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APPLICATItod FOR CONSTRUCT TON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />1 DEMOLITION COMBINATION F 1 BUILDING I l MECHANICAL I l PLUMBING 1 1 SIGN <br />PROJECT ADDRESS/ 194 /0 17-11Gy'_/"sw'/v'-D Ae <br />OWNFR <br />E <br />CITY <br />ZIP PHONE <br />ARURU-UI UH UESIGNFR MAII ADDRESS CITY ! nunuc <br />CONTRACT PRICE OP WORK <br />HEATING SYSTEM: I I GAS XELECTRIC F 1 <br />D'-SC E W RK SQUARE FOOT ^ INVOLVED <br />.��hzi� � _ <br />CONTACT PERSON AND PHONE NO ' <br />-/E <br />1 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 1-0 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 1 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 />CORS LAW 18..2277RRCCW AND 296.200 WAC, <br />CONTRA"LICENSE <br />PROPOSED USE OF BUILDING <br />LEGAL DESCRIPTION OF PROPERTY fSHOWN BELOW OR AT 'A TWO Co IESJ <br />LOT a BLOCK of S i <br />PARCEL TAXI D. NUMBER <br />CONSTRUCTION LOAN LENDER, ADDRESS. TELEPHONE NUMBER <br />/ GATE <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />LA/C <br />— /VHNDLG UNITS — H.P. <br />T <br />BATHTUB <br />; <br />FORCED AIR SYSTEMS — B.T.U. M E.A. <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />, <br />SHOWER <br />IJ 4IT HEATERS — B.T.U. M <br />KITCHEN SINK 8 DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />VENTILATION FAN <br />LAUNDRY TRAY <br />/ <br />RANGE HOOD <br />' <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />WOOD STOVE <br />DRINKING FOUNTAIN <br />METAL FIREPLACE (WOOD BURNING) <br />FLOOR DRAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />BACKFLOW PREVENTERS <br />GAS FIREPLACE <br />I ' <br />SINK (SERVICE — BAR, ETC.) <br />GAS RANGE <br />T <br />GAS PIPING <br />EXHAUST FAN <br />1 <br />I <br />SUB TOTAL $ <br />SUB TOTAL $ <br />PERMIT S <br />I <br />PERMIT S <br />i <br />TOTAL FEE S <br />TOTAL FEE S <br />' <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK <br />FLAT SFTBACC <br />SIDESETBACK <br />PLAN CHECK NUVYFR <br />FFF <br />RECEIPT NO <br />ZlJ <br />� v <br />USE Zo <br />IOTAREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />_//`J <br />IIYES li NO <br />BUILDING <br />6�� <br />i <br />I ,2c <br />I EIGHT LIMITATION <br />NO Or DWELLING <br />9ZE OF BIDGRi <br />I <br />7 Q <br />•-"�J <br />UNITS <br />1/Z S- <br />PLUMBING <br />/n? <br />OCCUPANCY NO OTSIORTS <br />GROUP <br />OCCUPANT LOAD <br />BA,EMENT <br />MECHANICAL <br />)O_� <br />(Z.3 li-I <br />IIIES 'WHO <br />ADDITIONALPLAN CHECKi <br />FIRE ALARM .00 <br />REASON <br />0 <br />OTHER <br />PIKE SPR ng FIT REO'D <br />REASON <br />STATE DilII DING BBRDHARGE <br />I — <br />7,e � J o <br />TYPE OF CONST <br />PI ANS APPROVFD DY <br />CITY OF EVERETT <br />rumlr, wonlcs <br />i-- <br />O ' co <br />LOCAL SALES <br />TOTAL <br />-h/ <br />DATE "j 4 <br />TAX CODE IS 3105 <br />