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APPLICATI(od FOR CONSTRUC7.dN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 0259-8810 <br />I-1 DEMOLITION f I COMBINATION BUILDING <br />X MECHANICAL I 1 PLUMBING f l SIGN <br />'PROJECT ADDRESS <br />305 S.C. Eve RC7T MqT v WA- <br />OWNE MAIL ADDgE55 <br />CI C17Y Zm iRHONE <br />13 �.� „� ��. .0 wac o <br />TENANT MAIL ADDRES: <br />Q f, Y ZIP PHONE <br />_ P-00 "'L.y., I A GcL- 305 SIC- . Cv�ILCTT M q P l�qY ARGHITFCTOROESIGNER -MAR-ADDRESS CITY <br />zlr m10NE <br />GENEnALCONTnACTOR MAILADDRESS CITY -- <br />_CRl SON MFG =NT `" 'Hole SIATC LICENSE• <br />MECHANICAL. CONTRACTOR MAIL AODRF.SS 202'�7 CEpMI VALLfl�ZI pp �y �,,, WeOD a$o;� 17�' �sqi c�-IC, \4 'K.zI <br />PLUMBING CON7RAr.70R MAIL ADORES$ Clll. <br />ZIP PHONE STATE LICENSE <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />HEATING SYSTEM: I I GAS F I ELECTRIC F I <br />""ONE NO <br />1 HEREBY CERTIFY THA I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />PROPOSED USE OF BUILDING <br />CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH TWO COPIES) <br />LOT BLOCK OF <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 <br />OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK <br />FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />PARCEL TAX I D. NUMBER <br />CONSTRUCTIONfOAN LENDER.ADDRESS. TELEPHONE NUMBER <br />X V <br />SIGNATURE DATE <br />CITY BUSINESS <br />LIC[NSC NO <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />MECHANICAL <br />WATER CLOSET (TOILET) <br />NO. <br />TYPE OF EQUIPMENT <br />-- FEE <br />BATHTUB <br />A/C — A/HNDLG UNITS — H.P. <br />' <br />LAVATORY (WASH BASIN) <br />FORCED AIR SYSTEMS — B.T.U. M E.A. <br />' <br />SHOWER <br />HEAT PUMP <br />' <br />KITCHEN SINK 8 DISP <br />UNIT HEATERS — B.T.U. M <br />; <br />DISHWASHER <br />CLOTHES DRYERS <br />LAUNDRY TRAY <br />VENTII ATION FAN <br />; <br />CLOTHES WASHER <br />RANGE HOOD <br />' <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />' <br />WOOD STOVE <br />FLOOR DRAIN <br />METAL FIREPLACE (WOOD BURNING) <br />BACKFLOW PREVENTERS <br />' <br />' <br />FIREPLACE INSERT (WOOD BURNING) <br />GAS FIREPLACE <br />SINK (SERVICE — BAR, ETC.) <br />GAS RANGE <br />' <br />i <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL S <br />SUB TOTAL S�- <br />PERMIT $ <br />I <br />PERMIT $ <br />TOTAL FEE S I <br />TOTAL FEE S <br />FRONT SFTRACK <br />PFARSFiBACK <br />SIDE SETBACK <br />rI AN CHECK FR rEF <br />l01 AREA <br />VACANT SITE. <br />A/MI 7Yo <br />FEES <br />VALION <br />UAT <br />RECFIPT NO <br />FEE <br />USE ZONE <br />AYES 11 NO <br />BUILDINGHEIGHT <br />I <br />LIMITATION <br />NO OF DWELLING SIZE OF BI DGRI <br />UNITS <br />PLUMBING <br />i <br />OCCUPANCY NO OISIORLS <br />GROUP <br />OCCUPANT LOAD BASEMENT <br />-I <br />I <br />MECHANICAL <br />I <br />I LYE$ Tl NO <br />FIREALARM PEOD <br />REASON <br />ADDIIIONM. PLAN CHECK <br />_ <br />i <br />OTHER <br />I <br />FIRE CPRINKIER Rf:DO <br />REASON <br />STATE BUILDING SURCHARGE <br />' <br />IVPF Of CON51 <br />PLANS AP bVED❑Y <br />4- <br />CITY OF EVERETT <br />Punnr, WORKS <br />LOCAL SALES <br />I_ <br />TOTAL <br />_ <br />-' <br />I <br />DnTE o _ 'j.u. S TAX CODE IS 3105 <br />