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� \ :�� <br /> � APPLICATI�1 1=0R CONSTl;UC'�`rbld PERMIT <br /> e�verett <br /> i � <br /> i Ihe Evergmsn � <br /> � CITY OF <br /> ; everett <br /> � <br /> BUILDING DE{'ARTMENT TO BE COMPLETED iN INK—PI_EASE PRINT � <br /> 259•8810 � <br /> ' ❑ DEMOLITION I 1 COUIBINATION I"I BUILDING I I MECHANICAL � LUMBING _ ❑ SIGN <br /> � OWNER A�AILADDRESS CITV ZIP PIIONE <br /> • .rAi e,�-i' �wi..cls 9(S ��.�v 11e ur t�C �!fle dvt 9�001 y_fJ /'�DO <br /> T NANT <br /> MAILAO�f1ES5 CITY cIP PHONE <br /> � AflCH1TECTCF0E51GNER MAI�ADDPESS CIiY ZIP PNONE <br /> — I <br /> GENERALC0�ITH�CTOfl MNLADORESS CITY ZIP Pf10NE LICENSE� <br /> S,f�' �,•ri� �?6)-939.1 <br /> � MECHANICALCONTRACTOR MMLAODRESS CITV ZIP PHONE LICENSEN <br /> FL�FA61NdCONTRACTOfi MAIL�D�HE55 CITY ZIP Pf10NE LICENSEN <br /> CLAS F WORK <br /> � - NEW ❑ ADDITION I.7 ALTERATION I l HEPAIR I I DEMOLITION I I WOODSTOVEIFRPL INSERT I�I BUILDING RELOCATION <br /> � TENANT IMPROVEMENT Ofl INTERIOR f7EMO0EL ONLY CON7ACT PEfi50N AND Pk10NE NO. <br /> ' �„0�� ll�� r Sl.�J-��0 0 <br /> � CONTRACT PRICE OF WORN: <br /> DESCRIBE WOFK ANO SOUARE FGOTAGE INVOLVED <br /> i.s7'cCC�.T�p� r- ae�•���ci�ct <br /> PPOPOSEUUSEOFBUILDING I HEAEBY �CRTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION ANL KNOW THE SAME TJ 8E TRUE AND CORRcCT.ALL <br /> ' IEGALOESCRIPiIONOFPPOPERTY�S110WN0ELOWOR�TT�CMFW�COPIES) PROVISICNSOFLA'NSANDORDINANCESGOVERNINGTHISTYPEOF <br /> WORK N.ILL BE COMP:E7F�wITH WHETHER SPECIFIED HEREIN OR <br /> ��T BLOLK oF NOT. T'1E GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHJRITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER S7ATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORI2ED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THF WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> - CONTRACTORS LAW 18.27 flCW AND 296.200 WAC. <br /> � SIGNATUREOFCONTRFC(OP.ORAUTHORIZEDAGENT �A1E <br /> � '�� �, ��--� <br /> j PROJECTA�DRE55 pppLICFNTSC�TVBOSINESSUCENSENO.ANDBUSME55UA�AE <br /> ' /'GCw <br /> PLUMBING , MECHANICAL � <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> ; WATER OLOS�T(TOILET) _ � A/C—NHNOLG UNITS—H.P. ' � <br /> BA(HTU6 ' FORCED AIR SYSTEMS—B.T.U. M E.A. ' I <br /> � � <br /> LAVATOflY(WAS 1 BA�1N) i UNIT HEATERS—B.T.U. M � _ <br /> Sh�OWER ' CLOTHES DRYERS � <br /> �� KITCHEN SIC�K 8 DISP ; VENTILATION FAN � <br /> DISHWASHeR � RANGE HOOD ' <br /> � WATER HEATER � <br /> LAUNDRYTRAY � � <br /> � CLOTHES WASHER � WOOD STOVE ' <br /> � METAL FIREPLACE 8 CHIMNEY ' <br /> URINAL � <br /> pRINKING FOUNTAIN � FIREPLACE INSERT �_ <br /> FLOOR DRAIN � HEAT PUMP � <br /> ' GAS PIPING � <br /> BACKFLOW PREVENTERS � � —'�— I <br /> � ROOF DRAINS—RAWLEADERS � EXHAUST FAN _T , <br /> � <br /> � ' 3tlJK(SERVICE—BAR,ETCJ � — � <br /> � <br /> a.:. _ i <br /> Y'.:i � __ i -----r— <br /> � <br /> �, i <br /> i i <br /> I I ' <br /> ;�' I <br /> I <br /> - �� — SUB-�OTAL $ ' <br /> ' SUBTOTAL $ <br /> PERMIT $ a � � PERNIT S _T_ <br /> TOTAL FEE $ ' �' TOTAI.FEE $ ' <br /> FHONT SETBACK REAR SETBACK SIDE SETBACN PLAN CHECN Nl1MBEfl fEE RECEIPT NO. <br /> usezor+E �ornRen VACANTSITE PEES YALUATION FEE T_ <br /> I I YES ❑ NO BUILDING ' <br /> 7YPEOfCONST.ALIOWPBLE 71'PEOFCOqST.ACNAI OCCIIDAfltY xo.avow[uixGuxrts i — � <br /> . caour pLUMBWG � � <br /> i <br /> � SIZEOFBLOG, NO.OFSTORIES BASEMENT MECHANICAL � <br /> I I VES i I NO --- ; <br /> - OCCUPANCY LOAO FIfiE SPRNNLERS REO'0 HEIGIIT LIMIT�TION <br /> OTIIER � <br /> i <br /> � I I YES I I NO STATE BUILDItIG SURCHARGE i <br /> ---�-- <br /> � REASOI!F0f15PRINNLE(i5 <br /> . . STATE ENERGY' �1RCHARGE � <br /> _ � <br /> i APPUCATIONACC.BV PLANSAPPROVEDBV CITY OF EVERETT PUBUC WORKS i <br /> LOCAL SALES � —� <br /> � TAX CODE IS 3105 TOTAL �� <br /> i <br /> i <br /> � .. _ . <br />