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APPLICATIG54 FOR CONSTRUCI .JN PERMIT <br /> everett <br /> everett <br /> BUILDING DEPARTMENT TO BE COMPLETED IN INK—PLEASE PRINT "F <br /> i 259.8810 <br /> DEMOLITION COMBINATION I BUILDING MECHANICAL PLUMBING SIGN <br /> OWNER MAIL ADDRESS LIIY TIP PHONE <br /> V,werfel tA). a5o TM 5£ Eve/iEf wA 9$ac3 346.3351 <br /> TENANT <br /> MAR ADDRESS CITU 21 PHONE <br /> g A (Arrr/ <br /> aNE <br /> ARCHITECT ORDESIGNER MAIL ADDRESS CITY $1P Prt141U3 3530531 <br /> RowETT fiT,rer PRIcolo <br /> SES l:j 5r 6VEE Fca LA PH <br /> GENERAL CONTRACT011 <br /> MAIL AODRES6 CITY 21P PHONE LICENSE F <br /> I-3 CO H LITY 21P P,gNE LICENSE F <br /> t, VV MECHANICAL CONTRACTOR MAIL ADDRESS <br /> H CITY PHONE LICENSE I <br /> PLUMB 010 CONTRACTOR MAIL ADOPESS 21P <br /> H ti <br /> H CLASSOFWORK <br /> H '"1 NEW I ADDITION ALTERATION REPAIR DEMOLITION WOODSTOVE)FRPL INSERT BUILDING RELOCATION <br /> K. C7 CONTACT PERSON AND PHONE NO <br /> LY TENANTIMPROVEMENTORMTER RREMODELONLV <br /> 'ID H Y0 CON TRACTPRICEOFWORR' N /7T 4 LJ _ <br /> N H DESCReE WORM ARO SQUARE AP97AGL INVOLVED <br /> tj PROPOSED USE OF BUILDING 1 HEREBY CERTIFY THAT I HAVF READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> 8 LEGAAL DESSCRIPTIONOFPROPERTY ISHOWNBELOW ORA TACHFWR COPIES) WOrtK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> Imo+. n� LOT (1) BLOCK of `.0 J/ \/I a. NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> Z H 3 T AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> 9 �3 Im OTHER STATE OR LOCAL TAW REGULATING CONSTRUCTION OR THE <br /> t" H y PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> �y Tn OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> O H APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> cO C7 t nn CONTRACTORS LAW 18.27 RCW AND 298.200 WAC. <br /> 'rl _ <br /> SIGNATURE R 12ED AUENi DATE <br /> � c ♦IT <br /> 0 co <br /> PROACTADDRES6 APPIK.ANiS GTY BUSMESS LICENSE NO AND BUSINESS NAME <br /> SQ y� �D .1,4f5 Cp PL SE MECHANICAL <br /> PLUMBING FEE <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT <br /> WATER CLOSET(TOILET) I AIC-AHNDLG UNITS—H.P. <br /> .�F FORCID AIR SYSTEMS—B.T.U. M E.A. ' <br /> BATHTUB <br /> LAVATORY(WASH BASIN) , UNIT HEATERS—B.T.U. M <br /> SHOWER CLOTHESDRYERS ' <br /> KITCHEN BINK 6 DISP VENTILATION FAN <br /> DISHWASHER I RANGE HOOD ' <br /> LAUNDRY TRAY ' WATER HEATER <br /> CLOTHES WASHER I WOOD STOVE ' <br /> - , METAL FIREPLACE&CHIMNEY ' <br /> URINAL <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS i GAS PIPING I <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN ' <br /> I� SINK(SERVICE—BAR,ETC.) <br /> , <br /> 1 <br /> �I I SUBTOTAL f '�' SUBTOTAL f ' <br /> I � I PERMIT f <br /> PERMIT f TOTAL FEE f <br /> TOTALFEE f RECEIPT140 <br /> 1 <br /> I ROW SETBACK REAR SETBACK SIDE SETBACK PLAY C";PK NUMBER FEE <br /> ZCr 20 S' <br /> LOT AREA VACANT BRE FEES VALUATION FEE <br /> USE zaRE YES NO <br /> .� BUILDING 7 <br /> lYH OF CONST ALLOWABLE TYPE CNS(ACTUAL aLVH.xr xn o Ixiulw;urnF , <br /> "3 PLUMBING <br /> 'V-#j - ; <br /> SIZE OF BLDG NO Or STORIES BASEMEN MECHANICAL ' <br /> VES K NO <br /> 26 5. <br /> OCCUPANCY l0A0 <br /> RRE SPRNKLERS READ HEIGHT LIMITATIION OTHER <br /> VES at NO 2. STATE BUILDING SURCHARGE <br /> REASON 0R SPRINKLERS STATE ENERGY SURCHARGE <br /> APRIWTgN ACC BY PIANS APPROVED BV CITY OF EVERETT PUBLIC WORKS <br /> LOCAL SALES <br /> A� TAX CODE IS 3105 TOTAL <br />