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APPLICATIVA FOR CONSTRUCTION <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 •259-8810 <br />Fl DEMOLITION <br />1 PROJECT ADDRESS <br />TENANT <br />OR D <br />Fl COMBINATION f-1 BUILDING Fl MECHANICAL <br />CITY <br />mLl <br />PHONE <br />PERMIT:* <br />Fl PLUMBING Fl SIGN <br />PL1IMBINt. CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICFNSEF <br />CONTRACT PRICE OF WORK <br />�D JTD <br />HEATING SYSTEM: []GAS n ELECTRIC n <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />CONTACT PERSON AND PHONE NO <br />1-- <br />I HEREBY CERTIFY TAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PFOPOSED USE OF BUILDING <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 ATTACH TWO COPIES) <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />LOT BLOCK OF <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 3Y 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 WAG. <br />1�--\ <br />PARCEL TAX I.D. NUMBER <br />CONSTRUCTION LOAN LENDER, ADDRESS, TELEPHONE NUMBER <br />X <br />SIGNATURE DATE <br />CITY BUSINESS LICENSE NO. <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />' <br />A/C -A/HNDLG UNITS -H.P. <br />I <br />BATHTUB <br />; <br />, <br />FORCED AIR SYSTEMS - B.T.U. M E.A. <br />HEAT PUMP <br />' <br />�- <br />LAVATORY (WASH BASIN) <br />SHOWER <br />' <br />UNIT HEATERS - B.T.U. M <br />KITCHEN SINK & DISP <br />; <br />CLOTHES DRYERS <br />; <br />DISHWASHER <br />I <br />VENTILATION FAN <br />�- <br />LAUNDRY TRAY <br />; <br />RANGE HOOD <br />CLOTHES WASHER <br />I <br />WATER HEATER <br />-�- <br />URINAL <br />' <br />WOOD STOVE <br />DRINKING FOUNTAIN <br />-� <br />METAL FIREPLACE (WOOD BURNING) <br />; <br />FLOOR DRAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />I <br />BACKFLOW PREVENTERS <br />GAS FIREPLACE <br />' <br />SINK (SERVICE - BAR, ETC.) <br />GAS RANGE <br />GAS PIPING <br />I ' <br />EXHAUSTFAN <br />; <br />I <br />I <br />; <br />SUB TOTAL $ <br />SUB TOTAL $ <br />' <br />PERMIT $ <br />, <br />PERMIT $ <br />TOTAL FEE $ I <br />_ <br />TOTAL FEE S <br />' <br />FOR OFFICE USE ONLY: <br />FRONT SFTnACN <br />PEAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FFE <br />RECEIPT NO <br />55-10 <br />I1SE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />I IYES fl NO <br />BUILDING <br />�� I <br />HEIGHT LIMITATION <br />NO. OF DWELLING <br />UNITS <br />SIZE OF BLDGR.I <br />' Q 9 I <br />J <br />PLUMBING <br />OCCUPANCY <br />NO OL StORIES <br />OCCUPANT LOAD <br />BASEMENT <br />T <br />Ll <br />/NO <br />MECIIANICAI. <br />L <br />(IYES /fl <br />ADDITIONAL PLAN CHECK <br />— - <br />— <br />FIREALOD <br />AnMnE <br />REASON <br />N° <br />O/11En <br />FIRE SPRINKLER REO'D <br />REASON <br />o <br />STARE BUILDING SURCHARGE <br />(� % <br />(l <br />TYPE OFf,ONST <br />PLANS A ROVED BY <br />CITY OF EVERETT <br />PLIBLICWOR✓R <br />- v <br />LOCAL SALES <br />�; <br />DATE / - 22 - <br />TAX CODE IS 3105 <br />TOTAL <br />J <br />