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APPLICATIVN FOR CONSTRUCI.ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />DEMOLITION COMBINATION BUILDING :MECHANICAL 1 PLUMBING I I SIGN <br />PROJECT An <br />2'io"7 C.ot_�Y <br />J.a. N <br />EV*5zsTv, VJA <br />or, <br />Eve ET <br />MAIL ADDRESS Cnr <br />ZIP PHONE <br />E V E¢ET- t�T..ATv a.� P✓ArJ t� <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITV <br />ZIP P110NE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP <br />PIION'E STATE LICENSE / <br />rl -13 1 y.J <br />'12fi Plao\-ecxw/.I 2ac4-�. 42 <br />PLUMBING CONTRACTOR MAILADDRESS <br />CONTRACT PRIDE OF WORK <br />21-7 CL[t�oc+mLs SPtt/Nva <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />AIE LICENSE / <br />8 LT. Sc TP e-.cwq t .UJN 98$y4 Po'Z121Frogycf <br />CITY ZIP PHONE STATE LICENSE / <br />L��a og HEATING SYSTEM: ❑ GAS f7 ELECTRIC ❑ <br />Q CONTACT PERSON AND PI10NE NO. <br />r1�%1LjLY11 \�JL.1LS J, �,�. <br />k- c� '�- l 72(, 229p <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />PROPOSED USE OF BUILDING <br />OFFL«E <br />CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACHiWOCOpIESI <br />LOT BLOCK <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />OF <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR <br />WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18,27 RCW AND 296.200 WAG. <br />PARCEL TAX L0. NUMBER <br />CONSTRUCTION LOAN LENDER. ADDRESS. TELEPHONE NUMBER <br />SIGNATURE /F DATE <br />—224t,94 <br />CITY BUSINESS LICENSE NO. <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />MECHANICAL <br />NO. <br />WATER CLOSET (TOILET) <br />TYPE OF FIXTURE OR ITEM FEE <br />I <br />BATHTUB <br />A/C—A/HNDLG UNITS <br />; <br />LAVATORY (WASH BASIN) <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />I <br />HEAT PUMP <br />SHOWER <br />KITCHEN SINK & DISP <br />' <br />UNIT HEATERS— <br />DISHWASHER <br />; <br />CLOTHES DRYERS <br />LAUNDRY TRAY <br />VENTILATION FAN <br />; <br />RANGE HOOD <br />CLOTHES WASHER <br />I <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />' <br />WOOD STOVE <br />FLOOR DRAIN <br />i <br />METAL FIREPLACE (WOOD BURNING) <br />BACKFLOW PREVENTERS <br />FIREPLACE INSERT (WOOD BURNING) <br />GAS FIREPLACE <br />SINK (SERVICE —BAR, ETC.) <br />. <br />GAS RANGE <br />' <br />GAS PIPING <br />EXHAUST FAN <br />I <br />SUB TOTAL S <br />SUB TOTAL S <br />' <br />PERMIT S' <br />PERMIT $ <br />--�— <br />TOTALFEE 5 <br />' <br />TOTAL FEE $ <br />I <br />FRONT SETBACK <br />REAR SETBACK6VA <br />CK <br />PLAN CHECK NUMDER <br />FEE <br />RECEIPTNO lo // <br />USEZONE <br />LOT AREA <br />E <br />❑ NO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />I <br />HEIGHT LIMITATION <br />NO OF DWELLING <br />UNITS <br />PLUMBING <br />OCCUPANCY NO 01 STORIES <br />GROUP <br />OCCUPANTLOAD <br />MECHANICAL <br />l7 IN <br />FlRE ALARM RED <br />REASON <br />ADDITIONAL PLAN CHECK <br />I_ i <br />— <br />FIRE SPRINKLER RED'D <br />REASON <br />RGETYPE <br />OFCONST <br />PLANS APPROVED BYIM CITY OF EVERETT LOCAL SALES <br />7OTHER <br />' <br />DATE �I Z ! TAX CODE IS 3105 <br />