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APPLICATIA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT A BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 •257-8610 <br />P. DEMOLITION 1-1 COMBINATION I i BUILDING C MECHANICAL ❑ PLUMBING , SIGN <br />PROJECT ADDRESS * —702 �'n 1� ��_ ,�`'G,�—, 1 f . ( 1820-3 <br />—e1 <br />ARCHIIECTORDESGNER MAIL ADDRESS CRY ZP PRONE <br />L61 <br />6FNERKCONTRACTOP MAILAppRE55 CRY tP FIGIIE SINE ICENSEA <br />Y v/WUTW9V—MAIMS T\ 2-4610—�. —r.. .� `1lC\' PRONE E B i ILEN53 <br />%UYBING CONIRACIOH 4AILADDRE55 CRY <br />_ SP R �5.A1E lKfNZSEF <br />,�\,J W <br />CONTRACT PRICE OF KDRK <br />3 <br />HEATING SYSTEM: GAS ❑ ELECTRIC 17 <br />DESCRITE WORK NO SCUARE FOOTAGE INVOLVED <br />COIRACT PERSON AND PHONE INC) <br />SnLL�n1�a�Go o CAS vILNaC� <br />PROPOSED usEaeunD.•G <br />I HEREBY CERTIFY THAT I HAVE 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 CONSTRUCTION OR THE <br />PERF0 E OF CONSTRUCTIO THAT I AM AUTHORIZED BY THE <br />OWNE F THIS PROPERTY T P RFORM THE WORK FOR WHICH <br />APPL A 10 I IA N I COMPLY WITH THE STATE <br />Co 1B2 W N 290.200 WAC. <br />X ( <br />SGNNURL DATf �/LTL11• L <br />LEGAL DESCRIPTION OF PROPERTY ISHOWM BELOW OR ATIACN TBG COPIES) <br />LOT MOCK OF <br />PMCEL TAX I D. MINTER <br />CONSTRUCTION LON( LENDER ADDRESS TELEWOIE"AIDA <br />CITY BUSINESS LICENSE NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />ARC—AHNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />I <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />—~ <br />SHOWER <br />UNIT HEATERS <br />i <br />KITCHEN SINK 8 DISP <br />CLOTHES DRYERS <br />i <br />DISHWASHER <br />PANOE HOOD <br />I <br />LAUNDRY TRAY <br />WATER HEATER <br />WOOD STOVE <br />CLOTHES WASHER <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />j <br />DRINKING FOUNTNV <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />I <br />SINK (SERVICE —BAR, ETC.) <br />GAS PIPING <br />EXHAUSTFAN <br />I <br />1 <br />AC <br />i <br />i <br />SUBTOTAL S I <br />UBTOTAL $ <br />PERMIT $1 <br />ERMIT $ <br />j <br />TOTAL FEE S <br />TOTALFEE $ <br />1 <br />FOR OFFICE USE ONLY: <br />FRON(SEIBACK <br />FILAR SETBACK <br />SIDE SETBACK <br />PtANC.ECKNgVDEP � <br />0 1)� <br />FEE <br />RECEIPT NO. <br />USEZONE <br />LOT AREA <br />VACANTSITE <br />❑YEs n No <br />FEES <br />VALUATION <br />FEE <br />BunnwG <br />HEIGHTUVITAT" <br />NO OF CI Luba <br />was <br />SUEOFBLOOTI <br />PIUMNNO <br />VPPNIDY NEOFSTDRS <br />ODCUPANTLOAD <br />BASEMENTGPONM <br />OYES ❑NO <br />MECNNICN <br />ADpITKNINPWICIIECK <br />FIRE SPRINKLER REOD <br />REASON <br />OTHER <br />FIRE ALARM RED0 <br />REASON <br />STATE BUM1DIIG SURCHARGE <br />TmE OF CONST <br />PtANSAFPROY[O BY <br />DATE <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />PGBLCNpAS <br />TOTAL <br />01 <br />