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S r <br />APPLICanON FOR CONSTR6CTION <br />PERMIT <br />NIB E"rgwn <br />CITY OF <br />everett <br />T BUILDING DEPARTMENT <br />259.8810 TO BE COMPLETED IN INK - PLEASE PRINT <br />OWNER <br />TENANT IL ADDREBSI - CRY Z Z,e' <br />1 <br />-City ZIP II.I, LICENSE <br />16: MarineV, Dr. l� <br />CITY ZIP PHONE <br />258.2441 <br />ri .. .c,coPl IMREot f 1 RWLOINGRELOCATION <br />❑ NEW U ADDITION CJ ALTERATION u HRI•wIN <br />NTACT SON AND PHONE NO <br />TENANTIMPRDYEMENt ORINIERIOR REMODEL ONLY <br />_ <br />- <br />pLlf 101) J <br />L ' �1\�J <br />CONTRACTPRICEOFWDRK c/ <br />pESCRIBEYAPKAND DARE FOOTAGE INNOLYEO. <br />f%���- <br />(�� � <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND <br />PROPOSED ME DF WAUlNG <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 />WNETHERSPECIFIEDHEREINOR NOT. THE GRANTING OF A PERMIT DOES NOT <br />TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVSIONS OF <br />LEwL DEscRIPrroN OF vno RIYIBHOWN BELOW OR AtIACN FOUR COPIE91 <br />PRESUME <br />ANY OTHER PER- <br />OR L LAW II <br />LDT tea" DF <br />UCTTION THAT AM AUTHORIZED BY THE OWNER OF <br />FORMANCE OFTCONSTRE <br />TH PROPERTY TO PERFORM THEFOR WH L0N IS MADE <br />HLAW <br />- <br />THE STATEWORK <br />ANID ICOMPLY CONTRACTORS 1827 RCW AND <br />- - <br />296 200 WAG <br />SIDNATUR CONI RACIOR OR AUTHORIZED AGENT DATE <br />-- <br />x ��L C,� < � L& <br />APR NTSGTYBUSINCSSIICFNSE NO AND SINE89 NAME <br />Rg1EC1 ADDPE55 <br />MECHANICAL <br />PLUMBING <br />FEE <br />NO. TYPE OF EQUIPMENT <br />FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />A/C-A/HNDLG UNITS -H.P <br />— <br />WATER CLOSET (TOILET) <br />- <br />FORCED AIR SYSTEMS-BT.Ur(JM EA _ <br />BATHTUB <br />_ <br />_._, <br />— <br />UNIT HEATERS- BT.U. M <br />LAVATORY ryVASN BASIN) <br />_ <br />CLOTHES DRYERS <br />— <br />SHOWER <br />VENTILATION FAN <br />KTTCHF.N SINKDISP. <br />RANGE HOOD -. <br />WATER HEATER <br />WOOD STOVE <br />ER <br />DISHWASHER <br />— <br />LAUNDRY <br />CLOTHEYTRAY R <br />CLOTHI <br />_ <br />METAL FIREPLACE& CHIMNEYURINAL <br />FIREPLACE INSERT <br />-- <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />HEAT PUMP <br />-. <br />BACKFLOW PREVEN7ERS <br />GAS PIPING <br />- <br />ROOF DRAINS - RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE - BAR ETC.) <br />SUBTOTAL <br />SUBTOTAL <br />f <br />PERMIT <br />TOTA1 I I.I <br />RAN CNECK?7jj FFF RECEIPT NO. <br />PERMIT S <br />TOTAL FEE & <br />REAR BEIBACK BIOS SETBACK <br />FRON18EleACN <br />USE 20NE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />LI YES O NO <br />• <br />BUILDING <br />-. <br />------ <br />TYPE OF CONST <br />CCCVPANCY GZUP7 <br />NOOFDYIELLINGUNITS <br />ALLOANABLEACTOAL <br />PLUMBING <br />I <br />MECHANICAL <br />3J <br />_. <br />SIZE OF BLDO <br />NO OF STORIES <br />oDvT <br />occ LCAo <br />OTHER <br />- <br />ON <br />HEIGHT LIMNAtICN <br />j STATE BUILDING SURCHARGE <br />FIRE BPRINKLERB REWIPED n ♦ES 1110 <br />1 <br />STATE ENERGY SURCHARGE <br />PUBLIC WORKS <br />APRICATION ACC BY PUNS APPR BY <br />TOTAL <br />