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E <br />APPLICATIGd FOR CONSTRUCI.ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 •259-8810 <br />11 DEMOLITION COMBINATION n BUILDING Fl MECHANICAL rl PLUMBING fl SIGN <br />PROJECT ADDRESS 6 3/0? T ;Al-&ING <-j <br />Ly cE E f3�RNk f?o Bo r aa�1.1� <br />4e'61d-r e /7- <br />ZIP <br />u&// <br />PHONE <br />o74:6 <br />3Ss 'y7d¢ <br />TE NT MAIL ADDRESS <br />/ R/P /P <br />CITY <br />ZIP <br />PHONE <br />t ,d;X/ <br />L�de�l7` <br />Gyic/ <br />ao� <br />s akaf <br />A�ITECT ORDESIGNER MAIL AODRSSS <br />CITY <br />ZIP <br />PHONF. <br />GENERAL CONTRACTOR MAIL ADD SS <br />CITY <br />ZIP <br />PHONE <br />STATE LICENSE 8 <br />MECHANIC tTOR MA BESS <br />CITY <br />ZIP <br />PHONE <br />STATE LICENSE N <br />PLUMBI OR MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />STATE LICENSE I <br />CONTRACT PRICE OF WORK <br />HEATING SYSTEM: (l GAS j/�ELECTRIC f�__ <br />DESCRIBE WORK AND SOUARE,F T! INVOLVED <br />u Ge <br />CONTACT PERSON AND PHON -- <br />��„ems <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROPOSED USE OF BUILDING <br />At �� <br />3 <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED H:'REIN OR <br />L AL DE CRIPTION OF PROPERTY (SHOWN BELOW OA ATTACH TWO COPIES) <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUM,' M GIVE <br />Lor _eLocK of <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTPUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I 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 />CONSTRUCTION LOAN LENDER. ADDRESS. TELEPHONE NUMBER <br />X <br />SIG DATE <br />CITYB SINESB LICENSE NO. -- <br />Ifll <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 />A/C —A/HNDLGUNITS —H.P. <br />, <br />BATHTUB <br />FORCED AIR SYSTEMS — B.T.U. M E.A. <br />' <br />LAVATORY (WASH BASIN) <br />, <br />HEAT PUMP <br />, <br />SHOWER <br />' <br />UNIT HEATERS—B.T.U. M <br />I <br />KITCHEN SINK 8 DISP <br />; <br />CLOTHES DRYERS <br />; <br />DISHWASHER <br />, <br />VENTILATION FAN <br />LAUNDRY TRAY <br />; <br />RANGE HOOD <br />CLOTHES WASHER <br />, <br />WATER HEATER <br />, <br />URINAL <br />' <br />WOOD STOVE <br />, <br />DRINKING FOUNTAIN <br />; <br />METAL FIREPLACEL(WOODING) <br />FLOOR DRAIN <br />' <br />FIREPLACE INSERNING) <br />BACKFLOW PREVENTERS <br />; <br />GAS FIREPLACESINK <br />(SERVICE —BAR, ETC.) <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />0 ; <br />I <br />; <br />SUB TOTAL <br />$ <br />SUB TOTAL $ <br />' <br />PERMIT <br />$ <br />PERMIT $ <br />, <br />TOTAL FEE <br />$ <br />TOTAL rEE $ <br />' <br />FOR OFFICE USE ONLY: <br />FRONT SETBACO <br />ZZ <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER �� <br />FEE <br />RECEIPT NO. <br />USE ZO <br />-Z <br />LOTARREEA <br />/ � <br />VACANT SITE <br />YKES I i NO <br />FEES <br />VALUATION <br />FEE <br />E <br />BUILDING <br />N <br />' <br />, <br />U <br />HEIGHT LIMITATION <br />2 Q <br />NO. OF DWELLING <br />UNITS <br />SIZE OF BLDGRI <br />z, <br />PLUMBING <br />// <br />�! <br />OCCUPANCY <br />?-3 <br />NO OF SIORIE$ <br />OCCUPANTLOAD BASEMENT <br />� � Yes IY�F10 <br />n <br />MECHANICAL <br />ADDITIONAL PLAN CHECK <br />FIRE ALARM RED <br />REASON <br />OTHER <br />FIRF. SPRI <br />KI.ER REO'0 <br />REASON <br />STATE BUILDING SURCTIARGE <br />TYPE OF fONST <br />►ram <br />-Al <br />PLANS APPROVED BY <br />LATE DATE <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />PI101.IC,WORKS <br />TOTAL <br />5.5. l l-% <br />