7029 LOWER RIDGE RD 2018-01-02 MF Import

N I-30rH �byy7� JD D x ) yyV H C] y W 0 x � H VH1 H z OHL_y Y, V C3n 9 y s rHH N �co H O l7 ca Z y En 1-300 APPLICATIC I FOR CONSTRUCT' )M PERMIT / TO BE COMPLETED IN BLACK INK —PLEASE PRINT En LiFATIN SYSTEM: ❑ GAS ❑ ELECTRIC ❑ --- BUILDING DEPARTMENT 259-8810 ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING MECHANICAL HONE PLUMBING ❑SIGN nWNER n MAIL ADDRESS ZIP CITY ZIP PHONE ARCNITECi OR DESIGNER MAIL ADDRESS CITY ZIP PNONE STATE LICENSE0 GENERAL CONTRACTOR MAIL ADDRESS CONTRACT PRICE OF WORK P,OtOSED USE OF BUILDING ' LEGAL DESCRIPTION OF PROPERTY (SHOWN BEL0) LOT BLOCK OF PARCEL TAX LID. NUMBER CONSTRUCTION LOAN LENDER, AODPESS,TELEPH FOR OFFICE USE ONLY: SETBACK FRONT SETBACK USEZONE JjREAR OTAREA TYPE OF CONST. NO.OF STORIES SRE OF BLDG. 1 —f FIRE 5PRINKLER' OCCUPANCY LOAD FIRE ALARM 'EC REASON INTAKE BY PIANSAPPROV DATE CONTACT PERSON AND PHONE NO. I HEREBY CERTIFYVHAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF TACM TWOCOPIES) WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE CONTRACTORS LAW 18.27 RCW AND 296.20C WAC. iMEER Al/4l'I� TYPE PLAN ❑ YES ❑ NO BUILDING COPM6Y NO.OFM LLING UNIFS GNouP PLUMBING 1SEMENT MECHANICAL ❑ YES Cl NO ADDITIONAL PLAN CHECK EIGHT LIMITATION OTHER STATE BUILDING SURCHARGE CITY OF EVERETT PUBLIC WORKS LOCAL SALES TAX CODE IS 3105 TOTAL FEE ITi NO.