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APPLICATIOW FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • (425) 257-8810 4aw <br />❑ DEMOL;TION ❑ COMBINATION ❑ BUILDING �T MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: 3 LTC E tgN 1L)c° <br />Ro [s, xt IIz— SL-4TT � - 53' I I)CeAIyew F� �a�rr q �za3 <br />OWNER MAIL ADDRESS CITY I ZIP L PHONE <br />CITY <br />ARCHITECT OR DESIGNER MAIL ADDRESS <br />ZIP <br />PHONE <br />GENERAL CONTMLTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE F <br />h��EP&NAAAALE f�SAiZa Llu SywJ F�tEccan-w�.'�7 E,�EnGtiT 4S�a3 �-�51fi �EPE1y }6c�o4�J <br />MECHANICAL CONTRACTOR HULA ESS C'Y ZIP PHONE STATE LICENSE• <br />PLUMBING CONIRACTOR p MAIL ADDRESS CITY ZIP PHONE STATE LICENSE <br />Sze � <br />CONTRACT PRICE OF WORK <br />HEATING SYSTEM: ,GAS ❑ ELECTRIC ❑ <br />DESCRIBE WORK AND SOUARE FOOTAGE INVOLVED <br />CONTAC PERSON AND PN N NO <br />EL arz r,Cow Sr-Z J <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 />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN ORNOT. 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 LAW 18.27 RCW AND 296.200 WAC. <br />X <br />PROPOSED USE OF BUILDING <br />LEGAL DESCRIPTION OF PAOPERPT (SHOWN BELOW OR ATTACH TWO COMES)WORK <br />LOT BLOCK OF <br />PARCEL TAXI D. NUMBER <br />CONSTRUCTION LOAN I ENDER. ADDRESS. TELEPHONE NUMBER <br />SIGNAT IR DAiC <br />CITY BUSINESS LICENSE NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE _ <br />WATER CLOSET (TOILET) <br />' <br />A/C—A/HNDLG UNITS <br />BATHTUB <br />; <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />I <br />HEAT PUMP <br />SHOWER <br />' <br />UNIT HEATERS <br />KITCHEN SINK 6 DISP <br />; <br />CLOTHES DRYERS <br />DISHWASHER <br />�— <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />; <br />CLOTHES WASHER <br />, <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOL) BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOL' BURNING) <br />FLOOR DRAIN <br />' <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />; <br />GASRANGE <br />SINK (SERVICE — BAR. ETC.) <br />GAS PIPING <br />EXHAUSTFAN <br />I ' <br />I <br />$LIB TOTAL E <br />SUB TOTAL 2 <br />, )O <br />PERMIT E <br />I <br />PERMIT E <br />_ <br />TOTALFEE $ <br />_ <br />TOTALFEE $ <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK <br />REAR SFTBACK <br />USE ZONE <br />IOU AREA <br />HEIGHT IIMITATION <br />NO OF DWELLING <br />UNITS <br />OCCUPANCY <br />GROUP <br />NO OI SIRRIFS <br />Of.CUPANTLOAD <br />FIRE SPRINKLER REC'D <br />RFASON <br />FIRE ALARM REO'D <br />RFASON <br />I YPE OF CONST <br />PI ANS ArPPOVFO <br />DATE <br />SIDE SETBACK <br />VACANT 511E <br />OYES <br />❑ NO <br />SIZE OF BLDGRI <br />❑YES ❑ NO <br />PUN CHECK NUMBER <br />s-[tea <br />BOIL DING <br />M UMPING <br />MH]HANICAI ' <br />ADDRIONAI. PI AN CHECK <br />OTHER <br />STATE BILL WNG SHHCHARGE <br />p° CITY OF EVERETT runny, wDRKS <br />LOCAL SALES <br />TAX CODE IS 3105 TOTAL <br />FEE PFCFIPT NO <br />VALUATION _ FEET_- <br />- - <br />