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APPLICATICA FOR CONSTRUCT :bN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 •259-8810 4mff <br />Fl DEMOLITION Fl COMBINATION IL''i3UILDING I I MECHANICAL I l PI IIMRINr Fl 4IrN <br />PROJECT ADDRESS _ <br />DWNER MAIL ADDRESS CITY ZIP mInNR <br />IS <br />ZIP <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />sA <br />),IIJ <br />E <br />GEDER/.L CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />STATE LICENSE <br />MECHANICAL CONTRACTOR MAILADDRESS CITY ZIP PRONE STATE LICENSE ,I <br />PLUMBING CONTRACTOR MAILADDRESS CITY ZIP PHONE STATE LICENSE <br />CONTRACT PRICE, WORK <br />�, y J(fC� <br />HEATING SYSTEM: R GAS ELECTRIC C7 <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />Co %L L <br />CONTACT PE OY AND PHONE NO. <br />`/ - i}-- <br />54 741 (CLIP <br />moSlt-f- 739- Z�i33g <br />,70O U C r'j T <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 />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORNi THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACT, LA 18.2ZRCWAND296.200WAC. <br />X <br />PROPOSED USE OF BUILDING <br />LEGAL DESCRIPTION Of PROPERTY SHOWN BELOW`AATTACH TWOCESI <br />I / <br />LOT _BLOCK OF J_ /9«A I/I.P �L�); L <br />L <br />8 <br />PARCEL t D MBFa�•—�� <br />CONSTRUCTION LOAN LENDER. ADDRESS TELEPHONE NUMBER <br />SIGN RE DATE <br />CITY BUSINESS LICENSE NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />I <br />A/C — A/HNDLG UNITS — H.P. <br />BATHTUB <br />; <br />FORCED AIR SYSTEMS — B.T.U. M E.A. <br />LAVATORY (WASH BASIN) <br />, <br />HEAT PUMP <br />, <br />SHOWER <br />UNIT HEATERS—B.T.U. M <br />KITCHEN SINK 8 DISP <br />; <br />( <br />CLOTHES DRYERS <br />; <br />DISHWASHER <br />I <br />VENTILATION FAN <br />LAUNDRY TRAY <br />; <br />RANGE HOOD <br />CLOTHES WASHER <br />, <br />WATER HEATER <br />, <br />_ <br />URINAL <br />WOOD STOVE <br />DRINKING FOUNTAIN <br />METAL FIREPLACE (WOOD BURNING) <br />FLOOR DRAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />BACKFLOW PREVENTERS <br />GAS FIREPLACE <br />; <br />SINK (SERVICE — BAR. ETC.) <br />GAS RANGE <br />, <br />GAS PIPING <br />EXHAUST FAN <br />SUB TOTAL S <br />7J <br />SUB TOTAL S <br />[� <br />PERMIT S <br />t <br />PERMIT $ <br />TOTAL FEE S <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SE17Wt, <br />PLANCHEC NUMBER <br />FEE <br />RECEIPT NO. <br />USE ZU <br />' <br />LOT AREA <br />VACANrSITE <br />fI YES ❑ NO <br />FEES <br />VALUATION <br />FEE <br />BUILD'NG <br />G I yl�•Z <br />J�%I <br />HEIGHT LIMITATION <br />NO OF DWLLUNG <br />UNITS <br />SIZE OF BLDGMI. -z G C <br />L O <br />�-1 , 1— C, <br />�--BASEMEN <br />UMDRIG <br />MECHANICAL- <br />1 <br />1 <br />OCCUPANCY <br />GROUP <br />NO OF STORIES <br />I <br />OCCUPANT <br />�L <br />Y <br />OAD <br />ES El NO <br />ADDITIONAL PLAN CHECK <br />i 17 <br />FIRE yALLA'RM REO'0 <br />" <br />REASON <br />OTHER A <br />���(((/// <br />FIRE SP/iINKLER REO-D <br />6 <br />REASON <br />STATE BUILDING SURCHARGE <br />TYPE OF CONST <br />V <br />PLANS APPROVED <br />. BY <br />Iil, <br />DATE I — <br />CITY OF EVERETT <br />ALES <br />IS3105 <br />ruBuc woRKs <br />%d <br />TOTAL <br />7% 78 <br />