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APPLICATIA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT F BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 •257.8810 <br />m n1 NI nimn 9 MECHANICAL ❑ PLUMBING ❑ SIGN <br />] DEMDLIIIVIX a AAvmmnnl,..,. ---- -- <br />PROJECT ADDRESS S'7�OS A 41-96cCe A- vE <br />OWNER At ADDRCS5 CITY ZF PIKNIE <br />,/u;r A,rc <br />MIUNi <br />MAM1 ACORE55 <br />CITY ZW <br />WIOME <br />•gCHItECi OR DESMaNEfl <br />HAILAWRESS <br />GiY Zp <br />PId1E <br />C[NERKCONIAACTCR <br />I.UILAWRESS <br />E„P. Zp <br />pIgI,E STATE LICENSE <br />NEUUNICK CONIRACTCR <br />NAM1ADOR[SS <br />CjP. ZP <br />PI,ONE STATELICCNSEA <br />+I <br />n <br />�t7L1/AIlA./ /'L..1tr <br />79330 <br />/>. `1.1�-APc �i i�L,�/C+T/.A 9Yz z, <br />AGO Vo¢7vcz ,,SOB/�/�Jy-Z7ZC <br />CO!rtMCT PRICE OE W t( J yO0 <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC <br />DESCRIBE WGIK D OQRTAGE IMMAD <br />CONTACT PERSON AND P,q,IE NO <br />oel•) VC?- Yi-2== <br />NS/ L — oLe. c 7 <br />5 i ✓ Z <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 />PFI w SEDUSEOfBUnDING <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />PRWERLY )SHOWN BflOWORATtX"MCOPIES, <br />LEGu.OEWRIPTIIXI CF <br />TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />LOT BLOCK of <br />AUTHORITY <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 />� /I <br />`/7 /%Ln <br />PAI10EL iAl11 o. NULIOCTIJ <br />CONS1RULiKIM LOANLENDER. ADp1E55 iClEPNONE NVUBCR <br />(// <br />SIGF,ADJ% DATE , <br />LI1Y BNSINCSS IICCt6[ NJ <br />MECHANICAL <br />PLUMBING <br />NO, TYPE OF FIXTURE OR ITEM FEE <br />NO. TYPE OF EQUIPMENT FEE <br />LVATLR CLOSET (TOILETI <br />A C — A HNDLG UNITS <br />FORCED AIR SYSTEMS <br />BATHTUB <br />LAVATORY DVASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK d DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WHEATER ATER <br />CLOTHES \MASHER <br />WOOD STOVE <br />METAL FIREPLACE (WOOD BURNING) <br />URINAL <br />FIREPLACE INSERT (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE— BAR, ETC) <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL S <br />SUBTOTAL S <br />PERMIT S <br />PER f <br />TOTAL FEE S <br />TOTAL FEE f <br />FOR OFFICE U5E UNLYf <br />MCFIPi W <br />EROn1 SETBACK <br />RGD SETBACK <br />ODE SETBACK <br />C C NUMBER <br />FEE <br />FEES <br />VALUATION <br />FEE <br />USE ZONE <br />OF An'A <br />vAGNT SITE <br />BDILmi <br />M VES n ND <br />HEIGHT LIMRATION <br />NO OF 001LI.1w <br />SIZEd KWII <br />VW1S <br />VLuwlI <br />u[CMNCAL <br />OLCuPANCY NOUSRNES <br />OCCUPANT LOAD <br />BASCVENT <br />GROIp <br />❑ YES ❑ ND <br />I, <br />ABBIIMMK PLAN CN[CK <br />— <br />FRESFYFI LERREGD <br />nEASq, <br />1 <br />OTIr[R <br />FPEAWtWIMOD <br />REASON <br />STATE BUFL M SVRCI4RGE <br />TY 01, CpFIST <br />PLANS AFP BY <br />CITY OF EVERETT <br />PUBLIC WOnAS <br />LOCAL SALES <br />TAX CODE IS 3105 <br />TOTAL <br />DATE I <br />