <br />-- - <br />RANGE HOOD <br />-WATER <br />—I- <br />LMINDR'YTRAY <br />HEATER <br />CLOTHES WASHER <br />URINAL <br />—_ <br />YV DSTOVE <br />—_ <br />DRINKING FOUNTAIN <br />METAL FIREPLACES CHIMNEY <br />FLOOR DRAIN ---' <br />--- <br />FIREPLACEINSERT <br />- <br />_ <br />OACKFLOW PREVENTER$ <br />_ _ <br />HtAT VUMP <br />ROOF DRAINS-RAINLEADERS <br />--� <br />GAS PIPING <br />EXHAUST FAN <br />-- <br />- <br />SINK (SERVICE -BAR, ETC I <br />STIR TOTAL S <br />SUBTOTAL S <br />PERMIT <br />_ <br />TOTAL FEE S <br />- ---_ PERMIT S <br />FOR nFFIQP <br />uee nLI. v. <br />TOTAL FEE S <br />5' In A) <br />AA n1 1 , r <br />rewxT SETBACK PEAR SETBACK <br />SIDE SETBACK <br />PLAN CHECKNVV9IR !fFIYALUATIONN <br />USE TONE LOTMEAVACANT <br />SIZE <br />FEE$EE <br />BUILDING <br />ionvco 51 Af1UAl <br />PLUMOING <br />SCMECHANICAL <br />REWBKKLI'DS REDO <br />NEGH}LWUAIx1N <br />ADDUIONAL PLAN CIIECK <br />RCABLWPp116PRWKlERS <br />OTHERSIME <br />PLAIIG APPPt4F0 BYCITY <br />OF EVERETT <br />LOCAL SALES <br />BUILDING SURCHARGEWiAXFBY <br />PUBLIC WOnKS <br />TOTAL <br />TAX CODE IS 3105 <br />