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APPLICATIGA FOR CONSTRUCT JN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET E EVERETT, WA 98201 •259-8810 _� <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING C�MECHANICAL L7 PLUMBING ❑ SIGN <br />ADDRESS: <br />L ouA\'oo"wr�Co"n vi SPA 64wr,4 2oDlf �cl��l`Lcy�nfjt /4 ul7`/ie/ <br />TENANT MAILADDRESSF CITY ZIP PIIO wSPA (4w-rA yl�z &-v6T# u1q Jp2w �Lsz-3�jr _ <br />ARCNHECTORDESM,NER "(ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSEE <br />CONTRACT PRICE OF WORK <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />CONTACT P7 ANJ HONE <br />zSz.-81)76 <br />I HEREBY CERTIFY THAT I HAVF READ AND EXAMINED THIS <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 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 CDNST uCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THI ROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATI0 I MADE AMD I COMPLY WITH THE STATE <br />CONTRAC RS A 1B.27 N 296.200 WAC. <br />X pl <br />PROPOSED USE OF BUILDING <br />TroA+.oEsrnvraNaPRGPERrr(slawNBELOW aRAnADNnwCOPIES) <br />LOT BLOCK OF <br />PARCELTAXLD.MIMBER <br />CONSTRUCTION LOAN IENDER, ADDRESS, TELEPHONE NUMBER <br />id <br />D <br />_4Wf*VAV19fMFXElf5-- <br />PLUYlNIG <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUNEMENr <br />FEE <br />f <br />WATER CLOSET (TOILET) <br />% ' <br />A/C—AMNDLG UNITS <br />-- <br />BATHTUB <br />' <br />FORCED AIR SYSTEMS <br />' <br />/ <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />, <br />EWER <br />' <br />UNIT HEATERS <br />' <br />KITCHEN SINK 6 DISP <br />; <br />CLOTHES DRYERS <br />; <br />DISHWASHER <br />RANGE HOOD <br />, <br />LAUNDRY TRAY <br />I WATER HEATER <br />CLOTHES WASHER <br />, <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />' <br />DRINKING FOUNTAIN <br />; <br />FIREPLACE INSERT (WOOD BURNING) <br />; <br />FLOOR DRAIN <br />' <br />GAS FIREPLACE <br />I <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />; <br />SINK (SERVICE — BAR. ETC.) <br />GAS PIPING <br />, <br />' <br />EXHAUST FAN <br />' <br />SUBTOTAL <br />S <br />00 <br />� SUB TOTAL S <br />; <br />PERMIT <br />S <br />_ <br />PERMIT $ <br />I O,� <br />TOTAL FEE <br />S <br />TOTAL FEE $ <br />'oP <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO <br />USE ZONE <br />LOTAREA <br />VACANT SITE <br />OYES O NO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />SOO <br />HEIDHT 11MITATION <br />NO OF DWELLING <br />UNITS <br />SIZE OF BLDGRI <br />PLUMBING <br />MECHANICAL <br />/ <br />I <br />OCCUPANCY <br />I NO 11 SIIWKI <br />% <br />OCCUPANT LOAD <br />/ <br />BUNT <br />OYES ❑ NO <br />ADDI110NAL PLAN CHECK <br />-- <br />I <br />FIRE SPRINKLER REO'D <br />No <br />REASON <br />OTHER <br />—�-- <br />FIRE ALARM REO'D <br />j v 0 <br />REASON <br />STATE BUILDING SURCHARGE <br />PURI IC W IRKS <br />�— <br />TYPE CIF CONST <br />PLANS Ar oV�D DN <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />TOTAL <br />— <br />r. <br />