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APPLICAT101. FOR CONSTRUCTkoN PERMIT E'VI'E(1L <br /> mo E P N P I TO BE COMPLETED IN INK—PLEASE PRINT <br /> CITY OF <br /> eve rett HEATING SYSTEM: AS U ELECTRIC ❑___ <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING 1 SIGN <br /> OWN R MAIL ADDRESS CITY ZIP PHONE <br /> l�c,TY)1 .—* 4,le- w.A c,"' 2 <s�) a3y-o6vy <br /> TENANT MAIL ADDRESS CITY ZIP PHONE _ <br /> ARCHITECT OR DESIGNER MAAADDRESS CITY ZIP PHONE I <br /> DDS , c/� fx�lE�n1!2 t eirr6poa GIA Y'22 —I�Zy <br /> GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE/ <br /> TiulncyK TiYdLul oval ) 7-eo/1) /11)9,/ A <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSEE <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSEE <br /> CLASS OF WORK <br /> 1[ NEW (] ADDITION ALTERATION REPAIR DEMOLITION WOODSTOVElFRPL INSERT G BUILDING RELOCATION <br /> CONTACT PERSON AND PHONE NO. <br /> CONTRACT PRICE OF WORK <br /> DESCRIBE WORK ANO SQUARE FOOTAGE INVOLVED <br /> CC41 <br /> s�Tu4 <br /> / 111 Izlq <br /> PROPOSED USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> SI noir 'l-,q m, rnI wnca-' APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> LEGAL DE SCR`IPTION OF PROPERTY ISHOWN BELOW OR ATTACH FOUR COPIES)LY PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LOT 'J J BLOCK _ OF JJ V �f NOT THELL BE COMPLETED WITH GRANTIING OFA ERMITyDOES NOT PRHETHER IFIED ESUMEETOI GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> --" PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOR'ZCD BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK F09 WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH TH-. STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC, <br /> SIGNATURE OF CONTRACTOR OR AUTHOR17ED AGENT DATE <br /> X <br /> PR /inucmEs — <br /> on Er <br /> i3/�c`J APPLICANTS CITY BUSINESS LICENSE NO AND BUSINESS NAME <br /> PLUMBING LJ1 J C MECHANN AL <br /> NO. TYPE OF FIXTURE OR REM FEE NO, TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) p I - ASC-NHNDLG UNITS-H.P. <br /> BATHTUB FORCED AIR SYSTEMS-B T.U. M E.A. <br /> Z LAVATORY(WASH B%SIN) /U I - UNIT HEATERS-B.T.U. M _ <br /> / SHOWER ! / CLOTHES DRYERS _ <br /> KITCHEN SINK 8 FISP ,5 VENTILATION FAN <br /> DISHWASHER RANGE HOOD — <br /> _ LAUNDRY TRAY ; WATER HEATER <br /> / CLOTHES WASHER r I JlP WOOD STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEY — OOU <br /> DRINKING FOUNTAIN I FIREPLACE INSERT —_.T— <br /> FLOOR DRAIN HEAT PUMP ' <br /> BACKFLOW PREVENTERS )< GAS PIPING ' <br /> ROOF DRAINS—RAINLEADERS I EXHAUST FAN <br /> SINK(SERVICE—BAR,ETC.) liewn 1/,Ill- DD <br /> I <br /> I <br /> — I <br /> I <br /> I I <br /> SUB TOTAL b f i SUB TOTAL $ ' U <br /> PERMIT b PERMIT $ �r <br /> TOTAL Fac b ;�' TOTAL FEE b O'Nom) <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBACK REAR SETBACK SIDE SETBACK PLAN CHECK NUMBEn III: RECEIPT NO <br /> !? , S — �3 <br /> USEZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> BUILDING 3 38z 7 7 L!5-0 <br /> 0 <br /> TYP CONTB ALLOWABLE TYPE OF CONST.ACTUAL OXIPAECY EO 0IKALIAIB",R ' <br /> GO" � PLUMBING <br /> .3 <br /> SIZE'FZjBLDGS, NO OF STORIES BASEMENT MECHANICAL <br /> SO L Sf G Ax �_ /LIG ' <br /> OCCUPANCY LOAD FIRE SPF NKLERS REDS HEIGHT LIMITATION ADDITIONAL PLAN CHECK <br /> I <br /> /,10 OTHER <br /> REASON FUR SPRINKLERS <br /> STATE BUILDING SURCHARGE I U <br /> INTAKE BY PIANS APPROVED BY CITY OF EVERETT PUBLIC WORKS <br /> LOCAL SALES <br /> TAX LODE IS 3105 TOTAL <br />