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APPLICAT14P FOR CONSTRUCION PERMIT <br />CITY OF EVERETT A BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 9Ml K 257-8810 <br />I F <br />AIL IVI. u L.UmoTnwllUn LJ BUILDING ❑ MECHANICAL ❑ PLUMBING IGN <br />PROJECT ADDRESS <br />7.So.5- i/A rcl e. eN .C, O <br />Dwwcn MAa AGOREss CITY ZM <br />n'o. A..- /'.Brdy✓$ 311 <br />/1 1 5. L..1 �� <br />/S 4N 6r i../ <br />iFN.WT <br />LAS:o.Tc <br />MA —CITY <br />5.%-4 <br />Sp BENZINE <br />'iJ Gj d.,./C Se.v <br />ARc,nrECE OR OEsgNER <br />Aa AGGRESS <br />city SIp PIIp4 <br />GCNEgµ LOAiRALTGR <br />MECNAWCµ CGNTTUCIOR <br />MAKADGRESS <br />Pe G.aA <br />MArt AUUR," <br />CITY <br />S2L? ! <br />C Y <br />Sp yRgNE <br />SFD v6 77(-SIT 3 s- <br />TIP pIpIE <br />STATE LICENSE <br />6tAiE[ NSC• <br />PLIMGMO'UN IRK1 ION <br />MAa ADDRESS <br />CITY <br />SC ATONE <br />STMEOCENSC. <br />CON1gALf PR[E a WDf1Y. <br />.� Z/ Z 40 e- <br />HEATING SYSTEM: El GAS ❑ ELECTRIC ❑ <br />DESCRIBE wonKANG 60UAnE FOOTAGE RN VED <br />�c CZ S.{ C <br />CONTACT PEn5pr1 ANO %AYTE Np <br />S 7. Pto o. 6 <br />+/.AsLc LrJ F•s / /..r <br />y77F VFis- <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 PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS W I8.27 RCW AND 296 200 WAC. <br />X <br />P^OPOSED wE or eun RIND <br />LEGAL MSCRiiM1N GF PnoPERrr RNOwN BELDN on ATTACH Two fArlEsl <br />LOT _ BLOCK OF <br />See S F % <br />PARCEUAY 10. NUMDE. <br />_ / 2 2 VoV- 2- Oof_ o o o 7 <br />CONSTRUCT" LOAN TENDER. ADDRESS. RLEPHONTE NUMB[, <br />— <br />6G lU G DATE <br />ozV78 <br />LAMCEN6E Iq. <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 />A C — AMNDLG UNITS <br />I <br />BATHTUB <br />! <br />FORCED AIR SYSTEMS <br />I <br />LAVATOR ((WASH BASIN) <br />I <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK 6 DISP <br />CLOTHES DRIERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />! <br />WATER HEATER <br />CLOTHES WASHER <br />I <br />WOOD STOVE- <br />-�— <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />! <br />DRINKING FOUNTAIN <br />i <br />FIREPLACE INSERT (WOOD BURNING) <br />i <br />FLOOR DRAIN <br />_ <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />SINK (SERVICE — BAR, ETC.) <br />GASRANGE <br />GAS PIPING <br />) <br />I <br />i <br />EXHAUSTFAN <br />i <br />I <br />- i <br />SUBTOTAL S <br />SUBTOTAL $ <br />PERMIT E <br />PERMIT $ <br />j <br />TOTALFEE S <br />TOTALFEE $ <br />OR OFFICE USE UNLY: <br />FDONU SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN NECK NJMBEq <br />FEE <br />RECEIPT ME) <br />USE ZONE <br />LOTAREA <br />VACANTSITL <br />FEES <br />VALUATON <br />FEE <br />DYES D NO <br />WILDING <br />83 <br />5 <br />HEKIIRLIMUAtUN <br />NO OF DAIEUTG <br />UNITS <br />SIZE OF 9LDG'r1 <br />FIXAMING <br />OCCUPANCY <br />GROUP <br />,KRDEru"TES <br />OCCUPANT LOAD <br />BASEMENT <br />MWNAMCµ <br />DIES GNO <br />FInESPRINKLERREOD <br />REASON <br />ADD1KMµ MANCNECK <br />OTHER <br />FIRE ALARM gEOD <br />REASON <br />SIAM WILDNO BUILNMDE <br />TYPE OF CONST. <br />rugS AP YEU BY CITY OF EVERETT <br />rUKLcvwKs <br />Ll <br />' LOCAL SALES <br />DATE - I ( I TAX CODE IS 3105 1 <br />TOTAL <br />i <br />