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APPLICATICA FOR CONSTRUCT iON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 04ff <br />I DEMOLITION 1 1 COMBINATION Fl BUILDING I MECHANICAL PLUMBING I SIGN <br />GENERAL CONTRACTOR MAILADDRESS CITY ZIP PHONE STATE LICENSER <br />CONTRACT PRICE OF WORK <br />HEATING SYSTEM: I I GAS (1 ELECTRIC fl <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />CONTACT PERSON AND 1114ONE NO <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 />PROPOSED USE OF BUILDING <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />LEGAL DESCRIPTION OF PROPERTY(SHOWN BELOW OR ATTACH TWO COPIES) <br />OF <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />LOT BLOCK_ <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 10.27 RCW AND 296.200 WAC. <br />X <br />PARCEL TAX I D. NUMBER <br />CONSTRUCTION LOAN LENDER. ADDRESS. TELEPHONE NUMBER <br />SIGNATURE DATE <br />CITY BUSINESS LICENSE NO <br />PLUMBING <br />MECHANICAL _ <br />NO. TYPE OF EQUIPMENT FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />ATC - A/HNDLG UNITS - H.P. <br />' <br />BATHTUB <br />FORCED AIR SYSTEMS - B.T.U. M E.A. <br />; <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />' <br />SHOWER <br />' <br />UNIT HEATERS - 9711. M <br />' <br />KITCHEN SINK. & DISP <br />i <br />CLOTHES DRYERS <br />DISHWASHER <br />VENTILATION FAN <br />' <br />LAUNDRY TRAY <br />RANGE HOOD <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />WOOD STOVE <br />DRINKING FOUNTAIN <br />METAL FIREPLACE (WOOD BURNING) <br />i <br />FLOOR DRAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />BACKFLOW PREVENTERS <br />GAS FIREPLACE <br />SINK (SERVICE - BAR, ETC.) <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />' <br />) <br />SUB TOTAL $ <br />SUB TOTAL $ <br />_T- <br />PERMIT S <br />PERMIT $ <br />TOTALFEE $ <br />' <br />TOTALFEE $ <br />' <br />r)nr .. ^All v. <br />rvn vr. )vim .. <br />—�.. <br />RECEIPT NO. <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK U 00 <br />FEE <br />FEES <br />VALUATION <br />FEE <br />uSE ZONE <br />LOTAREA <br />VACANT SITE <br />f l YES I! NO <br />BUILDING <br />i <br />HEIGHT LIMITATION <br />NO OF DWELLING <br />SIZE OF BLDGR.I <br />i <br />UNITS <br />PLUMBING <br />MECHANICAL <br />I <br />' <br />OCGUPANCV NO Of S*N[5 <br />OCCUPANTLOAD BASEMENT <br />GROUP <br />I <br />f1 YES TI NO <br />ADDITIONAL PLAN DIIEGK <br />FIRE ALARM RED <br />REASON <br />Of 1ER <br />l <br />FIRE SPRINKLER REOD <br />REASON <br />I ' <br />STATE BUILDING SV CHARGE <br />PUBLIC WORKS <br />I <br />I <br />TYPE OF CONST <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />VN��I <br />v!'% <br />LOCAL SALES <br />I Q <br />Z9 ICJ <br />TAX CODE IS 3105 <br />TOTAL <br />' <br />DATE <br />