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a" <br />APPLICATION FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 A 259-8810 <br />1-1 DEMOLITION I I COMBINATION 1 1 BUILDING 11 MECHANICAL I-'r"PLUMBING 1 SIGN <br />PROJECT ADDRESS <br />INNER MAR ADDRESS CITY nP nlnuF <br />Kni HfL �15'Z- zios <br />ylnR. ADDRESS /I CITY ZIP PHONE <br />ARCHITECT OR <br />GENERAL GUNTRACTOR MAIL ADDRESS CITY 71P PHONE STATE LICENSFA <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY 71P PHONE ! TATE LICENSE <br />-�+^ 5P <br />rLEPs otia <br />PLUMBING CON 7 RAC 7 OR MAIL ADDRESS CITY 71P I . P11DNE JJ STATE LICENSE - <br />✓,. LEMALA Sons �LNlv1 S/1!o 2t041 visTF} QLR, r£M16(0/)Lf w19y�- <br />CONTRACT PRI(I WORK <br />I SOO e HEATING SYSTEM: I I GAS I ELECTRIC I I - <br />DFSCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />1✓1 <br />CONTACT PF RSON AND PHONE NO <br />16o-3a'v-SGIo? <br />tJb TWO (LZSTriIw-%-S <br />,v✓+ L•LPrilgli-19 <br />19f)ozTT0n io TSSin& <br />(j �tTLO Sn G <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 />PR�GP.oSpEDcutSIE DP BUILDING <br />T'` <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 />LOT _ BLOCK _ OF <br />C7THORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />CE OF CONSTRUCT N. THAT I AM AUTF 71ZED BY THE <br />THIS PROP RTY T PERFORM THE WC„�. FOR WHICH <br />N IS M A D I OMPLV WITH THE STATE <br />RS LAW 7URAND6.WAC. <br />%SIGN.T <br />PARCEL TAX LO NUMBER <br />CONSTRUCTION LOAN LENDER, ADDRESS. TELEPHONE NUMBER <br />OAIE <br />CITY BU ESS LICENSE NO <br />PLUMBING <br />MECH ICAL _ <br />NO. TYPE OF EQUIPMENT FIE E <br />NO. <br />TYFE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />' <br />A/C—ANDLG UNITS—H.P. <br />M <br />•— <br />' <br />BATHTUB <br />FORCED AIR SYSTEMS — B.T.U. M E.A. <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />T— <br />SHOWER <br />_ <br />UNIT HEATERS — B.T.U. M <br />_ <br />KITCHEN SINK 8 DISP <br />i <br />CLOTHES DRYERS <br />— <br />DISHWASHER <br />VENTILATION FAN <br />' <br />— <br />LAUNDRY TRAY <br />RANGE HOOD <br />— <br />CLOTHES WASHER <br />WATER HEATER <br />— <br />URINAL <br />' <br />WOOD STOVE <br />' <br />DRINKING FOUNTAIN <br />METAL FIREPLACE (WOOD BURNING) <br />i <br />— <br />FLOOR DRAIN <br />' <br />FIREPLACE INSERT (WOOD BURNING) <br />RACKFLOW PREVENTERS <br />; <br />GAS FIREPLACE <br />SINK (SERVICE —BAR, ETC.) <br />GAS RANGE <br />GAS PIPING <br />i <br />EXHAUSTFAN <br />I <br />' <br />T <br />SUB TOTAL $ <br />SUB TOTAL $ <br />; <br />PERMIT $ <br />PERMIT _$ <br />TOTAL FEE $ <br />' <br />TOTAL FEE S <br />' <br />rnm f1FFICF IIBF LINT V. <br />FRONT SFTSACK <br />REAR SFTBACK <br />SIDE SETBACK <br />PLAN CFFCKNUMBFR <br />f[f <br />PFCFIPTNO <br />USE ZONE <br />I OT AREA <br />VACANT SITE <br />FEEM <br />VALUATION <br />FEE <br />BUILDING <br />1 <br />AYES fI NO <br />_ <br />, <br />HEIGHT LIMITATION <br />NO OF DWELLING <br />SIZE OF BLDG/TI <br />UNITS <br />PLUMBING <br />OCCUPANCY NO OF STORIES <br />OCCUPANTLOAD BASEMENT <br />MECHANICAL <br />GROUP <br />I <br />AYES FI NO <br />ADDITIONAL RAN CHECK <br />I <br />FIRE ALARM REDO <br />REASON <br />�— <br />OTHER <br />, <br />i <br />FIRE SPRINKtERREOO <br />RFASON <br />' <br />STATE BUILDING SURCHARGE <br />i <br />PUBUC WORKS <br />i <br />-- <br />TYPE OF CONST <br />PI AN% APPROVED BY <br />CITYOFEVERETT <br />LOCAL SALES <br />TOTAL <br />— <br />TAX CODE IS 3105 <br />PAIL <br />