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_PPLICATION FO►. lYETEH <br /> the <br /> pmn <br /> CITY OF <br /> CONSTRUCTION e <br /> CITY DF <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259.8745 TO BE COMPLETED IN INK • PLEASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING O SIGN <br /> OWNER MAIL ADDRESS CITY IIPNE <br /> (�� a� C34�1'6-!••Fr yao 615 S} Fuer¢ tiyoPHO <br /> ARCHITECT OR DESIONEB MALL ADDRESS CITY IIP PHONE <br /> Anna p 1C3w &xrsL TKO 6'o k0 ,C �b P , ty l�st;l. Wagg <br /> GENERAL CONTRACTOR MAIL ADDRESS 1 I CITY WONE TIL NSE A <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY IIP P ZONE LICENSE A <br /> t1 T ! <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE• <br /> CLASS R <br /> ❑ �(_ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br /> VALUATION OF WORKIC09T OF MAFERIAI.5 P1 U1 LABOR) <br /> rj'a t)0 <br /> DESCRIBE WORK ` 1 <br /> USE OF BUILD I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED PHIS AP- <br /> as <br /> PLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT.ALL <br /> LEGAL DESCRIPTION OF PROPERTY) OWN BELOW On ATTACH FOUR COPIE51 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THISTYPE <br /> OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br /> LOT 5 BLOCK—OFy IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF 1 <br /> vQ1 �p ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> $IONA TITRE OF CON IRACTOR OR OTIIOu DAGLNI )IgE y^ <br /> U <br /> PROIECTADDRESS APP (CANTS CITY BUSINESS L IGEN <br /> 47-0 <br /> PLUMBING MECHANICAL <br /> 1 NO. TYPE OF FIXTURE WATER CLOSE — FEE NO. TYPE OF EQUIPMENT FEE <br /> T TOILE AIR COND.UNITS-ILP EA. <br /> BATHTUB OCs REFRIGERATION UNITS-H P.EA <br /> LAVATORY IWASH BASINJ BOILERS-H P.EA. <br /> SHOWER GAS FIRED AC UNITS-TONNAGE EA _ <br /> _ KITCHEN SINK 6 DISP. FORCED MR SYSTEMS-B.T.U. M EA. <br /> DISHWASHER WALL HEATERS-B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS-6 T.U. M _._. <br /> CLOTHES WASHER _ EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS AIr 6v <br /> _ URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT- C.F.M. _ <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS-RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK SERVICE-BAR ETCA WOODSTOVE FIREPLACE INSERT <br /> BUB TOTAL SUB TOTAL • .v <br /> PERMIT { _PERMIT • <br /> _ TOTAL FEE • la D __TOTALFEE • <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> PLAN CHECK FEE <br /> FRONT SETBACK REAR SETBACK SIDE SETBACK PLANCHECKN MBERVI� <br /> C <br /> �(�� ` <br /> FEE / C � RECEIPIN <br /> USE ZONE / LOTAREA r VACANT SITE FEO VALUATION FEE <br /> ES <br /> UYEO <br /> TYPE OF CONST OCCUPANCY GAOUV NO OF DWILLING UNITS Q(y <br /> �- Fel R - 3 BUILDING SUm. 1 -1. RL <br /> SIZE OF BL DO NO OF STOVES MAX DCC LOAD <br /> •�Z 1 n PLUMBING _ <br /> MECHANICAL _ <br /> FIRE SPRINKLERS REQUIRED ❑ YES O NO OTHER <br /> PENALTY <br /> APPLICATION ACC BY PLANS CHECKED BY APPA FOR ISSUANCE BY <br /> TOTAL <br /> (i[t <br /> 1• <br />