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APPLICATIC-1 FOR CONSTRUCT'"'1N PERMIT <br />TO BE COMPLETED IN BLACK INK —PLEASE PRINT <br />BUILDING DEPARTMENT L HEATING SYSTEM: ❑ GAS 0 ELECTRIC U <br />259-8810 <br />DEMOLITION C COMBINATION LI BUILDING ❑ MECHANICAL a PLUMBING )(SIGN <br />OWNER MAIL ADDRESSI(� CITY ZIP PHONE <br />`'fin Fa rciFicftr 1c7w-3yz0 t F SEICiF R31o1 7-06-682-310o �CLOSE;� <br />TENANT MAIL ADDRESS CITY ZIP PHONE <br />'Buo gr-_4drj_> 2716 C-olyy Ave eQOz'870G loco - 2-bpi-27)(0 <br />ARCH)?ACT OR DESIGNER MAIL AFDRESS CITY ZIP PHONE <br />I�UIs<NfJ�Y SI6F.6 /23_��R� � � 9�2�3 206- 3S3�5s�F7 <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE# <br />170U6's 1_16HTHNG 2� 941a w-OKTFt_1 ARToN g8zz L4A)&3 435-2o9q V0uGsL:k4 a9W <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE S';ATE LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE <br />-TONTRACT PRICE OF WORK <br />32cn= <br />T�— <br />LINDE►z '963-SS47 <br />DESCRIBE WOHK AND SQUARE FOOTAGE INVOLVED <br />CONTACT PERSON AND PHONE NO. <br />SIbN ? u/LO//V <br />-We 6RE�NT+E� <br />385Q•Fi • <br />-- <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 GOVERNII4G THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS 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 STATIC <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />PROPOSED USE OFBUILDINGc� S-� <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH TWO COPIES) <br />LOT— BL.)CK OF <br />'- <br />- -- <br />PARCFL TAX I.D. NUMBER <br />CONSTRUCTION LOAN LENDFR, ADDRESS, TELEPHONE NUMBER <br />PROJECT ADDRESS <br />u <br />305 SE�vec�iimA-. vAq � <br />�87A3 <br />°NA.ual OZ6 / u"Te <br />CITY BUSINESS LICENSE N0 <br />PLUMBING <br />MECHANICAL <br />NT_ ^ TYPE Or FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />--_ <br />WATER CLOSET (TOILET) <br />A/C-A/HNDLG UNITS-H.P. <br />BATHTUB <br />FORCED AIR SYSTEMS-.B.T.U. M E.A. <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS-B.T.U. M <br />:'HOWER <br />-- <br />CLOTHES DRYERS <br />T <br />KITCHEN SINK 8 DISP <br />VENTILATION FAN <br />; <br />DISHWASHER <br />_ <br />RANGE HOOD <br />LAUNDRY I"RAY <br />WATER HEATER <br />' <br />CLOTHES WASHER <br />1 <br />WOOD STOVE <br />_ <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />-T <br />FLOOR DRAIN <br />BEAT PUMP <br />BACKFLOW PREVENTS <br />; <br />GAS PIPING <br />ROOF DRAINS-RAIY_EADERS <br />EXHAUST FAN <br />1 <br />SINK (SERVICE --BAR, ETC.) <br />- <br />- <br />, <br />1- <br />1 <br />T <br />I <br />� <br />I <br />1 <br />SUBTOTAL <br />$ <br />SUB TOTAL $ <br />' <br />PERMIT <br />$ <br />PERMIT $ <br />I"OTAL FEE <br />$ <br />TOTAL FEE $ <br />' <br />FOR OFFICF IISF ONLY* <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAID CHE NUMBER <br />USE ZONE ^ <br />c'-1 K <br />-*MT AREA ¢ <br />VACANT SITE <br />E YES _i NO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />PLUMBING <br />TYPE OF CONST <br />NO. OF STORIES <br />occupmc), <br />GROUP <br />NO.Of MEuiNt UNITS <br />SIZE OF BLDG. <br />FIRE SPRINKLERS REOD <br />BASEMENT <br />YES ❑ NO <br />MECHANICAL <br />ADDITIONAL PLAN CHECK <br />yv 95 <br />OCCUPANCY LOAD <br />FIRE ALARM RED <br />HEIGHT LIJS(�TAATIIOON <br />--' u <br />OTHER <br />REASON <br />STATE BUILDING SURCHARGE <br />/ <br />INTAKE BY <br />PLANS APPROVED RY <br />�' <br />unre � ��9 <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />PUBLIC WORKS <br />TOTAL <br />