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c"'yovefell .' � II <br /> ,APPLICA,TIO�. FOR CONSTRUCT�N PERMIT <br /> xK.EKero'eeR TO BE COMPLETED IN INK--PLEASE PRINT <br /> CITY OF <br /> everett HEATING SYSTEM: QKAS U ELECTRIC J <br /> 3 BUILDING DEPARTMENT <br /> ji y 259.8810 <br /> a H DEMOLITION COMBINATION BUILDING <br /> MECHANICAL P}LUAMBING SIGN PHONEj <br /> y H CA All.ADDRESS <br /> I'3 <br /> TENAflT MAX ADDRESS �OITY—/ - IIP PHONE <br /> K <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY IIP PHONE <br /> W H <br /> 'Y. GENE "TM"C�OR ,����MAN ADDRES CITY IIP PHONE l'CENSEF <br /> H <br /> m s L7 e A �/IG 7 E/m 4yt 98203 _ wE„oKAJ <br /> MECHANICAL CONTMCTCR MAR ADDRESS CITY ZIP PHONE LICENSE F <br /> n <br /> tslC7 <br /> I,.I <br /> PLUMBINGCONTRACTOR MAX ADDRESS CITY IIP PHONE LICENSE F <br /> Ij H <br /> H <br /> CLASS OF WORK <br /> VNEW ADDITION ALTERATION REPAIR DEMOLITION WOODSTOVE/FRPL INSERT _. BUILDING RELOCATION . <br /> O CQ CONTACT PERSON AND PHONE NO <br /> C] Cy VJ <br /> 5 CL-r CONTRACT PRICE O"WORN <br /> l'1DESCRIBE WORK AND SOU ARE FOOTAC"INVOLVED <br /> 110 CA 5F12 1-7107, <br /> rA <br /> PROPOSED USE OF BUXOM 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> 4 517p- APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEGAL DESCRIPTION OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIESI PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> i LOT L� BLOCK OF D NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> t AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> 2, OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE . <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICI7 <br /> APPLICATION IS MADE AND 1 CC IPLY WITH THE STATE <br /> — CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> -- SIONANJ TR All ROR AUTHOICIIEy DATE <br /> jC11 �� APCITY UINE58lICENSE NO AND BUSINESS NAME <br /> C]� MECHANICAL <br /> � I PLUMBING <br /> NO. TYPE OF FIXTURE OR REM FEE _ NO. TYPE OF EQUIPMENT FEE ' <br /> 7 WATER CLOSET(TOILET) / AIC—AMNDLG UNITS—H.P. <br /> C BATHTUB lo ' FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> 1I 1_ LAVATORY(WASH BASINI - 1i UNIT HER B.T.U. M <br /> SHOWER CLOTHESS DRYERS RS ' <br /> KITCHEN SINK 6 DISI Z VENTILATION FAN <br /> DISHWASHER S ' ' RANGE HOOD ' <br /> LAUNDRY TRAY i WATERHEATER ' <br /> I CLOTHES WASHER ^I WOOD STOVE <br /> URINAL ' 1 METAL FIREPLACE&CHIMNEY c o <br /> DRINKING FOUNTAIN I FIREPLACE INSERT <br /> FLOOR DRAIN ' HEAT PUMP ' <br /> BACKFLOW PREVENTERS ; GAS PIPING <br /> ROOF DRAINS—RAINLEADERS <br /> EXHAUSTFAN ' <br /> SINK(SERVICE—BAR,ETC.) <br /> I . eq:A, 9rro.lf <br /> I 1+1 i <br /> I <br /> _ SUB TOTAL $ ZzI SUB TOTAL S 9a a <br /> PERMIT f I PERMIT f I <br /> TOTAL FEE TOTAL FEE $ ' <br /> FOR OFFICE USE ONLY: s c «" &,eenAe63- 7go3 <br /> FRONT SETBACK REAR SETBACK SIDE SETBACK PLANCHECKNUMBER M FEE �O RECEIPT NO. <br /> USE LONE LOT AREA VACANT WYE FEES VALUATION FEE <br /> r BUILDING <br /> �7 GGs" <br /> TYPj W CGNTS ALLOWA&E IYR OF C0N5T ACTUAL oMu�++ RO udMH'xclM'IS ) <br /> PLUMBING 100 <br /> SIZE OF ERDO SSVlo, NO OF STORIES BASEMENT ./ MECHANICAL O ' .00 <br /> 52 SF ~ ADDITIONAL PLAN CHECK <br /> OCCUFAACY LOAD FIRE SPRNNLERS REOV HEIGHT LIMITATION <br /> IV/ ^ 0 � <br /> M� d OTHER T_ <br /> REASON FOR SPRINKLERS I <br /> STATE BUILDING SURCHARGE ire <br /> INTAKE BY PLANS APPROVED BY CITY OF EVERETT PUBLIC WORKS 00 <br /> *44 1 I LOCAL SALES <br /> 1Z�Iq TAX CODE IS 3105 TOTAL 00 <br />