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APPLICATI(o d FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT • BUILDING DiVISION <br />PLAN �Lq f 3200 CEDAR STREET • EVERETT, WA 98201.259-8810 00 T <br />uamvu1wn I I COMBINATION F1 BUILDING MECHANICAL PLUMBING 11 SIGN <br />PROJECT ADDRESS <br />1402 SE F—yE-2i=TT NALL.- (-JAY SP a$ Eyc2eT I I L JA q $c��g <br />OWNER MAIL ADDRESS CITY ZIP PHONF <br />TENANT <br />�.F1>zs�FiU <br />MAILAODRESB <br />/.30-r-v-y�lcrA 1�}02 SE EyE2,�-rr <br />CITY <br />NHS �,Jy�y <br />ZIP <br />SP 23 <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP <br />F_.kCF^n- N-6L\A:2sO;.i `t io chulx. 3 & ,UF �+ WA Ca,!:4;D <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP <br />121-57Ti.TF— &W194A-L-Zor 13Yt0 n1E Nfh Sr %,,l loi= /,I& 9, ,c <br />cJ 6 ?82ok <br />PHONE <br />PHONE <br />sss <br />STATE LICENSE r <br />r5s3 <br />PHONE <br />STATE IICENSE <br />PHONE <br />STATE LICENSE \ <br />zE0&g3 J0 <br />TP—1 STI) lV,9/J Z <br />CONTRACT PRICE OF WORN <br />4� (Z <br />HEATING SYSTEM: F1 GAS Fl ELECTRIC F1 <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />OUC--IA 7N •d 7.i J.5 7T1LL f'1 X'c'�J(i�S <br />CONTACT PEPSON AND PHONE N0. <br />2Y h-(IC "L_ EMU\S oi, 30 <br />P- <br />`�O(L- C='F EA.1 ihNiCyg <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 PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 2966./../200 WAC. <br />1I <br />PROPOSED USE OF BUILDING <br />`LYhih1 EfL IL11'-�1— 1:L <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH TWO COPIES) <br />LOT BLOCK OF <br />PARCEL TAX I.D. NUMBER <br />CONSTRUCTION LOAN LENDER. ADDRESS, TELEPHONE NUMBER <br />SIGNATURE DATE <br />I <br />CITY BUSINESS LICENSE NO. <br />PLUMBING <br />MECHANICAL <br />NO. OF EQUIPMENT FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />' <br />_TYPE <br />A/C —A/HNDLG UNITS —H.P. <br />I <br />BATHTUB <br />; <br />FORCED AIR SYSTEMS — B.1.U. M E.A. <br />j <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />�— <br />SHOWER <br />' <br />UNIT HEATERS — B.T.U. M <br />�— <br />( <br />KITCHEN SINK 8 DISP <br />i <br />CLOTHES DRYERS <br />' , <br />DISHWASHER <br />I <br />VENTILATION FAN <br />LAUNDRY TRAY <br />; <br />RANGE HOOD <br />CLOTHES WASHER <br />, <br />y <br />WATER HEATER <br />ou <br />URINAL <br />NOSTOVE <br />' <br />_ <br />DRINKING FOUNTAIN <br />METAL FIREPLACE (WOOD BURNING) <br />; <br />/ <br />FLOOR DRAIN <br />' <br />FIREPLACE INSERT (WOOD BURNING) <br />I <br />BACKFLOW PREVENTERS <br />GAS FIREPLACE. <br />; <br />SINK (SERVICE — BAR, ETC.) <br />, <br />GAS RANGE <br />—r <br />GAS PIPING <br />EXHAUST FAN <br />; <br />SUB TOTAL $ <br />; <br />SUBTOTAL $ <br />' <br />PERMIT $ <br />; ,o <br />PERMIT $ <br />TOTAL FEE $ <br />' <br />TOTALFEE $ <br />— <br />' <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />ER 2 <br />2 /)�� <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />!1"ES 11 NO <br />PURGING <br />i <br />HEIGHT LVIITATION <br />NO OF DWELLING SIZE OF BLDG/TI <br />UNITS <br />PLUMBING <br />' <br />OCCUPANCY NO Of IIORIES <br />OCCUPANTLOAD <br />BASEMENT <br />I <br />GROUP <br />I <br />MECHANICAL <br />1YES Fl NO <br />ADDITIONAL PLAN CHECK <br />FIRE ALARMREOD <br />.REASON <br />OTHER <br />i <br />FIRE SPRINKLER AEG <br />REASON <br />STATE BUILDING SURCHARGE <br />- <br />1 <br />TYPE OF CONST <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />PUBLIC WORKS <br />LOCAL SALES <br />TOTAL <br />; <br />DATE <br />TAX CODE IS 3105 <br />