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APPLICATII'V �'OR CONSTRUCT-�N PERMIT � <br />TO 9E COMPLETED IN BI.ACK INK—PLEASE PRINT <br />BUILDING DEPARTMENT HEATING SYSTEM: ❑ GAS ❑ ELECTAIC ❑ N. A. <br />259-8870 <br />❑ DEMOLITION O COMBINATION Qi BUILDING ❑ MECHANICAL ❑ PLUMBING �7 SIGN <br />OWNER MAIIA�DPE55 dTY ZIP PHONE <br />Housing Authority of the City of Everett, 1401 Poplar, Everett, 1NA 98201 258-9222 <br />TENANT M>ILADJFE55 LITY 21P PHONE <br />Same <br />ARCMITECT OR DESIGNER MAIL ADORESS CITY 21P PNONE <br />CNJJ Architects, 2722 Colby, Suite #607, Everett, VYA 98201 259-7560 601-291-582 0 <br />GEKEfiALCWITRACTOR MAILpD�flE55 CITY 21P PNOhE STATELICENSEI <br />MECN�NICf1COHTRAGTOR MAIIADDflESS CIN 21P <br />GONTMC7 PRICE OF WOHK <br />UESCRIBE WORK RND SOUAR <br />Miscellaneous i <br />s.f.) and exte <br />Z-horlYnnr-� rac' <br />accessibilit.y. <br />PROPOSED USE OF BUILDING <br />MRIL ADDRESS <br />FOOT�GE <br />IEGAL UESCflIPiION OF PROPERTY <br />L9T BLOCK — <br />(See Attachecl) <br />r alterations in existing <br />OF <br />PAIiCELTAXIA.NUMBEF <br />Cp �STRUCTION LO/ N LENDER. AODNESS. TELEPHONE NIIMOER <br />PROJE�'ADDRESS <br />7tS Lind�n <br />PWhIBING <br />NO. TYPE OF FI%TURE OR ITEM <br />WATER CLOSET(TOILET) <br />BATHTUB <br />LAVATORY(WASH BASIN) <br />_ SHOWER <br />KITCHEN SINK 8 DISP - <br />� DISHWASHER <br />LAUNDRY TRA'f <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTEPS <br />ROOF DFAINS—RAINLEADERS <br />SINK 15EFVICE—BAR, ETC.) <br />FOR OFFICE USE ONLY: <br />FRONTSETBALN REANSETBALK <br />USE20NE <br />1YPE Oi CONST. <br />�- �✓ <br />SIZE OF BLDG. <br />�� y a <br />OLCIIPANGVLOAD <br />/� A <br />REASON <br />INTAI(E EY <br />CITY 21P <br />PHONE STATE UCFySE • <br />PHONE STATE LICENSE I <br />CONTACT PEfl50N AND VHONE NO. <br />CNJJ Arch.) 259-1 <br />_ I HEREBY CERTIFY THAT 1 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 />nvocoaiesl WORK WILL BE COMPLETED WI1H WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEI THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />-- PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BY THE <br />OWNEH OF THIS PROPERTY TO PERFORM THE WOFK FOR WHICH <br />-- APPLICATION IS M:DE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />SUB 70TAL $ <br />PEqMiT $ <br />TOTAIFEE S <br />LOTAHEA <br />NO. OF STO/RIES <br />1 <br />FIFE SPRINNLERS REO'D <br />i_' � <br />FIRE ALARM FEO'D <br />.+�5�0/( Uf7d <br />� <br />PUNSAP OVF.OBY <br />%'r� <br />onr �/S - S <br />SIDE SETBACN <br />0 <br />VAGMlT SITE <br />❑ YES ❑ NO <br />OC(UGWh' NOOiDW[IIIXGUNi15 <br />p � I <br />BASEMENT <br />❑ YES L9"NO <br />HEIGHT LIMITpTION <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />X 6-17-93 <br />s�c.r.runc 0 2 ZS z � o.�c <br />CI1V Bt15iNE55 LiLCNSE xO <br />MFCHANICAL <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />UNIT HEATERS—B,T.U. M <br />CLOTHESDRYEFS <br />VENTILATION FAN <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE i <br />FIREPLACE INSERT, <br />GAS PIPIN.r; <br />EXHAUSTFAN <br />7LAN GMECN NlIMOER <br />BUILOING <br />PLUMBING <br />MECHANICAL <br />ADDI710NAL PLAN CHECK <br />OTHER <br />STATE BUIIDING SURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />0 <br />0 <br />SUB TOTAL 3 <br />PERMIT 5 � <br />TOTALFEE 5 ' <br />REGEIoT NO. <br />VALUATION FEE <br />n <br />/ � '/' <br />i <br />i <br />i � <br />i - <br />i <br />i <br />