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the EvrrprNn <br />CITY OF <br />everett <br />BUILDING DEPARTMENT <br />259.8810 <br />ttPPLICATION FOk% <br />CONSTRUCTION <br />PERMIT <br />l'O BE COMPLETED IN INK- PLEASE PRINT <br />O DEMOLITION ❑ COMBINATION AlBUILDING CI MECHANICAL 'PLUMBING ❑ SIGN <br />OWNEf' ✓� MAR. ADDRESS Cllr LF ,. PBONr <br />i1 <br />nnc nrtcn OR In LaGNCJI rAAu nOpNESS cnr nr rnpnL <br />GENERAL CONIRACIOR MAIL ADDRESS CITY ZIP "NONE UCL NSE - <br />,e///no-�'L-'�'• i7Z/s �iI,vKE��PI.%�N. !��/.,vp�l� 9�,'27d 6��J/SS��zz3-cl,+�nna,6�, <br />MH'AANICAI CONINACIOR MAIL ADDRESS CITY 21P PNONF LICENSE <br />PLUMBING CONIPACTOn MAIL. ADDRESS CITY —_' ZIP PHONE LICENSE. <br />19,PY5 ^01N9/11-IG- <br />CLASS OF WORT ,.,/ <br />❑ NEW [I ADDITION P ALTERATION Cl REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.iNSERT ❑ BUILDING RELOCATION <br />VALLIAIION Or WDRr. icosi OI MATERIALS PLUS IABORI <br />00 <br />use OF nUnILDINGp <br />/ ";96 JL"SS'/e&cz.� ti ��"? <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATIONAND KNOWTHE SAME TO BE TRUEAND CORRECT. ALL <br />PROVISIONSOF LAWS AND ORDINANCES GOVERNING TIT IS TYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE- <br />IN OR NOT. THE GRANTING OFA PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIGNS OF <br />ANYOTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTion OR AUTHORIZED AGENT DATE <br />X // <br />l ` G ! J'ft'i 1` /! j A. 10i!/Irb JA <br />LEGAL DESCRIPNONOF PROPERrr(SHOWN BELOW OR ATIACN FOURcorjFsl <br />LOI- BLOCK __OF <br />PROJECT ADDRESS <br />pSDf P/ •J'(_', <br />71c, s ic/ ri iv z <br />Ar PI ICAN TS CII1 BUSINF SS FICI INF NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIC — AMNOLG UNITS — H P. <br />BATHTUB <br />_ <br />REFRIGERATION UNITS —11P EA. <br />LAVATORY ITVASH BASIN) <br />BOILERS — B. T U , II P <br />SHOWER <br />GAS FIRED A . UNITS — D.T.U. <br />KITCHEN SINK A DISP <br />FORCED Ain SYSTEMS — B T U. M EA, <br />DISHWASHER <br />WALL 14EATERS-0.T U. M <br />LAUNDRY TRAY <br />UNIT HEATEnS — B.T.U. M <br />CLOTHES WASHED <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHES TES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />WATER HEATED <br />ROOF DRAINS — RAINLEADEns <br />WOOD STOVE <br />_— <br />SINK (SERVICE — BAR. ETC) <br />METAL FIREPLACE & CHIMNEY <br />_ <br />FIREPLACE INSERT <br />HEAT PUMP <br />_ <br />GAS PIPING <br />_ <br />EXHAUSTFAN <br />SUB TOTAL <br />$ <br />SUBTOTAL <br />PERMIT <br />S <br />PERMIT <br />TOTAL FED <br />5 <br />TOTAL FEE <br />I NONE SE IBnI:K <br />PLAN CH CK NUMBER <br />FEE <br />IT NO. <br />REAn SETBACK <br />SIOF. SF IGACK <br />IISE ZONE <br />(:CT_YH(1.'C <br />LOT AREA <br />vncnNr SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />S •i5 ('r',.I <br />Z52 <br />Cro <br />IN PE OI'CONST <br />1 <br />OCCUPANCY GROUP <br />/3.2 <br />NO OF pWFLLING UNITS <br />'TP— <br />PLUMBING <br />SIZE OF BLDG <br />253o F <br />NO OF STORIES <br />/ <br />MAX OCC LOAD <br />z� <br />MECHANICAL <br />OTHEn <br />FIRE SPRINKLERS REQUIRED U YES AINO <br />STATE BUILDING SURCHARGE <br />3 <br />5 <br />STATE ENERGY SURCHARGE <br />APPIJCARONAW. BY <br />!Ltd <br />PIANSCRECKEDBY <br />APPII FOR ISSUANCE BY <br />ruBuc woRKs <br />_ <br />TOTAL <br /><L <br />PHUYtH I r uwncna nnc I lcoruWeloAe r..rr ..�. �.... <br />PROPERTY LINE LOCATIONS AND RELATED EASEMENTS. <br />