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RIA <br />APPLICATIA1 FORMONSTRUCAJN PERMIT <br />CITY OF EVERMle BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 •259-8810 <br />❑ DEMOUTION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING 2'SIGN <br />PROJECT <br />O T T - <br />OWNER MAILADDRESS CITY ZIP PHONE <br />MAIL ADDRESS CITY ZIP PHONE STATE LICENSE <br />7 Ste. ��� 74-0, A ' fOL S� <br />PLUMBING CONTRACTOR MAILADCNESS CITY ZIP PHONE STATE LICENSE <br />CONTRACT PRICE OF WORK <br />/J <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />DESCRIBE WORK A'NDOSGUUARE FOOTAGE INVOLVED T— O I <br />/_V /It <br />CONTACT PERSON AND PHONE NO <br />/L�/y✓ fill/ <br />-- --- <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO PE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION 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 />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />X <br />PROPOSED USE OF BUILDING <br />LEGAL DESCRIPTION OF PROPERTY(SHOWN BELOW OR ATTACH 7WO COPIES) <br />LOT BLOCK OF <br />PARCEL TAK I.D. NUMBER <br />6 Z r G 37 S <br />CONSTRUCTION LOAN LENDER. ADDRESS. TELEPHONE NUMBER <br />SIG A LIRE DATE <br />CITY NESS UCENS X 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 />)VC —AIHNDLG UNITS <br />' <br />BATHTUB <br />; <br />FORCED AIR SYSTEMS <br />I ' <br />LAVATORY (WASH BASIN) <br />I <br />HEAT PUMP <br />I <br />SHOWER <br />' <br />UNIT HEATERS <br />' <br />KITCHEN SINK 6 DISP <br />i <br />CLOTHES DRYERS <br />i <br />DISHWASHER <br />I <br />RANGE HOOD <br />' <br />LAUNDRY TRAY <br />I WATER HEATER <br />CLOTHES WASHER <br />I <br />WOOD STOVE <br />I <br />URINAL <br />' <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />i <br />FIREPLACE INSERT (WOOD BURNING) <br />i <br />FLOOR DRAIN <br />' <br />GAS FIREPLACE <br />' <br />BACKFLOW PREVENTERS <br />; <br />GAS RANGE <br />; <br />SINK (SERVICE —BAR, ETC.) <br />I <br />GAS PIPING <br />I <br />' <br />EXHAUST FAN <br />i <br />I <br />I <br />I <br />I <br />I <br />SUB TOTAL S <br />; <br />G SUB TOTAL $ <br />' <br />PERMIT $ <br />I <br />C. <br />PERMIT $ <br />I <br />TOTALFEE $ <br />' <br />TOTALFEE $ <br />' <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUM R / <br />FEFFn <br />V <br />RECEIPT NO <br />V A <br />N A <br />NA <br />xsb, 710 <br />G' <br />USE ZON 7 <br />jLJFIEA / <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />33 1 <br />— Z_ <br />v 6 •75 <br />❑YES .0 NO <br />HEIGHT LIMITATION <br />NO OF DWELLING <br />SIZE OF BLDGRI <br />, <br />LIN c <br />UNITS NA <br />PLUMBING <br />T <br />OCCUPANCY NO D STORIES <br />OCCUPANT LOAD <br />BASEMENT <br />MECHANICAL <br />GROUP <br />I <br />❑YES ❑ NO <br />ADDITIONAL PLAN CHECK <br />FIRE SPRINKLER REG'O <br />REASON <br />OTHER <br />FIRE ALARM REO'D <br />REASON <br />STATE BUILDING SIIRGIUOGE <br />i <br />`�"� <br />TYPE OF CONST <br />PLANS APP (�D BY <br />�(� <br />CITY OF EVERETT <br />PUBI If. WORKS <br />/ <br />LOCAL SALES <br />— <br />DATE <br />TAX CODE IS 3105 <br />TOTAL <br />