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APPLICATI1, N FOR CONSTRUCT`" "jRTjRFp� <br />CITY OF <br />everett gIPR everett <br />CITY of DEC - 9 1993 <br />BUILDING DEPARTMF�NT "—E.V. . <br />CITY OF EVEREt. <br />259-8810 TO BE COMPLETED IN INK —PLEA E PRINT Public ublic Works Dept. <br />1) DEMOLITION I 1 COMBINATION 1 BUILDING ECHANICAL I-1 PLUMBING ❑ SIGN <br />MAC 0 ODRF�5 CITY PHONE <br />TENANT MAR ADDRESS CITY DP PHOMP <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY TIP PHONE <br />GENERAL CONTRACTOR MAR ADDRESS CITY TIP PHONE LICENSE F <br />CLASS Or WORK �/ <br />I I NEW I I ADDITION XALTERATION I I REPAIR I I DEMOLITION I I wnnnsrnvcl CIOl NMCCOT I m,II nL,.e e�I ......�.... <br />TENANT IMPROVEMENT OR IN TERM <br />CONTRACT PRP;E OF WORK: �J <br />CONTACT PERSON AND PHONE NO <br />DESCRIBE WORT( AN SQUARE FOOTAGE INVOLVED <br />PROPOseousEafgu(!ILllD^,Ka ^1KAJ-^'/A1 <br />�c'Jl ,�11- <br />I HEREBY CERTIFY THAT I HAVE 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 />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 298.200 WAC. <br />SIONATU O`FC'O(NTRT�RA,1ICTOORR1O/R AUD,DFUIE�D AGENT DATE ^_ - 34.Y <br />X W nIFE `i ' c, � � D lul L <br />b <br />LEGAL DESCRIPTION OF PROP9,R (SHIN OUR COPIES) <br />LOT BLOCK _ OF <br />/h� 2 <br />PROJECT ADDREFtS;SS ////���, O/11 <br />~ <br />APPLICANTS CITY RUSINF 55LCFNS O ANDBUSINESSNAME <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />I TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />I <br />A/C—A/HNDLG UNITS—H.P. <br />BATHTUB <br />' <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />' <br />LAVATORY (WASH BASIN) <br />I <br />UNIT HEATERS—B.T.U. M <br />SHOWER <br />' <br />CLOTHES DRYERS <br />KITCHEN SINK & DISP <br />I <br />VENTILATION FAN <br />' <br />619HWASHER <br />I <br />RANGEHOOD <br />I <br />LAUNDRY TRAY <br />' <br />WATER HEATER <br />I <br />CLOTHES WASHER <br />I <br />WOOD STOVE <br />URINAL <br />' <br />METAL FIREPLACE & CHIMNEY <br />I <br />DRINKING FOUNTAIN <br />I <br />FIREPLACE INSERT <br />I <br />_ <br />FLOOR DRAIN <br />' <br />I <br />HEAT PUMP <br />GAS PIPING <br />—T— <br />BACKFLOW PREVENTERS <br />ROOF DRAINS—RAINLEAOERS <br />I <br />EXHAUST FAN <br />SINK (SERVICE —BAR, ETC.) <br />'-- <br />I <br />I ' <br />I <br />' <br />i <br />I <br />SUB TOTAL f <br />I <br />SUB TOTAL f <br />PERMIT f <br />I <br />PERMIT f <br />TOTAL FEE $ <br />TOTAL FEE f <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE BE (BACK <br />PUN CHECK NUMBER <br />FEE <br />RECEIPTND. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />I I YES I 1 NO <br />FEES <br />VALUATION <br />FEE <br />BUILDINL, <br />PLUMBING <br />TYPE OF COIST ALLOWABLE <br />TYPE IX CNIST ACTUAL <br />oa w, <br />AIKAI <br />IIRALIINTHAIp MKN <br />— <br />i <br />SIZE OF SLOG <br />_ <br />40 OF STORIES <br />BASEMENT <br />I I YES I I NO <br />MECHANICAL <br />OTHER <br />-- <br />—1-- <br />OCCUPANCYLOAD FIRE SPRNKLERS REDD HEIGHT LIMITATION <br />_ I I YES 1 NO <br />REASON FOR SPRI)1(LERS <br />STATE BUILDING SURCHARGE <br />i <br />STATE ENERGY SURCHARGE <br />PUBLIC WORKS <br />--_-_ <br />I <br />' <br />APPLICATIONACC BY BANS APPROVED BY CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE 13 3105 <br />TOTAL <br />; <br />