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APPLICATION FOR CONSTRUCTION <br />PERMIT <br />IAA Ev.. Jreen <br />CITY OF <br />everett <br />BUILDING DEPARTMENT <br />259•8810 TO BE COMPLETED IN INK— PLEASE PRINT <br />-a Wnn -in I i )i - n U n4-4- _ 1'3n 1 - (o-osrd. <br />;jp <br />GENERAL cONTf�� <br />pC MAIL ADDRESS <br />RY NATURAL CAS, INC. <br />CITY <br />ZIP PHONE <br />LICENSE <br />MECHANICAL 1 TMOL•( R 3" "30 -- 7d RESB <br />CITY <br />TIP PHONE <br />LICENSE i <br />2605 McDougall <br />e...... V1..•w <br />PLUMBNO CONLRAC'ITM �""'■"�"��11`111AIL ADORE55 <br />CITY <br />ZIP PHONE <br />LICENSE <br />CLASS OF WORK <br />I-i _ I_ .. � .:.'n...nu f1 ecoue r•I nKMnl ITION ❑ WOODSTOVEIFRPL INSERT ❑ BUILDING RELOCATION <br />U NEW u AUUUIVF I —I n•m......... — -- - <br />TENANT IMPROVEMENT OR INTERIOR REMODEL/ONLY <br />CONTACT PERSON AND PHONE NO <br />i. I L i <br />CONTRACT PRICE OF WORK L ` <br />DESCRIBE WORK AND SQUARE TILDE INVOLVED <br />- F d-uxr-A -aA-e- <br />r e c <br />PROPOSED UBEMBURDIK!5IY 1`Jvi <br />IHEREBYCERTIFYTHATIH JE READ AND EXAMINED THIS APPLICATION AND <br />TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND <br />KNOW THE SAME TO BE <br />ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WITH <br />LEGAL. DESCRIPTION MPPaPERnISNOWNeELOWoa ATTACH FOUR coNE& <br />PRESUME TO GIVE AUTHORITY TOVIOLATEGOR CANCEL THEEPROVISIONS OF <br />OF <br />ANY OTHER STATE OR LOCAL LAW REGULATINU CONSTRUCTION OR THE PER. <br />LOT BLOCK <br />FORMANCE OF CONSTRUCTION THAT I AM AUTHORIZED BY TI1E OWNER OF <br />THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE <br />— <br />AND 1 COMPLY WITH THE STATE CONTRACTORS LAW 1827 RCW AND <br />296 200 WAG. <br />SIGNATURE M CONTRACTOR OR AUTHORIZED AGENT DATE <br />AP�OLANTS CITY BUMN LIC NeE NO ANO BUBINEBB NAME <br />r1101EC1 ADDRLMI <br />PLUMBING <br />MECHANICAL <br />NO, <br />TYPE OF FIXJURE OR ITEM <br />FEE <br />NO. TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOIL" <br />__ <br />A/C -NHNDLG UNITS -H.P. <br />FORCEDAIR SYSTEMS-B.T.U. MEA, <br />BATHTUB <br />UNIT HEATERS -BT.U. M <br />LAVATORY (WASH BASIN) <br />CLOTHESORYERS <br />SHOWER <br />KITCHEN SINKS DISP. <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRYTRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />METAL FIREPLACE& CHIMNEY <br />— <br />AL <br />U91NAL <br />FIREPLACE INSERT <br />DI.INKI FOUNTAIN <br />NEAT PUMP <br />- <br />FLOOR DRAIN <br />OAS PIPING <br />-- <br />BACKFLOW PREVENTERS <br />ROOF DRAINS - RAINLEADERS <br />EXHAUST FAN <br />aw <br />SINK (SERVICE -BAR ETC) <br />SUBTOTAL s <br />SUBTOTAL & <br />PERMIT & <br />PERMIT S <br />_ <br />TOTAL FEE & <br />TOTAL FEE & <br />PURSURLCN SIDE SOBACN <br />PION c.acRiu it PEE AlCEIA Aq. <br />iHONi SETBACK <br />ZONE LOT AREA vApNl911E <br />FEES VALUATION FEE <br />USE OYES ONO <br />BUILDING <br />- <br />WW.—F.N.1. DCCORANCYOROUP <br />NQOFDWELLINGUNITS <br />ALLOWASUIUACTUAL <br />PLUMBING <br />— <br />SIZE OF BLDG NO MBTORIEB 94MT. <br />IT <br />OCC LOAD <br />MECHANICAL <br />— <br />IT <br />HEIGHT_ -RATION <br />OTHER <br />FIRE SPRINKLERS REWIRED OYES ONO <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />A►PLICAILOII Ai:C BY PLANSAPPR BY <br />PUBLIC WORKS <br />TOTAL <br />