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APPLICATIA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />I DEMOLITION I I COMBINATION I BUILDING f I MECHANICAL f I PLUMBING SIGN <br />PROJECT ADDRESS <br />C/S�alyylnzn 77d 5 Fy�e�� r WaN F v i G✓=9�203 <br />WILL MULABOPFss uTv f ZIP Harr <br />MECIANICALCOITRACTOR MIJLADDRESS CITY 0P PHONE STATE LICENSE• <br />PLUMBING CONTRACTOR MALADDRESS CRY ZIP PRONE STATE LICENSE <br />CONTRACT PACE OF LYORN <br />0000, <br />HEATING SYSTEM: ❑GAS fIELECTRIC fe," <br />DESCPIDE NAND SQUARE FOOTAGE INV}C.,VED <br />/ A M 2 193. Nf2 +y SinU <br />CONTACT PEPSOI ANO PINMIE NO <br />¢ /n/ch. yPr. • 20 H2 3 - 3/oo <br />FAcin <br />��Fne,'a <br />1 III A/(((AP A)P <br />PROPQSEDUSEOPRUItauG <br />P pi L clAi, S�« <br />P11TVIO <br />I HEREBY CERTIFY THAT 1 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 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 296.2000, WAC. <br />�j�i A,' Q�• Q� <br />SiONATUPE DATE <br />��„� <br />LEGAL DESCRIPTION OF PROPERTY ISHO VIN BELOW OR Annc COPIESF <br />LOT BLOCK OF <br />PARCELTANIQ.IAIMTER <br />CONSTRUCTION LOAN LENDER. ADDRESS. TELEPHONE NUMBER <br />CITY BUSINESS LICENSE NO. <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />A/C—AMNDLG UNITS —M.P. <br />BATHTUB <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />_ <br />' <br />SHOWER <br />UNIT HEATERS—B.T.U. M <br />KITCHEN SINK 8 DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />VENTILATION FAN <br />LAUNDRY TRAY <br />RANGE HOOD <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />WOOD STOVE <br />DRINKING FOUNTAIN <br />METAL FIREPLACE (WOOD BURNING) <br />FLOOR DRAIN <br />I <br />FIREPLACE INSERT IWOOD BURNING) <br />BACKFLOW PREVENTERS <br />GAS FIREPLACE <br />SINK (SERVICE —BAR. ETC.) <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL $ <br />SUBTOTAL $ <br />PERMIT $ <br />PERMIT $ <br />TOTAL FEE $ <br />TOTAL FEE $ <br />_ _ <br />FOR OFFICE USE ONLY: I- (n - nd J <br />TRONi SETBACK <br />RF.ARSETBACK <br />SITE SETBACK <br />PU CHECK A/LMB-ER <br />�� <br />FEE <br />RECEIPT NO. <br />USEZONE <br />LOT AREA <br />VACANT STE <br />DYES ❑ NO <br />FEES <br />VALUATION <br />FEE <br />BOLOIND <br />HEIGHT LIMITATION <br />NO OF EWND <br />VNITS <br />SIE OF DLQIW <br />P VMBNGW <br />CCC�pANCY In OSI AF <br />OCCUPANTLOAD <br />BASEMENT <br />DYES Ll NO <br />MEGLIAMLAL <br />AODIPONALPLAN CINECK <br />FIRE ALARM PEOD <br />REASON <br />0 TR <br />FIRE SPRINKLER PEO➢ <br />REASON <br />STATE BUILDING SURCHARGE <br />I <br />TYPF OF CONST <br />PLANSM vSD BY <br />„^ <br />DUE [(� <br />CRY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />PUBLIC worus <br />TOTAL <br />A/ Y <br />