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APPLICATICA FOR CONSTRUCAN PERMIT c <br />mlEwplllrl TO BE COMPLETED IN NO( —PLEASE MINT <br />city OF <br />everett <br />BUILDING DEPARTMENT HEATINGSYSTEM: ❑GAS ❑ELECTRIC ❑ —� <br />259-8810 <br />DEMOLITION COMBNIATION BUILDING r'41111g1AMCAL PLUMBBID SIGN <br />OMIER ' {' Ao <br />n 4,�c Eve AGE--AGE--3 n 1 :. fj WA S `9 - c P IP IK;r f {L.rf I R k 120 /�L_c Wr/ rt <br />GENEA&CWIMCTOR <br />ANALADME55 <br />CITI <br />Zm <br />PwHE <br />LICENSE <br />Nf G�ANKµ CONTRACTOR <br />YAL ADDRESS <br />LILY <br />NIP gRIi1 <br />P'IE <br />LKXNYI <br />V..;+,d 515+RP <br />S 3231 _fsr <br />AVE 5, <br />5,,y-jjC <br />111-1154 <br />LNY7Es I 174rzra <br />PLUMBING CONTRACTOI <br />WLADWISS <br />CRY <br />ZIP <br />IIrNE <br />LICENSE <br />CLASSawORa <br />NEW ADDITION ATALTEnATION i REPAIR <br />DEMOLITION <br />WOODSTOVE. FRPL INSERT <br />BUILDING RELOCATION <br />COAITRAcr NICCa AMNA 76 T 4 <br />ascg9E AMK AND COUARE rGUTAGE INVOLVED <br />,,ft ewe)+ HVAC sfi+Ym 4 Nll <br />I.i sus, <br />CONTACT PERSON AND P"t No <br />IDm C—J.) <br />PROPoseoUSE aBUILDING <br />P m ,..c • c, n I <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 TINE PROVISIONS OF ANY <br />OTHER STATE ON LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 2FA.200 WAC. <br />saNATLmEacwTRACTww wTHwAxEO AGENT wTE <br />x s..4►.., M ECG. �5/7/9/ <br />LEGAL DESCRPIA]NPF PROPERTY ISHEARN BCIMOR ATTACH F" COPKN <br />"-OL 5 5 <br />LOT AN I., BLOCK ZZ a Bv1I P.•f= <br />i; wi <br />A c';+f�f <br />_�.N�r�I� <br />ngwcn ADDREss <br />y� t1 2 <br />_ <br />APHCAMi6 [Rv gU5iNI55lICENSE Iq ANp RU5Mg56 MIME <br />PLUM NO <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMEMT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C—ARINOLG UNITS—H.P. <br />BATHTUB <br />FORCED AIR SYSTEMS-8.T. U. M E.A. <br />LAVATORY (WASH BASINI <br />UNIT HEATERS —BTU. M <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK A 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 A CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS—RAINLEADERS <br />E%HADST FAN <br />SINK (SERVICE —BAR, ETC.I <br />SUBTOTAL F <br />SUBTOTAL f <br />OU <br />PERMIT S <br />PERMIT f <br />TOTALFEE f <br />TOTAL FEE b <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK <br />REAfl BETBACK <br />AGE SETBACK <br />KAN CHECB MINER <br />EEE <br />RECEIPINO — <br />USE ZONE <br />IPTARw <br />VACANT ATE <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />PLUNGING <br />TYN N Cw1E µIDRMIE <br />TrRdCURST ACTUAL <br />IK[IMA(� <br />FAour <br />awMUM.VnE <br />SIZE OF BLDO <br />KID STORES <br />BASCALENT <br />MECHANICAL <br />ADDITIONAL PLAN CHECK <br />OCCUPANCY LOAD RRESPRNNLERSREOO HEIGHT LWITATIa1 <br />REASON FOR SPRINKLERS <br />OTHER <br />STATE BUILDING SURCHARGE <br />NUKE BY <br />INARS APPMyyE er <br />�� <br />CITY OF EVERETT <br />LOCAL E <br />TIUI CODE IS IS 31 J105 <br />PGGLIc vroRlLs <br />' <br />' <br />;;AL <br />/� I <br />