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APPLICATIA FOR CONSTRUC1111AN PERMIT <br />CITY OF EVERETT A BUILDING DIVISION <br />3200 CEDAR STREET A EVERETT, WA 98201 •257-BB10 <br />7 DEMOLITION ❑ COMBINATION ❑ BUILDING MECHANICAL O PLUMBING M SIGN <br />PROJECT ADDRESS <br />_ SY// NA-.P diKK Art <br />MNER MAILADDPESS CITY Z. ptlNE <br />9c//e- ,e,nF<- C,0v57- <br />TENANT MAT. ADDRESS CITY ZP RIOE <br />ARCHITECT OP DESIGNER MAIADDRESS CITY ZP PHONE <br />GENERALCONTRACTOIT MARADONESS CITY ZP PHONE STATE LICENSE <br />41ECNANCAL CONTRACTOR MAIL ADDRESS CRY ZP RIONE STATE LICENSE <br />.�GAc-✓.t/fd/✓�c 1 :7aU /1✓N Aker .t,[^Alc Mru. �%Y22� /;[.�403 7✓h2 P Ri r IF2 ��cL <br />N.UMBIEXi LONTRACIOP MARAppRE55 CRY ZP PHONE STATE LICENSE <br />Cd1tRK.T PRCE CF M9RN <br />1.2 /cw <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC Fl <br />DESCRIBE NORK AND SDUAPE FOOTAGE INVOLVED <br />CCNTACT PERSON AND FIpNE NO <br />PROPOSEo USE OF BUKRNG <br />F <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 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 STA— OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMAI. c 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 <br />/1188..27 RCW AND 296.200 WAC. <br />l .1// <br />61fiNATLIFE •DATE <br />LEGU OFSCRPTXNIaPPOPERry 151gWN BELOW OR AttACN TNV WPP61 <br />LOT ROCK OF. <br />PARCELTAX ID FAIueER <br />CONSTRUCRIONLOANLEIAERADMESS. IELENICNENMBER <br />CITY BUSUIrss LICENSE NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />_ <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET)I <br />ABC — AHNDLG UNIT) <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />! <br />KITCHEN SINK X DISP <br />CI OTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (LVOOD BURNINGI <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />I GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC.) <br />GAS PIPING <br />I <br />EXHAUSTFAN <br />i <br />SUBTOTAL <br />i <br />SUBTOTAL 5 <br />PERMIT S <br />i <br />PERMIT S <br />TOTAL FEE S <br />TOTAL FEE 5 <br />FOR OFFICE USE ONLY: k' rm2-O/? <br />FRONT SETBACK <br />REAR SOWN <br />SIDE SETBACK <br />R.ANCHEAANUMKR <br />FEE <br />RECEIPTNO <br />USE ZONE <br />LOT AREA <br />VACANISRE <br />DYES ❑ NO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />HEIGHTLIMRATEIN <br />ND CFO1 um <br />UNiS <br />SIZE OF&OGRI. <br />PLUMBING <br />OLCVPANCY <br />GRCOP <br />Iq Cf $Igi(S <br />OCCWANELOAD <br />BASEMENT <br />❑vE5 ❑ NET <br />MECHANICAL <br />AWITONAL LANCHECK <br />--............ <br />FPESPRIN4ERRE00 <br />REASON <br />DMER <br />FHE ALAPM PEOD <br />REASON <br />STATE BUILDING SURCHARGE <br />1 <br />j <br />TYPE OF corvsr <br />MANS ANvED BY <br />ii <br />DATE oZ js <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />IVSLC KOPKS <br />! <br />TOTAL <br />FA <br />