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,-� - <br />APPLICATI�.N FOR CONSTRUC'� .ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREE? • EVERETT, WA 98201 • 259-8810 <br />❑ DEMOLITION ❑ COM8INATION �L BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS n <br />��%� � 1 /i I �� i`� �%n 1 % �/ �� i <br />�AECHANICALOCO RAC OR � MA LI ADDfiE55 CITV IIP PHONE STATE IICENSE � <br />PLUMBINGCONTRRCTOR MAILADDHE55 CIN ZIP PHONE S7ATEL�CENSE� <br />�-icv -- <br />DESCRIBE WORN AND SOUARE 1 <br />(�F7�1 L L� <br />LEGAL DESCi11PTION OF PROPERTY (SHOWN 6ELOW <br />LOT � BLOCK OF_ <br />. II L^ w <br />PARCELTA%I.D.NUMBER <br />57�y•o�c� oYi <br />CONSiRUCTION LOAN LENDER, ADDflE55, TELEPIIONE NUMBER <br />PLUMBINO <br />WATER CLOSET <br />LAVATORY <br />SHOWER <br />GISHWASHER <br />LAUNDRYTRAY <br />UR�NAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />RINK/RFRVICF—RAR FT <br />FOR OFFICE USE ONLY: <br />FRONTSE7BACK REAF SETBACK <br />USEZONE <br />HEIGHT LIMITATION <br />RRE � RM^ I'E^O'D 2 <br />,W <br />FIRE SPRINKLER REO'D <br />Nl� <br />TVPE OF CONST <br />�/'-'�' v <br />ITEM <br />� ' <br />hEATING SYSTEM: ❑ <br />CONI ACT PERSON �FO PHflICb NO. <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERN�NG THIS TVPE 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 TH[ <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM TNE WORK FOR WHICH <br />APPLICATIO IS MADE AND I COMPLY WITH THE STATE <br />CONTR CT RS LAW 1827 a��6 29 200 WAC. <br />�� ' � s <br />5 NATURE / ORTE <br />CITV BUSINESS LICENSE N0. <br />MECHANICAL <br />FEE NG. TYPE OF FII(TURE OR ITEM <br />� AIC-AMNDLGUNITS-H.P. <br />! FORCED AIR SYSTEMS - B.T.U. M E.A. <br />UNIT HEATERS - B.T.U. M <br />CLOTHES DRYERS <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE i <br />FIREPLACEINSERT <br />GAS RANGE <br />GAS PIPING <br />PERMIT S <br />TOTALFEE $ <br />SIDE SETBACK � PLAN <br />LOTAREA VRCANTSITE FEtA <br />❑YES ❑ NO BUILDING <br />NO.OFOWELLJNO SIZEOFBLDGR.I. <br />UNITS n�_-J 6� j��y-�/Tn� 1 p�UMBING <br />-Cyy ( l'1� ( I GYV <br />OCCUPANTLOAO BA$EMENT MECHANICAL <br />2 � ❑YES ❑ NO <br />flEASON ADDITIONPL PLAN CHECK <br />OTHER <br />REASON <br />STATE BUILOING SURCIiARGE <br />PLANS APP OVEDBY CITY OF EVERETT PUBLIC WORKS <br />�M % '/� LOCAL SALES <br />DAiE �Z/?.7/�Y� TAX CODE IS 3105 TOTAL <br />PERMIT $ <br />TOTALFEE $ <br />FEE � FECEIPTNO. <br />�� � �/ //� <br />FEE <br />