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APPLICATICC, FOR CONSTRUC:TiiN <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 •259-6810 <br />PERMIT <br />�* <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING MECHANICAL PLUMBING ❑ SIGN <br />PROJECTADDRESS: 14-n7- SC EVtIQE� rc/{t-L [�z <br />OWNER MAIL ADDRESS CITY zip PIIOI+E <br />-FlI ii !G //Joh" Wbtc 1�SSoc� ftES L A+ {T <br />TENANT 111 MAIL AODRESS CITY ZIP PHONE <br />MAIL <br />GENERAL CONTIACTIXI <br />�p2E � Co- sTQ, <br />MAIL ADDRESS CITY <br />3193 t BuA�y 5'e C4gt-s64-D+G4 <br />•IP <br />92-cGE <br />,PHONE STATE LICENSE <br />6r9-434-7551 <br />MECHANICAL CON T R AC TOR MAIL ADORE SS GTY <br />I�tE12t7'N.EcH>�rcl-t, �.�Tc.46'Jo-153��1Ve Ne �ED.•,e•,D <br />ZIT` <br />PHONE SPATE LICENSE <br />9eo52_. <br />883�92z¢ NI E7Lrr.Lirt6Jc.+�-.. <br />PLUMBING COINRACTOR <br />MAIL ADDRESS CITY <br />zip <br />PHONE STATE LICENSE A <br />LDN+HACi PRICE OF WORK <br />1 g1 Soo HEATING SYSTEM: ❑ GAS ELECTRIC ❑ <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED CONTACT PERSON ANC P'J� NE NO, <br />ED J4/c UN1rS LES pktSdols 883-9zzg• <br />=^LSTH--L YLDL-E.GT ONE 1JvAI c Lw ."r <br />yNsr,-tt— JJt-� /�DA• 7nzE�� 1L,�(--y' I I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />PDOPOSEDUSE OF BUILDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />LEGAL DescmrnoN OF rnorenTY (SHOWNBELow on ATTrCN Two coPlEs! --- WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />LOT BLOCK or___ 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 PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />PAITCEL TAA LD. NUMBER CONTRACTORS LAW iB. RCW AND 296.200 WAC. <br />{ '- <br />/ <br />CONSTRUCTION LOAN LENDER, ADDRESS, TELEPHONEIT <br />NUMBED _ --`--A L- /-T5 I i / p <br />IGN DE DATE <br />o173r�� <br />11Tv nuUuccc KUK n.. <br />PLUMBING r7•C7CJ <br />MECHANICAL C90C1 <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPLYOF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />i <br />A/C—AMNDLG UNITS <br />I <br />BATHTUB <br />; <br />FORCED AIR SYSTEMS <br />' <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />' <br />_ <br />UNIT HEATERS <br />KITCHENSINK 8 DISP <br />i <br />CLOTHES DRYERS <br />DISHWASHER <br />I <br />RANGE HOOD <br />I <br />LAUNDRY TRAY <br />WATER HEATER <br />' <br />_ <br />CLOTHES WASHER <br />;— <br />WOOD STOVE <br />—�— <br />URINAL <br />~_ <br />METAL FIREPLACE (WOOD BURNING) <br />_ <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />i <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />; <br />GASRANGE <br />SINK (SERVICE — BAR, ETC.) <br />GAS PIPING <br />EXHAUST FAN <br />I <br />� <br />SUB TOTAL $ <br />'Ir— <br />SUB TOTAL $ <br />U ' <br />PERMIT $ <br />I— <br />PERMIT S <br />r <br />TOTALFEE $ <br />' <br />TOTALFEE $ <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK <br />DEAD SETBACK <br />SIDE SETBACK <br />PLAN CIIECK NUMDEO <br />FEE <br />nECFIPf NO <br />—SITE <br />USE ZONE <br />LOT AREA <br />vncaNr <br />FEES <br />VALUATION <br />FEE <br />DYE$ ❑ No <br />BUILDING <br />DEIGIIT LIMITATION <br />NO OF DWELLING <br />UNITS <br />PLUMBING <br />OCCUPANCv <br />110 OL ILonIES <br />TSIZEOFBLDGRI <br />OCGVPANT LOBO <br />SF.MENi <br />—;-- <br />GROUP <br />MECHANICAL <br />I <br />DYES ❑ NO <br />ADEL DONAL PLAN CIIf CK <br />— <br />FIRESPRINKLERREGO <br />REASON <br />OTHELI <br />FInE ALARM REO'D <br />oFASON <br />SINE BUILDING SURCHARGE <br />TYPE Of CONSI <br />PLANS APPnOV[O BY <br />CITY OF EVERETT <br />p11Bl If, WOnKS <br />LOCAL SALES <br />TOTAL <br />---- <br />---�-- <br />', <br />Dale <br />TAX CODE IS 3105 <br />