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APPLICATI(od FOR CONSTRUCT mON PERMIT <br /> TM FF""'O <br /> CITYeverett <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> DEMOLITION COMBINATION kBUILDING MECHANICAL PLUMBING SIGN <br /> ft�T /J MAK ADDRESS CITY _ ZIP <br /> PHONI <br /> auC&J"-4,9-c'Zae �iBZOy -7`/Z- 3365^ <br /> tENANi MAK ADDRESS CRY ZIP PHON( <br /> ARCHITECTORDESIGNER MAIL ADDRBiS CRY <br /> ejl/6wc;x-,Gs 20/O � z' Sa <br /> f,6,s FLErT C c?4cx3 rHDN35-3 <br /> GENERAL CONTRACTOR MA�I.A,DDRESS CITY ZIP PHONE LICENSE A <br /> MECH ICALCONT UCTOR MAI(ADDRESS CRY ZL` FHgIE LICENSE <br /> PLUMBING CONTRACTOR MAR ADDRESS CRY IIP TiONE LICENSE <br /> Q�90F WORK <br /> IN NEW 1.1 ADDITION : ' ALTERAI ION REPAIR •SII II DEMOLITION WOODSTOVEiFRPL INSERT 11 BUILDING RELOCATION <br /> TE NANT IMPROVEMENT DR INTERIOR REMM]EL ONLY 1(y{Lp ylE.. _ CON>AGT PERS:7N ANOE�NIE NO <br /> CONTRACT PRICE OF VAMN: .� f p p -• -___. ,J 7SlJ lJ "7`f z—3 36s <br /> DESCRIBE YORK AND SQUARE FOOTAGE INVOLVED <br /> cu.mz .-cr 4j <br /> �v6s,s <br /> PROPOSED USE OF BUILDWO <br /> �• / I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEGAL DESCRIPTION OF PROPERTY(SHOWN BELOWOA ATTACH FOUR COPIESI PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> Lor BLOCK OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR 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 /> 7TCWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 WAND 296.200 WAC. <br /> CONTRACTORS <br /> AW ODA TH 12N AGENT DATE <br /> X <br /> PROJECT ADDRESS n <br /> Q _ 6 APPLICANTS CITY BUSINESS LICENSE NO.AND BUSINESS NAME <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) 'I A/C–A/HNDLG UNITS–H.P. <br /> _( BATHTUB FORCED AIR SYSTEMS-B.T.U. M E.A. I <br /> LAVATORY(WASH BASH) -00 UNIT HEATERS-B.T.U. M <br /> SHOWER CLOTHES DRYERS I <br /> L KITCHEN SINK IL DISP i Uri VENTILATION FAN I <br /> DISHWASHER ! ' <br /> RANGE HOOD , <br /> LAUNDRY TRAY ' WATER HEATER I <br /> CLOTHES WASHER ' I WOOD STOVE ' <br /> URINAL METAL FIREPLACE 8 CHIMNEY <br /> DRINKING FOUNTAIN 1 PREPLACE INSERT ' <br /> FLOOR DRAIN I ' <br /> HEAT PUMP , <br /> BACKFLOW PREVENTERS i GAS PIPING <br /> ROOF DRAINS–RAINLEADERS I EXHAUST FAN T- <br /> SINK(SERVICE–BAR,ETC) <br /> I I <br /> SUB TOTAL $ SUB TOTAL $ �D ft.IYt <br /> PERMIT $ iT-` PERMIT $ �, 'i– <br /> TOTAL FEE $ Jill TOTALFEE S r— <br /> FRONT SETBACK REAR SETBACK SIDE SETBACK PLAN CHEC NUMBER FEE RECEIPT NO <br /> I / <br /> 7,o c O yiY 37 3310 z <br /> USEZON LOT AREA VACANT SITE FEES VALUATION FEE <br /> , <br /> 11 Z SES NO BUILDING 5V4.50 BST >k <br /> IYPL OF CONST ALLOWABLE TYPE OF CONST ACTUAL mo; NG d fMTwNGtNrtA ' <br /> GPM <br /> PLUMBING <br /> SIZE OF BL3P, NO OF STORIES BASEMENT �I <br /> vn� <br /> l Z t L' 2 I ' YES X NO MECHANICAL -+�– <br /> OCCUPANCY LOAM FIRE SFRNKLERS REDD HEIGHjLIMITATION OTHER ' <br /> VES JL NO 7(QJ <br /> REASON FOR SPRINKLERS STATE BUILDING SURCHARGE <br /> I <br /> STATE ENERGY SURCHARGE <br /> APPLICATION ACC.BY PLANS APPR�BY CITY OF EVERETT PUBLIC WORKS ) <br /> y LOCAL SALES <br /> TAX CODE IS 3105 TOTAL <br /> ov tf ppyEU/,f WY347 ULM Mon Nui (o DD 13 <br />