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APPLICATI�..� FOR CO�VSTRUC7 .ON PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 / <br /> ❑ DEMnLITION ❑ COMBINATION I-1 BUILDING Cl MECHANICAL I�PLUMBING ❑ SIGN <br /> PROJECT ADDRESS /���/ 1 <br /> py�Eq MAILADOPESS TY P PNONE <br /> 1�900 48th Dr SE SNOHOMISH 96290 ,-37-5758 <br /> 1 NRNT MPILAOOPE55 qTV 21P PHONE <br /> NT CORP. 10721 EVERGREEN WAY EVERETT 355-4197 <br /> PRCHITECTOflDE51GNER MAILADORESS CIN ZIP PMONE <br /> GENER�LCONTRRC70R MAILA�DRE55 CITV ZIP PHONE STATEI.ICENSE� <br /> MECHANICALCONTRACTOR MAIL4�DRE55 �l,� CIT�' / ZIP PHONE STATELICENSE� <br /> :��iii3 c^uwiER ��D�,1�i Q7lc/Y1�Y� /�IZ/ 794-6576 <br /> -PLUMBINOCONTRACTO{t MAILADORE55 ^ � ������TY ZIP PHONG�LC�+ELICENSE <br /> t�'// <br /> CONTPACTPRICE OF WORK HEATING SYSTEM: ❑ GAS ❑ ELECTRIC �_ <br /> �ESCRIBE WORKAND SOUARE FOOTAGE INVOLVED CONT�CT PERSON AN�PHONE NO. <br /> I HEREBY CERTIFY T4AT I HAVE READ AND EXAMINED TFiIS <br /> APPLICATION AND KiJOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROPOSEO USEOF BUILDING PROVISIONS OP LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGALDESCRIPTIONOFPROPERTY�SHOWNBELOWORATfPC11TWOLOPIES� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �pr e�ocK ..or 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 PFlOPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLIC ION IS MADE AND I COMPI_Y WITH THE STATE <br /> CON A 0 LAW 1827 RC AND 296200 WAC. <br /> PARCELTNfI.O.NUMBEH <br /> CONSTRUC7ION LOAN LENDER.ADDRE55.7ELEPHONE NUMBER �( � ' �� '��� <br /> 5 A DATE <br /> CI BUSINESS LICENSE N0. _ <br /> PLUMBIN6 MECHANICAL - <br /> N0. TYPE OF FlXTURE OR ITEM FEE NO. TVPE OF FIXTURE OR ITEM FEE <br /> � WATER CLOSET(TOILET) � A/C—A/HNDLG UNITS—H.P. ' <br /> FORCEDAIRSYSTEMS—B.T.U. M E.A. ' <br /> BATHTUB � ' <br /> LAVATORY(WASH BASIN) i HEAT PUMP ' <br /> SHOWER UNITIIEATERS—B.T.U. M ' <br /> CLOTHES DRYERS � <br /> KITCHEN SINK 8 DISP � � <br /> DISHWASHER � VENTILATION FAN ' <br /> LAUNDRYTRAY ' HANGEHOOD � <br /> CLOTHES WHSHER i WATER HEATER ' <br /> URINAL WOOD STOVE � <br /> i <br /> DRINKING FOUNTAIN � METAL FINEPLACE(WOOD BUFNING) � <br /> FLOOR DRAIN � FIREPLACE IN3ERT(WOOD BURNING) ' <br /> BACKFLOW PREVENTERS ; GASFIREPLACE � <br /> / SINK(SERVICE—BAR,ETC.) � GAS RANGE ' <br /> � GAS PIPING � <br /> � <br /> i EXHAUST FAN ' <br /> — i <br /> i <br /> � � <br /> � � <br /> SUBTOTAL $ � SUBTOTAL S i <br /> PERMIT $ � PERMIT $ � <br /> TOTAL FEE $ � TOTAL FEE S ' <br /> FOR OFFICE USE ONLY: <br /> FRONT SETB�CK RFAR SETBACK SIOE SET9ACK PLAN CHECK NUMBER FEE RECE:PT NO. <br /> use zoNe LOT APEA �ACANT SITE FEES VALUATION FEE <br /> ❑vEs n No ' <br /> euaoir+c i <br /> HEIGHT LIMITATION NO.OF DWELLING 52E OF BLDGR.I. � <br /> � <br /> UNITS p�UM81NG � <br /> i <br /> OCCUPANCY NO.OFSTORIES OCCUPANTLOAO BPSEMENT MECNRNICAL i <br /> . GFOUP ❑YES ❑ NO i <br /> PDDITIONAI.PLAN LHECK � <br /> FlHE�UPMREO'D HEASON <br /> � <br /> OiHER � <br /> FIRE SPRINIILER REO'D pEASON i <br /> STATE BUILOING SURCIIARGE � <br /> i <br /> NFEOFCONST. PUNSAPPROVEDBY CITYOFEVERETT PUBLICWORKS � <br /> LOCALSALES 1 <br /> oATE TAX CODE IS 3105 TOTAL ' <br />