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APPLICATbaN FOR C:ONSTRUC0`wION PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA/98201 •259-8810 <br />DEMOLITION ❑ COMBINATION fl BUILDING F MECHANICAL ❑ PLUMBING ❑ SI. <br />IPROJECTADDRESS <br />/qEft rLH- n' ttI CvQU <br />mA1L ADUHt�] <br />�rvrvrn C', /7T-cl�tt <br />TfCtr?)l(�1 <br />CITY <br />ZIP <br />PHONE <br />TENANT MAILADDRESS <br />CITY <br />ZIP <br />PHONE <br />��Cin�yntl 0 2 1ye r� r 1 <br />7Ql l <br />Gc_�C� <br />a <br />ARCHITECT OR DESIGNEfl MAIL ADDR SS <br />7yl�n All _�.D• �x 1 z � � 3 <br />CITY <br />n�%1 I <br />ZIP <br />C)Y�c°Y� <br />��A <br />PHONE <br />9�P2 <br />�C�_ �'�l-7lr o <br />GENERAL CONTRACTOR MAILADDRESS <br />CITY <br />ZIP <br />PHONE <br />STATE U':ENSEI <br />h-e iac,cr OcUnstrUC±-On- <br />PO- <br />l)Y k15 <br />(, )L1Wnl,LLo2 <br />:Y:L5 �-osl5 <br />MECHANICAL CONTRA IOR MAILADDRESS <br />CITY <br />ZIP <br />PHONE <br />STATE IICENSE8 <br />Crown Fire Protection, Inc. P.O. Box 12113 Mill <br />Creek 98082 <br />(206) <br />40,1-7669 CROWNFP044LL <br />PLUMBING CONTRACTOR MAILADDRESS <br />CITY <br />ZIP <br />PHONE <br />STATE LICENSE 0 <br />Vil�illC,Wn <br />CON7CT PIRICiJRU <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />I PC S r Irv) 171 iAl. CLI Cat )U� 1 <br />CONT T PERSON AND PHONE NO. <br />CkYFI rMnninci <br />i 20(o kNJ--/&d <br />_ <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIE <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 Of <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME 'TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF AN) <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 />PROPOSED UBE OF BUILDING <br />ck-(1 <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW Ofl ATTACH TWO COPIES) <br />LOT BLOCK GF <br />11 �� I <br />L' ��{C�TI n 1CL�.1 <br />✓ <br />UnYln/� <br />PARCEL TAX I.D. NUMBER <br />CONSTRUCTION LOAN LENDER, ADDRESS, TELEPHONE NUMBER <br />IrL1 <br />BI6NATURE3 <br />13 <br />DATE <br />CITY BUSINESS LICENSE NO. <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />1 <br />_TYPE <br />A/C-A/HNDLG UNITS - H.P. <br />' <br />BATHTUB <br />FORCED AIR SYSTEMS - B.T.U. M E.A. <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />1 <br />SHOWER <br />' <br />UNIT HEATERS-B.T.U. M <br />_ <br />KITCHEN SINK & DISP <br />CLOTHES DRYERS <br />I <br />DISHWASHER <br />' <br />VENTILATION FAN <br />' <br />LAUNDRY TRAY <br />; <br />RANGE HOOD <br />CLOTHES WASHER <br />1 <br />WATER HEATER <br />1 <br />_ <br />URINAL <br />' <br />WOOD STOVE <br />' <br />DRINKING FOUNTAIN <br />METAL FIREPLACE (WOOD BURNING) <br />-�— <br />FLOOR DRAIN <br />' <br />FIREPLACE INSERT (WOOD BURNING) <br />BACKFLObV PREVENTERS <br />GAS FIREPLACE <br />SINK (SERVICE - BAR, ETC.) <br />GAS RANGE <br />' <br />_ <br />' <br />GAS PIPING <br />' <br />EXHAUST FAN <br />i— <br />1 <br />' <br />SUBTOTAL $ <br />; <br />SUBTOTAL $ <br />1 ' <br />PERMIT S <br />PERMIT $ <br />1 <br />TOTAL FEE $ <br />' <br />TOTAL FEE $ <br />' <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK <br />REAR SETBACK <br />S1DE SETBACK <br />PLAN CHECK NU BE <br />FEE Z� <br />RECEIPT NO. <br />1{i/ <br />G <br />- <br />USEZONE <br />LOTAREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />❑YES ❑ NO <br />HEIGHT LIMITATION <br />NO. OF DWELLING <br />SIZE OF BLDG/LI. <br />UNITS <br />PLUMBING <br />OCCUPANCY NO. OF STORES <br />OCCUPANTLOAD <br />BASEMENT <br />MECHANICAL <br />GROUP <br />❑YES ❑ NO <br />PLAN CHECK <br />� <br />I <br />FIRE ALARM RED <br />REASONADDITIONAL <br />OTHER <br />(% QD <br />FIRE SPRINKLER RED <br />REASON <br />1 <br />STATE BUILDING SURCHARGE <br />I <br />TYPE OF CONST, <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />PUBLIC WORKS <br />Vj <br />LOCAL SALES <br />TOTAL <br />G <br />TAX CODE IS 3105 <br />( ' <br />DATE <br />