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APPLICATIGA FOR CONSTRUCT.JN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 I299-8810 04L <br />i I DEMOLITION Il COMBINATION I I BUILDING II MECHANICAL I PLUMBING xx SIGN <br />PROJECT ADDRESS <br />305 S.E. Everett Mall Way <br />71P / PHONE <br />WIN <br />Plumb Signs Inc. 5838 S. Adams Tacoma WA 98409 (206) 473-3323 PLUMBSIo770S <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY 71P PHONE STATE LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSEI <br />CON I HACT PRICE OF WORK <br />$1 , 500. 00 <br />HEATING SYSTEM: 17 GAS II ELECTRIC F1 <br />DESCF BE WORK AND SQUARE FOOTAGE INVOLVED <br />Install (1) set of illuminated <br />CONTACT PERSON AND PHONE NO. <br />Connie Guffe 206 473-3323 <br />individual pan channel letters at <br />C mIJI J� <br />35.16 square feet. T� Ny c eA.c <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROPOSED <br />USE BUILDING <br />g 74„7Ao-E. <br />Weight Mana ement <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 OH ATTACH TWO COPIES) <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />LOT BLOCK OF <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 296.200 WAC. <br />PARCEL T NUMBER <br />182805-3-043-0006 <br />CONSTRUCTION LOAN LENDER. ADDRESS, TELEPHONE NUMBER <br />7 <br />DATE <br />SIGNATURE <br />_ <br />CITY BUSINESS LICENSE NO. <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />Na. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />A/C—A/HNDLG UNITS — H.P. <br />, <br />BATHTUB <br />FORCED AIR SYSTEMS — B.T.U. M E.A. <br />' <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />, <br />SHOWER <br />' <br />UNIT HEATERS — B.T.U. M <br />KITCHEN SINK & DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />Vt(1TILATIONFAN <br />, <br />LAUNDRY TRAY <br />RANGE HOOD <br />CLOTHES WASHER <br />1 <br />WATER HEATER <br />, <br />URINAL <br />' <br />WOOD STOVE <br />--�- <br />DRINKING FOUNTAIN <br />; <br />METAL FIREPLACE (WOOD BURNING) <br />; <br />FLOOR DRAIN <br />' <br />FIREPLACE INSERT (WOOD BURNING) <br />BACKFLOW PREVENTERS <br />; <br />GAS FIREPLACE <br />' <br />SINK (SERVICE — BAR, ETC.) <br />GAS RANGE <br />T— <br />' <br />GAS PIPING <br />1 <br />EXHAUST FAN <br />; <br />SUB TOTAL S <br />; <br />SUB TOTAL S <br />' <br />PERM( f S <br />PERMIT S <br />—r— <br />TOTALFEE S <br />TOTAL FEE S <br />1-UH UFtIGh USE ONLY: tin V I /r, <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />-RECEIPT NO. <br />USEZONE .� <br />n'E,n- ,A,, <br />Y <br />VACANT SITE <br />II YES �R NO <br />EES <br />VALUATION <br />FEE <br />pI11L01NG <br />HEIGHT LIMITATION <br />,F Cr <br />`�- L. N <br />NO. OF DWELLING <br />UNITS N <br />A <br />E47E OP BLDG71 <br />PLUMBING <br />1 <br />OCCUPANCY <br />GROUP <br />I NO OF STORIES <br />OCCUPANT LOAD <br />BASEMENT <br />❑YES r NO <br />MECHANICAL <br />ADDI FIONA[. PLAN CHECK <br />I -� <br />I'MEALARMREU'D <br />REASON <br />OTHER <br />FIRE SPRINKLER RED'D <br />REASON <br />STATE BUILDING SURCHARGE <br />1 <br />TYPE OFcovsT <br />PLnNsnrnP,RlovEDBY <br />JIFI <br />DATE �(t' <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />PUBLIC WORKS <br />I <br />TOTAL <br />h <br />L <br />