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APPLICATIOwA FOR CONSTRUCT►iN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />DEMOLITION ❑COMBINATION [I BUILDING r' MECHANICAL /PLUMBING <br />PROJECT ADDRESS: <br />PLUMBING CONTRACTOR MA{LADDRESS CITY ZIP PHONE STATE LICENSE( <br />n m <br />❑ SIGN <br />CONTRACT PRICE OF iVORK <br />HEATING SYSTEM: gGAS ❑ ELECTRIC ❑ <br />DESCRIBE WORK AND SOUARE FOOTAGE INVOLVED <br />CONTACT PERSON AND PHONE NO <br />L <br />.I <br />AI <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 PR FIT TO THE WORK FOR WHICH <br />APPLICATION I MAD' OM LY WITH THE STATE <br />CONTRACTOR LAW .27 ND 296. D WAC. <br />X <br />eDATE <br />PROPOSED USE Of uILDINO <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH TWO COPIESI <br />LOT BLOCK OF _ <br />PARCEL TAX I.D. NUMBER <br />CONSTRUCTION LOAN LENDER, ADDRESS. TELEPHONE NUMBER <br />SIGNATURE <br />CITY BUSINESS LICENSE NO. <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />I <br />A/C—AMNDLG UNITS <br />' <br />BATHTUB <br />; <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />I <br />HEAT PUMP <br />I <br />SHOWER <br />' <br />UNIT HEATERS <br />' <br />KITCHEN SINK 8 DISP <br />i <br />CLOTHES DRYERS <br />i <br />DISHWASHER <br />' <br />RANGE HOOD <br />' <br />LAUNDRY TRAY <br />WATER HEATER <br />i <br />CLOTHES WASHER <br />I <br />WOOD STOVE <br />' <br />URINAL <br />' <br />METAL FIREPLACE (WOOD BURNING) <br />' <br />DRINKING FOUNTAIN <br />i <br />FIREPLACE INSERT (WOOD BURNING) <br />i <br />FLOOR DRAIN <br />I <br />GAS FIREPLACE <br />' <br />BACKFLOW PREVENTERS <br />GASRANGE <br />SINK (SERVICE —BAR, ETC.) <br />I <br />GAS PIPING ICZ3' <br />' <br />EXHAUST FAN <br />' <br />1 <br />' <br />I <br />' <br />I <br />' <br />SUB TOTAL E <br />' <br />SUB TOTAL E <br />; <br />PERMIT E <br />I <br />PERMIT E <br />TOTAL FEE E <br />' <br />TOTAL FEE E <br />' <br />rno necInc I IQc ^mI V. <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />fEF <br />RECEIPT NO <br />USEZONE <br />LOTAREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />) <br />DYES [7 NO <br />HEIGHT LIMITATION <br />NO OF DWELLING <br />SIZE OF 8LDG/TI <br />' <br />UNITS <br />PLUMBING <br />i <br />OCCUPANCY NO OE STORES <br />OCCUPANTLOAD BASEMENT <br />MECHANICAL <br />I <br />GROUP <br />DYES [7 NO <br />ADW DONAI PLAN CHECK <br />FIRE SPRINKLER REO'D <br />REASON <br />OTHER <br />i <br />FIRE ALARM REO'D <br />REASON <br />' <br />STATE BUILDING SURCHARGE <br />TYPE OF C.ONST <br />PLANS APPROVED BY <br />CITYOFEVERETT <br />PI]BLICWORKS <br />—�— <br />LOCAL SALES <br />TAX CODE IS 3105 <br />TOTAL <br />DATE <br />