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APPLICATIG : FOI� CONSTRUCT)N PERMIT <br /> CITY OF EVERETi•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT, WA 98201 •259-8810 <br /> �EMOLITION ❑ COM8INATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECT ADDRESS: ��� ,LX/IQ�1/�-P/YI � � (�.__.� Z �� <br /> l/ <br /> o��A')',�'P�(.P�/"^ �J �// l.f'i�L/hL �r PHONE <br /> /- 7i�2 �'�P�m� 9��2� <br /> TENANT MAILAO� SS CIT 21P PIIONE <br /> ARCHITECTORDESIGNEN M�ILADDRE55 CITY ZIP PHONE <br /> GENER NTM.LTIX1 AIIA �OE55 � CI IIP PIIO E SUTEIICENSE• <br /> a <br /> MELHAhICALL RALTOR MAII� ES$ CITY IIP PIIONE STAEULENSE� <br /> PWIABINGCONTMCTOR MAILADURE55 . CIN ZIP PNONE STATELICENSE� <br /> CONTRACiVRICEOF WORK HENfING SYSTEM: ❑GAS ❑ ELECTRIC O <br /> DESCRIBE WORN AND SOUARE FOOT�GE INVOWED CONUCT PERSON AND PNONE NO. <br /> � <br /> I HEREBY CERTIPY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROPOSEDUSE OFBUIlDINO pROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR ' <br /> LEG/�LDESLPIPTIONOFPPOPERTYISHOWNBELOWORATT�CH7WOCOPIES� NOT. THE GRANTING OF A PERMIT DOES NOT PFESUME TO GIVE <br /> ior e�ocK oF AUTHORITY TO ViOLATE UR 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 FOfl WHICH <br /> � APPLICATION IS MADE AND I COMPLY WITH THF STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> PAACELTA%I.D.NUM _ /Q <br /> WNSTRUCiION LONI LEN�ER.�DURE55.TELEPHONE NUMBEN <br /> TUFlE DATE <br /> CITY OUSINESS LICENSE NO. <br /> PLUMBING MECfiANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TlPE OP EQUIPMENT FEE <br /> WATER CLOSET(TOILE� � A/C—AIHNDLG UNRS ' <br /> BATHTUB ; FORCEDAIRSYSTEMS � <br /> LAVATORY(WASH BASIN) � HEAT PUMP ' <br /> SHOWER � UNITHEATERS ' <br /> KITCHEN SINK 8 DISP � CLOTHES ORYERS � <br /> � <br /> DISHWASHER � RANGE HOOD ' <br /> LAUNDRY TRAY ; WATER HFATER � <br /> CLOTHES WASHER � WOODSTOVE ' <br /> URINAL ' MEfAL FIREPLACE(WOOD BURNING) ' <br /> ' FIREPLACE INSEflT(WOOD BURNING) � <br /> DRINKING FOUN7AIN � <br /> FLOOR DRAIN � GAS FIREPLACE ' <br /> BACKFLOW PREVENTERS ; GASRANGE _,T_ <br /> SINK(SERVICE—BAR,ETC.) � GAS PIPING ' <br /> � D(HAUSTFAN � <br /> � i <br /> � <br /> i ' <br /> � � <br /> � ' <br /> SUB TOTAL S � SUB 70TAL 5 i <br /> PERMIT 5 i PERMIT S � <br /> TOTALFEE S ' TOTALFEE E ' <br /> FOfl OFFICE USE ONLY: <br /> FRONT SETBACK REAR SETBALK SiDE SETBACK PUN CIIECN NUAIOER FEF PEC.EIPT NO <br /> USE ZONE LOT AREA \'ACANT SITE / � FEES VALUATION FEE <br /> OYES ❑NO � <br /> ONLDINR � <br /> MEIGIITUMITATION NO.OFOWElUNO SIZEOFBL06R.1 � <br /> � <br /> UN115 P111M01NG � <br /> � <br /> OCCUP�NCY 1q O�SIMUES OCCUPANTLOSD B0.5EMENT � <br /> MECHRN:CPL i <br /> GROUP <br /> ❑YES ❑NO i <br /> ADDIiIONAI PIAN C11F.CK � <br /> FIRESPRINKLEflREO'0 flEA50N � <br /> i <br /> 0711Et1 � <br /> FIREAIMMREO'U AE150N � <br /> STAIE BUROINfi 511RCHaBCE � <br /> _ r— <br /> iYPEOFf,ONST PlANSAPPROVEDOY CITYOFEVEREIT �IIOIICWORNS _�_ <br /> LOCAL SALES I <br /> DRTE TAX CODE IS 3705 TOTAL ' <br />