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APPLICATIA FOR CONSTRUC&N PERMIT Everett <br />TM EHA,. TO BE COMPLETED IN INK -PLEASE ISFUNT e <br />CITY O <br />everett BUILDING DEPARTMENT �FJITING SYSTEM: C]GAS ]ELECTRIC ❑ <br />259-8810 <br />DEMOLITION I COMBINATION "UILDING MECHANICAL I PLUMBING SIGN <br />CYHS. 167� pA. M+L 111u ACOIHFSS AO (RGx /LO Cliv IF nRONE <br />`I' (�A-SN • IM�s s zG Se+41+-/� 98/i/ z o(. - 791 -3sCX <br />4�WZIP PHEN <br />,,JJ EUL AccS,ESs Cm F ARCHITECT CADESIGNFR SA. N%MIESS CITY ZIP AHERE <br />(Lr,u 1,4ANE. A)f .1016 BLf[NE S> IS*'-L*t �/P//9_. 76Z-4t8/ <br />f fnnN(Rµ ON1R/LlIX1 I WL MMESB CITY ZF PNp1E LICENSE <br />/C LU,II•rCLHi /E•�L��ic(-. /HG L3 �/N.C.S• .��IticA�S �OLL ONE LSB �IMZLGLI/goI <br />4[CMAMICµ CM1RACiM 4AL ApM1L5i CITYHIP PIU11E LIC[NSEI <br />IT <br />PLUMP Cp TRACTOR MAILADORFSS OF, ZIP P11DNE LICENSE• <br />l 1 A <br />CLASS C! NpM <br />NFW ADDITION ✓LTERATION REPAIR DEMOLITION WOODSTOVEFRPL INSERT BUILDING RELOCATION <br />_ <br />CcHmACt MCC OF ROSS lto//lQ ,UDG <br />CONlAC1 P[RSryI AND Fr]Irt MO <br />O[SCRIBE NOI(L ANO SOVAPE FNIACiE MVOIVEO // <br />7CAr. f � Owc[nIeI�FC— <br />✓�UOD SO FI• <br />PRORCMDUSECAftAmrq —��— <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 OF ANY <br />OTHER STATE OR 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 I COMPLY WITH THE STATE <br />CONT511I LAW 18.27 RC W AND 296.200 WAG. <br />sNWA RE c ITRACTMOR wTN0111Zfo A6[NT DATE <br />LEWIOEscamTlOr(aF PRortarvlslaAN BEIONOR AnACNFwRccoEsl <br />LOT ALOOF a _. <br />/ <br />CL e S A V'YY- A C-A .1 <br />_ <br />PNOIECI AOOR(S1 <br />APPLICANT ITVBUSINESSLICEN. W ANOBUSMESSNAME <br />PLUMBING <br />MECNA AL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF E UMANT <br />FEE <br />WATER CLOSET (TOILET) <br />ATC-A/HNDLG UNITS-H.P <br />BATHTUB <br />FORCED AIR SYSTEMS-B TU. M EA <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS -BTU. M <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK 6 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 FLAW <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS-RAINLEADERS <br />EXHAUST FAN <br />_ <br />SINK (SERVICE -BAR, ETC.) <br />T <br />SUB TOTAL <br />1 <br />SUB TOTAL 1 <br />PERMIT <br />S <br />PERMIT $ <br />TOTAL FEE <br />3 <br />TOTALFEE $ <br />FOR OFFICE USE ONLY: <br />FRCNT SI TWA <br />WARSETBALM <br />SIDESETBACR <br />PLANC CMM1WRER <br />P/�FEEEES <br />FEE �� <br />I.ELEST43 <br />usE ZONE <br />A'2 <br />.OTAKA <br />VACANTSItE <br />R <br />If <br />VALUATION <br />FEE <br />BUILDIND <br />ITT d COSTS µLMAKE <br />TYPE V CMdt µTUAt <br />- <br />ttani[v AO aCMIIN4uM't <br />2 <br />PLUMBING <br />SIZEOFBLOG <br />e".-o F-T <br />NO CC STORIES <br />3 ° Ic. <br />BASEMENt <br />MECHANICAL <br />ADDITIONAL PLAN CHECK <br />OCCUPANCY END <br />FIRE SVR-M/4ER5 EOG <br />ry>i1+Tit� <br />Irt1oNf LMRAT,, <br />- <br />OTHER <br />REASON FOR SPRWALERS <br />C V/37,NW <br />STATE BUILDING SURCHARGE <br />INTAAE BY <br />PLANS APPNOVEO BY <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 131N <br />Pusuc WORKS <br />mTa <br />I O <br />