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APPLICATILd FOR CONSTRUCI.ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET - EVERETT, WA 98201 - 259-8810 <br />i DEMOLITION COMBINATION I I BUILDING MECHANICAL I' PLUMBING 11 SIGN <br />PROJECT ADDRESS -------- <br />�c 2�llr�cllll <br />m^, CITY <br />7114 M021)0009L <br />ZIP <br />c-yee'Ti <br />PHONE <br />LoA 98ZD1 <br />-- -_ <br />2,o6-Z5Z-7-IGc- <br />TENANT MAIL ADDRESS CITY <br />C-Ve2cTT wt�oLtSALE PJAPc12 Z414 <br />ZIP <br />A1C4G06IAL <br />PHONE <br />8✓eA!L:, 7 tk:)AQQZoI <br />zSz ZiGr, <br />ARCHITECT OR DESIGNER <br />IMA1z�l0 I; �)C40 <br />MAIL ADDRESS CITY <br />1` 16 PAR1K 6i7 La <br />ZIP <br />SeDPLOOOOLL.010 <br />PHONE. <br />- 77-y -5Z)i I <br />GF�gqERALCONTRACTOR <br />l <br />MAIL ADDRESS CITY <br />18�13 �a� K �I D (+ I, St1 <br />ZIP <br />PHONE 5TA7E LICEN Ev <br />l <br />Bl3 Ir vv:1 e S <br />ItJcrTl c try <br />91� <br />3dy-7z�1 Sz1l <br />11 HD <br />M GHANICAL CONTRACTOR <br />MAIL ADDRESSIS%na <br />PHONE <br />STATE LICENSE vS <br />Ib6-124TiDID <br />J-AiArzu/, la [�Q 12 (rN/nmm <br />48Z3s' <br />stv�sz-G4oQ <br />QEFRII�z�'6C� <br />PLUMBING CONI RACTOR <br />MAIL ADDRESS CHT <br />ZIP <br />PHONE <br />STATE LICENSE <br />JK l PJJ7P\lA.!-S Lac 7-1)Ad �sTd DO r v.lnaT, 0A 4;7#9 :cJl zmfj .l.z <br />%vlcorp <br />Tn,IDn <br />acr PnICE of woRK <br />!DESCRf�t <br />I ". . I . - <br />E : <br />HEATINGSYSTEM: fjdGAS flELECTRICfl <br />E FOOTAGE VOLVED <br />CONTACTPERSONAND <br />N0.r-✓iy e.064'L) 960-7W-501/-a(�K <br />Poup- k - - zSt-Zlos- ww(Al <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 LAW 18 27 RCW AND 296.200 WAC. <br />p I o� <br />X ��--'� V �-�-� r ✓V %�P 1J <br />PROPOSED USE OF BUILDING <br />LEGAL DESCRIPTION OF/GOPEfVY(SHOWN BELOW OR ATTACH TWO COPIES) <br />LOT L /3/ ISBL6cK b8g DF LNi LF✓fJ2o%i�)li, �l ` <br />4L60 L.oT•5 41U�! I / b&% We'T 34.5 �F/it2+S�F fiLk <br />& R A , AAtr c{L ti, a/e/%d IT D 1 d . c .0 //J <br />Z� <br />O u i�UL ✓ LIl'r'S Z//n 5oOM j4Ol5%1 Cu.�A, <br />PARCEL TA%1 NUMB�' <br />Md9v-b �-uo•000y Ll+t91-6P$-OIL-0007 y3Y0-688p-,�I,b.:Lau <br />CONSTRUCTION LOAN LENDER AD RESS. TELEPHONE NUMBER «Z'�DOp <br />SeCF' � -I rJgN ° i- <br />S: NATURE DATE <br />CITY BUSINESS LICENSE NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />I <br />A/C — A/HNDLG UNITS — H.P. <br />, <br />BATHTUB <br />' <br />FORCED AIR SYSTEMS — B.T.U. M E.A. <br />' <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />, <br />_ <br />SHOWER <br />' <br />UNIT HEATERS — B.T.U. M <br />' <br />KITCHEN SINK 8 DISP <br />CLOTHES DRYERS <br />; <br />DISHWASHER <br />VENTILATION FAN <br />, <br />LAUNDRY TRAY <br />, <br />RANGE HOOD <br />WATER HEATER <br />; <br />, <br />CLOTHES WASHER <br />URINAL <br />WOOD STOVE <br />' <br />DRINKING FOUNTAIN <br />METAL FIREPLACE (WOOD BURNING) <br />FLOOR DRAIN <br />' <br />FIREPLACE INSERT (WOOD BURNING) <br />BACKFLOW PREVENTERS <br />GAS FIREPLACE <br />SINK (SERVICE — BAR, ETC.) <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />i <br />SUB TOTAL S <br />I <br />SUB TOTAL S <br />; <br />PERMIT S <br />PERMIT S <br />, <br />TOTAL FEE S1777777 <br />TOTAL FEE $ <br />' <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK <br />REAR SETBA� DE SETBACK <br />PLAN CHEC N OER <br />FEE <br />%`J <br />RECEIPT NO. <br />T'J /I <br />-jr <br />i <br />- <br />USE ZONE <br />101 AREA VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />— <br />-YES n NO <br />HEIGHT LIMITATION <br />NO OF DWELUNG <br />OF BLDGRI <br />SIZEr <br />PLUMBING <br />' <br />UN17S <br />,D <br />17(z iyy� 771A) <br />NTN� <br />OCCUPANCY <br />GROUP <br />NO OF STORIES <br />OCCUPANT LOAD <br />BASEMENT <br />MECHANICAL <br />' <br />n <br />l' <br />,) /11'1.1/77j/JI/ <br />/,'/iN�<Z�"�4v✓ <br />II YES yk{JO <br />ADDITIONAL PLAN CHECK <br />y_ <br />FIRE ALARM�jR/'�EEOD <br />REASON <br />Yiy7 <br />_' _•"/F -" <br />OTHER <br />FIRE SPRINKLER PEO'D <br />REASON <br />/ <br />7o// <br />�� <br />STATE BUILDING SURCHARGE <br />I��) <br />TYPE OF CONST <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />LOCAL SALES <br />PUBLIC WORKS <br />Zu <br />DATE <br />TAX CODE IS 3105 <br />TOTAL <br />