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APPLICATI�..� FOR CONSTRUC7 .OK PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION �C���� <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> r] DEMOLITION rl COMBINATION �I BUILDING fl MECHANICAL I� PLUMBING rl SIGN <br /> PROJECT ADDRESS <br /> O ER MNLADDf1E55 CITY ZIP PNOHE <br /> �sT� aias a��s ���e � wp- ��, --- a.s�-9�g'I <br /> TENANT MPILAODRE55 CRY ZIP PHONE <br /> ARCHITF.CTORDESIGNER MAILAO�R[55 CITV IIP PHONE <br /> GENEHAICONTRACTOR MAI�pDDRESS CITV 7.IP PI�ONL STATELICENSE� <br /> MECHA ALCONTPACTOR MAILADORE55 CITV Z17 PIIONE STAiELICENSE� <br /> PLU ING CONTRACTOR MRII ADDRE55 CIIY ZIP PHONE STATE LICENSE/ <br /> CONTR�CTPRICEOf WORN HEATING SYSTEM: Cl GAS C7 ELECTRIC ❑ <br /> UESCRIBEWORNANUSOUPFE�OOTAG NVO D ) / LONTACTPERSONANDPHONENO. <br /> � <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROPOSED USE OF BUILDING PROVISIONS OF LAWS AND ORDINANCES GOVEFN�NG THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGPLUESCPIPiIONOFPROPENiY�SHONMBELOWORARACHTWOCOPIE51 NOT. 7HE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �ot e�ocK or AUTHORITY TO VIOLATE OR CANCEL THE PFOVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OP CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOF WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCELTAX I.D.NUMBER CONTRACTO S LAW 18.2i RCW N/D�296200 WAC. <br /> CONSTRUCTION LOAN LENDER,ADDRE55,TELEPIIONE NUMBER � ��^��1[��C���/I 1N �_ 17� 1 � <br /> �ATURE V� DATE <br /> qTI BUSINESS UCENSE N0. <br /> PLUMBING MECHANICAI <br /> NO. TVPE OF fl1(TURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE <br /> WATERCLOSET(TOILET) � AIC—A/HNDLGUNITS—H.P. ' <br /> BATHTUB � FORCEDAIRSYSTEMS—B.T.U. M E.A. ' <br /> � <br /> LAVATORY(WASH BASIN� � HEAT PUMP � <br /> SHOWER ' UNIT HEATERS—B.T.U. M ' <br /> ' CLOTHES DFYERS � <br /> KITCHEN SINK 8 DISP � � <br /> DISHWASHER <br /> � VENTILATION FAN ' <br /> LAUNDRY TRAY � ; RANGE HOOD i <br /> CLOTHES WASHER � WATER HEATEfi ' <br /> URINAL ' WOOD STOVE ' <br /> DRINKING FOUNTAIN i METAL FIREPLACE(WOOD BURNING) i <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) ' <br /> GAS FIREPLACf � <br /> BACKFLOW PREVENTERS � � � <br /> SINK(SERVICE—BAR,ETC.) � GAS RANGE ' <br /> � GAS PIPING <br /> ; EXHAUST FAN ' <br /> i ' <br /> i � <br /> � <br /> � �— <br /> SUB TOTAL 5 ' SUB TOTAL 5 � ; <br /> � �— <br /> PERMIT S i PERMIT S / � � <br /> TOTALFEE 5 ' TOTALFEE S ' <br /> FOR OFFICE USE ONLY: <br /> fRONT SET�ACK REAR SFTB�CK S�DE SETORCR �LAN CHECK NUMbEA FEE RECEIPT NO. <br /> uSEzorve totaaEn VPCANTSITE FEES VAWATION FEE <br /> i <br /> nves ❑ No nm�owc I <br /> HEIGNTLIMITATION NOOFOWELLING 9ZEOF0LDGRI. � <br /> i <br /> UNITS PLlIM01NG � <br /> � <br /> I <br /> OCCUPANCY NOOFSi0RIE5 OCCUPANttOAD BASEMENT MECH4YICPL i <br /> GROUP py�S �7 NO i <br /> AUDIiION�L PLAN CMECK � <br /> FIREALAPMREO�D �7[ASO4 <br /> i <br /> OTIIER � <br /> FIRE SPRINNLER REO'0 REASON � <br /> STATE UUILOING SURCHARGE j <br /> iYPEOFCON51. PlANSAPPROVEO�Y CITYOFEVERETT PUDLICWORKS � <br /> LOCAL SALES I <br /> oATE TAX CODE IS 3105 70TAL ' <br />