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APPLICATIO�nI FOR CONSTRUCTrON PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> fl DEMOLITION f� COMBINATION fl BUILDING MECHANICAL f� pLUMBING f1 SIGN <br /> PROJECT ADDRESS 1. - _ _ <br /> 4{ -����i t �J A �ao3 <br /> ONNER M�Il11DORESS �IiY 21P PNONE <br /> STt��r.1 W At���Fo�2�D 4 b3� G�Euwooa Av�_ E�eac-sr w��aao3 (aaol a5a-t��+�� <br /> TENANT c MAILAb�RE55 CITV IIP VIIONE <br /> �` <br /> ARCNITECTOqDES�GNER M�IIADDRE55 GITY ZIP PIIONF. <br /> GENEf1ALCONTp�CTOR MAILADDRE55 CIIV ZIP PIION[ 5TIITELICENSE• <br /> MECHANIC�ICONTRACfOR MAILADDRESS GTY 2l{' p110NE STATEUCF.NSEi <br /> �� „ <br /> PLUMBINGCON7RIICTOR MRILADDRESS Cltt ZIP PHONE STATEUCENSE� <br /> G TRAG PRICE WdiK <br /> jI� � HEATING SYSTEM: �GAS f-1 ELECTRIC fl <br /> DESCRIBE WORK�ND SOUARE FOOTAGE INVOWED LONTACT PE ON�ND PIIONE NO. I� <br /> � �'�P�_ IIJG ta u2NK. 6E cLSO �1`l�i-�l <br /> 1WS7'p1A.IN GAS WHT�`L T wl� <br /> i HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> PAOPOSED USE OF BUILDINO APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LE6ALDESCPoPTONOFPROPERTV�SHOWNBELOWORATTACHTWOCOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �or� e�ocK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATIN6 CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHOR2E0 BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> PARCEL TNf I.D.NUMBER CONT ACTORS LAW 1827 CW AND 296200 WAC. <br /> SO�� - 600-039�04�� /� <br /> CONSTIiUCTION IO�N LENDER.�DDHE55.TELEPNONE NVMBER X � Q g`g``{� <br /> SIGNATURE � DRTE <br /> CITY BUS�NESS LICENSE NO. <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FlXTURE OR ITEM FEE NO. TYPE OP EGW':AENT FEE <br /> WATER CIOSET(TOILET) � A/C—AMNDLG UNfTS—H.P. ' <br /> BATHTUB ; FORCEDAIRSYSTEMS—B.T.U. M E.A. ; <br /> LAVATOHY(WASH BASIN) � HEAT PUMP � <br /> SMOWER ' UNITHEATERS—B.T.U. M ' <br /> KITCHEN SINK 6 DISP � CLOTHES DRYERS � . <br /> DISHWASHER � VENTILATION FAN � <br /> LAUNDRY TRAY ; RANGE HOOD ; <br /> CLOTHES WASHER � WATER HEATER � <br /> URINAL ' WOOD STOVE ' <br /> DRINKINO FOUNTAIN i METAL FIREPLACE(WOOD BURNING) i <br /> ROOR DRAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKROW PREVENTERS ; GAS FIREPLACE � <br /> SINK(SERVICE—BAR,ETC.) GAS RANGE � <br /> GAS PIPING <br /> i EXHAUSTFAN � <br /> i � <br /> � � <br /> � <br /> � � <br /> SUB TOTAL $ � SUB TOTAL $ ; <br /> PERMIT $ � PERMIT S � <br /> TOTALFEE S ' TOTALFEE S ' <br /> FOR OFFII:� �iSE ONLY: <br /> FRONT SETPACN AEM SF.T�ACN SIDE SETBRCN PIAN CIIECK NUMOER �EF FEf.EIPT NO. <br /> �/�� <br /> use zor+e ior�ae� VACANT SIfE FEES VALUATION FEE <br /> r i ves �� No owioiNc � <br /> � <br /> HEIGlIT LIMITATION NO OF OWELLING 512E OF BLDGRI <br /> UNITS p�UM01NG � <br /> � <br /> OCCUPANCV NO Ot 510RIE5 OCWP�NT LOAO BRSEAIENT MFCIInNICAI � <br /> GROUP <br /> fT'ES fl NO � <br /> FIRE AL�RM RE00 �F�SON FOp1IlONN.Pl�N CHI.GK � <br /> onien ; <br /> FIRF.SPRINKLERRE00 REASON <br /> STnI@ OUILUINC 5Uf1G11�P6E <br /> TYPEOfCONST ^LANS�PPROVfDBY CITYOFEVERETT rumir.wor��s <br /> LOCALSALES <br /> ��q�E TAX CODE IS 3105 T07AL <br />