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APPIL.ICATILA FOR CO;MSTRUC7 .JW PERMIT everecc <br /> INB Ewrgw,, TO RE COMPLETED IN INK—PLEASE PRINT <br /> CITY OF <br /> everett <br /> BUILDING DEPARTMENT HEATING SYSTEM: GAS J ELECTRIC ❑ <br /> 259.8810 <br /> DEMOLITION �!L COMBINATION ><BUILDING xMECHANICAL ?(PLUMBING SIGN <br /> U E AIL ADORES CITY ZIP PHONE <br /> QST- /11C ?�2/ �T LSI P 0i� PHONE <br /> T ANT MAIL ADDRESS <br /> AgCtfIECTORDESIGNEA MAIL ADDRESS CITY ZIP P E — <br /> Al� <br /> MET/ErTEaL�L`,�,E(R/'ACT MAIL ADDRESS CITY ZIP HONE J�!/j/UCENSEI <br /> 11:AL�d"TRACT?R '1/MAILADDRESS CITY ZIP PHONE "`I E 04 <br /> ��N- ATI�(�3601 J9jm5,Q_4Y��,jWz4 37 79s 1�4 �o,� <br /> L' BMOC TRACTOR MAIL ALURESS CRY ZIP PHONE ENSEIV <br /> -y eb�nA ,�Frr 743-js 7 TGF,Zia J91� <br /> cuss or woRK <br /> )<NEW ADDITION ALTERATION REPAIR DEMOLITION WCODSTOVE/FRPL :3ERT BUILDING RELOCATION <br /> CONTACT PER AND PHONE NO <br /> rONTRACT PRICE OF WORK ow <br /> DE IBE WpR��A IE FOOTAGE INVOLVED <br /> PROPOSED USE OF 8L'ILI/ING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEGALDE APT4 +PROPERTY ISHCWN BELOW ATTACH FOUR COPIES) PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LOTBLOCK Or WORK WILL BE 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 OR 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 /> CON 7,fIACTORS LAW 18.27 RCW AND 298.200 WAC. <br /> :SIGNATURE OFC MCT ORA [ZED AGENT DATE <br /> PROJECTAODRESBLC AFTS CITY BU ESSIFOENSE NO AND BUSINESS NAME <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR REM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) AIC—AIHNDLG UNITS—H.P. , <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. +— <br /> LAVATORY(WASH BASIN) _ UNIT HEATERS—B.TU. M <br /> SHOWER _ CLOTHES DRYERS �— <br /> KITCHEN SINK d DISP _ VENTILATION FAN <br /> DISHWASHER j'' RANGE HOOD <br /> LAUNDRY TRAY ' WATER HEATE9 <br /> CLOTHES WASHER I WOOD STOVE ' <br /> URINA' METAL FIREPLACE 8 CHIMNEY 3d — <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP , <br /> BACKFLOW PREVENTERS ' GAS PIPING I <br /> ROOF DRAINS—PAINLEADERS I EXHAUST FAN , <br /> SINN(SERVICE—BAR,ETC.) ' <br /> , I <br /> , <br /> ; <br /> ' o ' <br /> SUBTOTAL E' ; SUB TjrAL $ lo#d <br /> PERMIT $ 1 PERMIT $ _ <br /> TOTAL FEE $ 1 S TOTALFEE E <br /> FOR OFFICE USE ONLY: <br /> FFION�CK REAR SETBACK SIDE SETBACK PLAN CHECK NUMBER FEE RECEIP:NO. <br /> Zo S', L o ., s-5 -a-i ,C��s� /3ia <br /> USE Zor 'SAs7Q VACANT;lIE FEES VALUATION FEE <br /> %30 77 r V, BUILDING ' <br /> TYPE OF CONTS ALLOWABLE TYPE UL CONST.ACTUAL OttNAM- AO IY IAYUING Lu,6 -- ze. <br /> 3 1 PLUMBING S-r — <br /> SIZEOFBLDO NO.OF STORIES BASEMENT MECHANICAL A ;� <br /> OCCUPANCYLOAO FIRE SPRNKLERS REDO HEIGHT UMITATKXI ADDITIONAL PLAN CHECK <br /> Y — <br /> REASON FOR SPRINKLERS I OTHER ; <br /> STATE BUILDING SURCHARGE ' <br /> INTAKE UY PLANSAROVD CITY I <br /> IIF EVERETT PUBLIC WORKS <br /> 4_11 I LOCAL SALES <br /> n/r TAX CODE IS 3105 TOTAL ; <br /> I <br />