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APPLI"TION FOR CONSTk�CTION lC� <br />PERMIT <br />Iho Evergreen ' I•ypl pTl <br />CITY OF <br />everett PLA.� <br />BUILDING DEPARTMENT 9 <br />259-8810 TO BE COMPLETED I INK- PLEASE PRINT <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />CLASS OF WORK <br />❑ EW ❑ ADDITION -ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVEIFRPLINSERT ❑ BUILDING RELOCATION <br />N_ <br />TENANT IMPROVEMENT OR INiERgy RtDE '� <br />CONTRACT PRICE OF WORK <br />CONTACT PERSON AND PHONE NO <br />DESCRIBE RI" 80 E FOOTAGE INV D 1 <br />DTI �W//JL�„ y. <br />JVIC <br />tffi <br />VL <br />PROPOSED USE Of BUIL G <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND <br />KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND <br />ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WITH <br />WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANYOTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PER- <br />FORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF <br />THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE <br />AND I COMPLY WITH THE STATE CONTRACTORS LAY 18.27 RCW IND <br />288.200 WAC <br />EOFCONTRACTODOR UDIORI7EDAOENT DATE <br />L <br />4PLICANVTSCITYSUSI <br />LEGAL DESCRIPTION OF PROPEOTY (SHOWN BELOW OR AIIALII FOUR COPIES( <br />' <br />LOT _ BLOCK OF - - __ <br />-- <br />PROJECT ADORES S 1 �e <br />SSLI ENOAND BUSME98 NAME <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO, TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />NC- A/HNDLG UNITS- H.P. <br />BATHTUB <br />FORCED AIR SYSTEMS- ELTU Q EA <br />LAVATORY ASH BAST <br />UNIT HEATERS- BT.U. M <br />SHOWER <br />_ <br />CLOTHESORYERS <br />-_ <br />KITCHEN SINK & DISP. <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE & CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS- RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE - BAR ETG <br />SUBTOTAL 6 <br />SUBTOTAL f <br />-� <br />PERMIT S <br />PERMIT f <br />_ <br />TOTAL FEE S <br />TOTAL FEE 5 <br />FRONT SETBACK <br />NEAR SETBACK <br />SIDE SETBACK <br />RAN —CH lCKNUMBER <br />f[B <br />RECEIPT NO. <br />USE20NE <br />LOTAREA <br />VACANT SIZE <br />O YES D NO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />"-- <br />TYPE OF COAST, <br />ALLOWABLE/ACTUAL <br />CCCUPANCYOROUP <br />NOOF DWELLING UNITS <br />PLUMBING <br />-------'- <br />SIZE OF SLOG <br />NO.OF STORIES <br />0Yr. <br />DN <br />OCD LOAD <br />MECHANICAL <br />OTHER <br />FIRE SPAINKL ERB REWIRED OYES DNO <br />HEIGHT LIMITATION <br />STATE BUILDING SURCHARGE <br />APPLICATION ACC BY PLANS AMR BY <br />STATE ENERGY SURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />G <br />G <br />