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APPLICATIGA FOR CONSTRUC71.JN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 •259.8810 <br />Fl DEMOLITION ( I COMBINATION $4 BUILDING Af MECHANICAL IK PLUMBING Fl SIGN <br />PROJECT ADDRESS pp / <br />��� U •.0 Ord-/ l�-� <br />OWNER MAIL ADDRESS <br />CITY ZIP PHONE <br />�r rn 2820 L, ^ r u / I bdo G,r� ✓ L; ( 7 <br />TENANT MAIL ADDRESS v^— CITY ZIP PHONE <br />ARCHITECT OR DESIGNER MAIIADDRESS CITY ZIP PHONE <br />1915 /",,1 rw Fv95z03 C26&j�T�({.., <br />GENERAL OO/NTFIACTOR MAIL ADORE 5S CITY ZIP PHONE STATE LICENSE• <br />Cllc7ircal Ell ergy(���.u,-7�.t 2aZ�i 6T-.I.n`IdI937 174)707--67,;-� FLEC%Ef- //ODN <br />MECHAN11CAL CONTRACTOR {RAIL ADDRESSJ G ZIP PHONE STATE LICENSE <br />��r17/'!4� f�t.2Y��t7ia /Ar) Z?ZO 1,—.1+4./lyL� n✓ q/ � �7 1iu)'J--'%�7u L <br />PLUMBING CONTRAf TOR MAIL ADDRESS <br />El-1 eL j1 H <br />QQ <br />WY-� ZIP PHONE STATE LICENSE• <br />l/'/1L nt/y (� /iyrJai L�Z(J C 1-Fu 17Gt1 <br />CGNjFl T PRICE OP WORK <br />T U OJO. cU /(/�_,i �.. �G_._ _ _ w / �• HEATINn CVCTPU- t I nec rI eL r�vnt^ I I <br />DESCRIBE K AND SOWp E FOOTA E DIVED <br />New T�l�< <br />CONTACT PERSON AND PHONE 0 <br />/ -197, Lce, 3371: <br />2676 <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 GOVERNIN 3 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 THI PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION MADE AND COMP Y WITH THE STATE <br />CONTRACTO AW 19.27 R D 96.20 AC. <br />X Elf J <br />PR!Po5ED USE OF BUILDING <br />M 1 H / <br />AI P OR <br />LEGAL DEs PTION OF PROPE 15H0 BELOWOR ATTACH TWO CO PIES <br />LOT BLOCK OF_ - ` <br />PARCEL TAXI D. NUMBER <br />CONSTRIIC oN IOAI�I LENDER. ESS�TEIEPHONENWBER <br />/U'1 %/!/ qq k <br />SIGNATURE GATE <br />J <br />_33Z �Vr �7/ ��h'/ Z:�lo <br />S�/'Q� <br />CITY BUSINESS LICENSE NO <br />PLUMBING <br />MECHANIC# L <br />NO. OF EQUIPMENT FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />1 <br />_TYPE <br />A/C—AMNDLG UNITS —H.P. <br />BATHTUB <br />FORCED AIR SYSTEMS — B.T.U. M E.A. <br />LAVATORY (WASH BASIN) <br />I <br />HEAT PUMP <br />1 <br />-77 <br />SHOWER <br />' <br />UNIT HEATERS — B.T.U. M <br />KITCHEN SINK 8 DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />' <br />VENTILATION FAN <br />, <br />LAUNDRY TRAY <br />RANGE HOOD <br />' <br />CLOTHES WASHER <br />I <br />WATER HEATER <br />I <br />URINAL _ <br />' <br />WOOD STOVE <br />DRINKING FOUNTAIN <br />METAL FIREPLACE (WOOD BURNING) <br />i <br />FLOOR DRAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />BACKFLOW PREVENTERS <br />; <br />GAS FIREPLACE <br />' <br />SINK (SERVICE — BAR, ETC.) <br />GAS RANGE <br />GAS PIPING <br />' <br />i <br />T <br />EXHAUSTFAN <br />T— <br />I <br />SUB TOTAL $ <br />SUB TOTAL $ <br />PERMIT S <br />1 <br />PERMIT $ <br />1 <br />TOTAL FEE E <br />' <br />TOTAL FEE $ <br />' <br />FOR OFFICE USE ONLY: <br />FRONTSETBACK <br />' <br />REAR $FT/BJAC�K <br />/ <br />SIDE SETS / <br />PLANCIIE�OM�y/ <br />FEF <br />hpf.Fl���/ <br />I <br />U,b,;Z, <br />USE ZONE <br />TOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br /><� <br />— < <br />— <br />I )YES I . NO <br />BUILDING <br />_ _ <br />/2j �SS <br />_ <br />nT . <br />�'/ F <br />H'.IGHT LIMIT pQy�L� l <br />/ <br />NO OF DWELLING YE QQFBLDGRI <br />lINl15 V/A� $G <br />Ti <br />PLUMBING <br />MECHANICAL <br />I <br />2� 1 <br />OCCUPANCY NO 0{n SIOIaL5 <br />GROUP <br />OCCUPANT LOAD BASEMENT <br />✓ <br />u-r L <br />N .1 rIYES <br />ADDITIONAL PLAN CIRCK <br />- <br />i <br />FIRE ALARM REOD <br />RFASON <br />OTHER <br />1 <br />FIRE SPRINKLER RF.OD <br />nEAcON <br />STALE BUILDING SURCHARGE <br />-- <br />I <br />TYPE OF CONST <br />PI ANS APPROVE? BY <br />CITY OF EVERETT <br />PHBLIr.wonKS <br />—hl <br />I-r <br />LOCAL SALES <br />, <br />I <br />DATE <br />TAX CODE IS 3105 <br />TOTAL <br />l! z l� <br />VA <br />