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APPLICAT10►. FOR CONSTRUCTI..N PERMIT <br /> Ehe EYBrgrmn TO BE COMPLETED IN INK-PLEASE PRINT <br /> CITY OF <br /> everett <br /> BUILDING DEPARTMENT I HEATING SYSTEM !(GAS ❑ELECTRIC ❑ _ J <br /> 259.8810 <br /> DEMOLITION COMBINATION 1( BUILDING )(MECHANICAL )(PLUMBING SIGN <br /> OVMER �/ MAA.ADDRESS -.I CITY 21P PHONE <br /> TENA I AIL ADD. lAz& ��RESSCITY �P II W IW I —�-36(. <br /> PHIUNE <br /> NONE <br /> ✓�`R'C`<N^I'TE�LC/T OR DCESKi•,NE,�R` MAIL ADDRESS CITU 21P PHONE L••�, <br /> GENERALCONTRA�OR ADDRESS CITY ZIP PHONE LIC�SE.� 659 <br /> SFFmE AS OW maz K <br /> LICENSE I <br /> OP-120L) HO� MAIL ADDRESS CITY ZIP�/_�Vsf St SIJ LurJ�wca� 9so3779511?30 HORIZ R-U137DU <br /> 6F, MBING CON TRACT OR MAA ADDREBB CITY ZIP PHONE LICENSE <br /> ErSDUUD RUMOIN 7 2024 6L stw EwAM 99,3vt 713-453'7 ;Z-rs P14foz <br /> CLASS OF W K f <br /> V NEW ADDITION ALTERATION REPAIR DEMOLITION WCODSTOVEFFRPL INSERT BUILDING RELOCATION <br /> /�/'y� CONTACT PERSON ND PHONE NO Q <br /> CONTRACTPRICE OF WORK 50l Lo <br /> DESCRIBE VIORK AND SQUARE i00TA0E INVOLVED <br /> Nfu1 Cons — `7t � 2l4s i" <br /> PROPOSED USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> S IN4S cNC APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEGAL DESCRIPT ,OF PROPERTY IBRO BELOW OR ATTACH FOUR COPIES( PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> Lor BLOCK of _ NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> rp ^r AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> Tl � ��/N�n A15 iv OTHER STA:E OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. THAT 1 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 /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br /> IIS- iot EMR67T X <br /> PROJECT ADDRESS <br /> PLUMBING HANILT <br /> MCSD S <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) AIC-AMNDLG UNITS-H.P. I <br /> j. BATHTUB FORCED AIR SYSTEMS-B.T.U. M E.A. <br /> LAVATORY(WASH BASIN) 15. UNIT HEATERS-B.T.U. M <br /> SHOWER CLOTHES DRYERS <br /> KITCHEN SINK 8 DISP VENTILATION FAN ; <br /> DISHWASHER 1 RANGE HOOD I <br /> LAUNDRY TRAY WATER HEATER ' <br /> CLOTHES WASHER I WOOD STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEY ' <br /> DRINKING FOUNTAIN I FIREPLACE INSERT ; <br /> FLOOR DRAIN ' HEAT PUMP I <br /> BACKFLOW PREVENTERS GAS PIPING ' <br /> ROOF DRAINS-RAINLEADERS EXHAUSTFAN <br /> SINK(SERVICE-BAR,ETC.) <br /> I I <br /> hlu <br /> LIAL4 [A <br /> I I <br /> SUB TOTAL E s s SUB TOTAL $ ' <br /> PERMIT $ 'r PERMIT E <br /> TOTALFEE $ TOTAL FEE S <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBACK REAR SETBACK SIDE SETBACK PLAN C .CK NUMBER FEE RECEIPT NO <br /> Zoo 200 S ' 1 �n - <br /> USE ZOF/(! LOT AREA VACANT SITE FES VALUATION FEE <br /> 1\ ` 51n6 Uef7 BUILDING 6,700( Ncp <br /> TYPE OF CONTS ALlO#AFAf IYPF 01 CONST ACTUAL mc~lf IKImml"Mit <br /> V v i u '""3 I r PLUMBING 5cn <br /> '13 OF PLw4 NO OF STORIES BASEMENT MECHANICAL <br /> OCCUPANCY'LOAD ` FIRE SPANaERS REO D HEIGHT LIMITATFON ADDITIONAL PLAN CHECK <br /> V1-D F OTHER ' <br /> REASON POR SPRINKLERS - <br /> STATE BUILDING SURCHARGE (� <br /> INTAKE BY PLANSAPPROVEDRY CITY OF EVERETT PUBLIC WORKS 'Do <br /> 9� b LOCAL SALES TAX CODE IS 3105 TOTAL <br /> I <br /> 6a SD <br />