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APPLICATION FOR CONSTRUMO I ERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREFT • EVERETT, WA 98201 •259-881%) <br />I aAcmUL111vn I I COMBINATION BUILDING MECHANICAL 11 PLUMBING Fl SIGN <br />PROJECT ADDRESS <br />�llO FyE ETT MALL 1_jAY �VCRF-TI 2w11 <br />OWNER MAIL ADDRESS <br />CIT-Y 21P PHONE <br />r <br />I UUH^UItsIG1NER MAIL <br />IONTRACTOR MAIL <br />TT 1211c`r-wM <br />CL CONTRACTOR MAIL <br />J cvT Now <br />CONTRACTOR MAIL <br />DT IL►UOWN <br />PRICE OF WORK <br />IZO ^rY11 <br />Cm <br />CITY <br />IN - <br />CITY <br />7 Q <br />rnL t <br />AT Iz1 1-III-®g1C <br />ZIP PHONE <br />ZIP PIION'c STATE LICENSE <br />Sw. fNT 1 OKEaEFRWQ`LJOLI� 7- <br />ZIP PHONE STATE LICENSE • <br />ZIP PHONE STATE LICENSE u <br />ucwru,r n <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />%xAD I I tLtCTHIC fl <br />- O S. <br />CONTACT PERSC.V AND PHONE NO. <br />-- <br />S = <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT <br />PROPOSED USE OF BUILDING <br />BETA I t 5� I �S/Fl(1 I—D <br />ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />ORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />LEGAL DESCRIPTION OF PROPS (SHOWN BELOW OR ATTIES) <br />NOT. THE GRANTING OF A PERMIT DOES NOT <br />71wu <br />LO7 BLOCK of <br />PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />S�E i'1 i�iT� i I CnOTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />— tt 'J <br />PERFORMANCE OF CONSTRUCTION. THAT 1 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 />PARCEL TAX I.D. NUMBER <br />-51lqz-aov - oos-OI <br />X <br />CONSSTjRUCLnON LOAN LENDER. ADDRESS. TELEPHONE NUMBER <br />SIGNATURE DATE J <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 />BATHTUB <br />A/C —AMNDLG UNITS—H.P. T— <br />LAVATORY (MASH BASIN) <br />; <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />, <br />HEAT PUMP <br />SHOWER <br />' <br />UNIT HEATERS —B.T.U. M <br />, <br />KITCHEN SINK 8 DISP <br />; <br />CLOTHES DRYERS <br />DISHWASHER <br />VENTILATION FAN <br />LAUNDRY TRAY <br />; <br />RANGE HOOD <br />, <br />CLOTHES WASHER <br />, <br />WATER HEATER <br />URINAL' <br />WOOD STOVE <br />, <br />' <br />DRINKING FOUNTAIN <br />METAL FIREPLACE (WOOD BURNING) <br />FLOOR DRAIN <br />' <br />FIREPLACE INSERT (WOOD BURNING) <br />, <br />BACKFLOW PREVENTERS <br />; <br />GAS FIREPLACE <br />SINK (SERVICE — BAR. ETC.) <br />GAS RANGE <br />GAS PIPING <br />, <br />EXHAUSTFAN <br />, <br />, <br />' <br />! <br />SUB TOTAL $ <br />, <br />SUB TOTAL $ <br />� <br />_ PERMIT $ <br />, <br />PERMIT $ <br />, <br />TOTAL FEE $ <br />—' <br />L • /Y� TOTAL FEE $ <br />r vn Vrril Q Wom U1111-T: I{- lv� C) /i/ - . -A. L <br />FRONT SETBACK <br />USE ZONE <br />REAR SETBACK <br />LOT AREA <br />SIDE SETBACK <br />VACANT SITE <br />PLAN CHECK NUMBER FEE <br />50/ 3 / 133 <br />FEES VALUATION <br />RECEIPTNO. <br />FEE <br />AYES fi NO <br />BUILDING <br />37a11 <br />C <br />I <br />HEIGHT LIMITATION <br />NO. OF DWELLING <br />UNITS <br />PLUMBING <br />0 <br />GCCUP NCY NO OF STORIES <br />GRUU <br />OCCUPANT LOAD�- <br />9 0 <br />TSIZEOF'8�DGt' <br />ENTMECTIANICAI.L <br />YES NO <br />RF ASON <br />ADDITIONAL PLAN CHECK <br />i <br />FI E ALARM RED-D <br />1 S <br />FIRE SCRBJKIER RGOTJ <br />OTHER <br />I <br />REASON <br />STATE BUILDING SURCHARGE <br />TYPE OF O.ONST <br />PLANS APZ <br />Ei <br />DaTE � <br />CITY OF EVERETT <br />LOCAL STILES <br />TAX CODE IS 3105 <br />PUB)Ir,woRKs <br />TOTAL <br />