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APPLICATION FOR <br />eret„ <br />fho CITY OFprBPn <br />CITY OF <br />°: CONSTRUCTIO-A <br />everett <br />PERMIT <br />e <br />DE PT OF COMMUNITY DEVELOPMENT <br />SERVICES <br />CITY HALL 259-8745 <br />EVERETT, WA 9R2D1 ❑COMBINATION <br />❑ BUILDING ❑MECHANICAL ❑PLUMBING <br />PERMIT NO. <br />OWNER <br />MAIL ADDRESS CITY ZIP <br />PHONE <br />The Herald P. <br />0. Box 930 Everett, WA 98206 <br />339-3000 <br />ARCHITICT OR DESIGNI R <br />MAIL ADDRESS CITY ZIP <br />PHONE <br />Robert Butterfield 2905-A Hewitt Ave. Everett, IVA 98201 <br />2S8-4414 <br />GENERAL CONTRACTOR <br />MAIL ADDRESS CITY ZIP <br />PHONE <br />UCENSI # <br />Newland Construction <br />P. 0. Box 958 Everett, IVA 98206 <br />259-9191 NEIVI.AC343W <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY ZIP <br />PHONE <br />LICENSE# <br />PIUMB ING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSEE <br />CLASS Of WORT: <br />❑NEW ❑ADDITION EJALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VMUAIION OF WORK <br />S 10,000.00 <br />DESCRIBE WORK <br />Altr,tinnc fn cnrnnrl Flnnr nrlrninict-ratinn nren <br />PROPOSED USE OF RUIIPING <br />Comnercial <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE Pi RFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONE RACTOR OR AUTHORIZED AGENT DATE <br />X <br />ETCAI DESCRIPIIONOF PROPIRTY(SHOWN BELOW OR ATTACH FOUR COPIES) <br />LOT _RIOCK_Of <br />Grand and L',alifornia <br />Everett, Washington <br />TOR ADDRESS <br />Same <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE Of EQUIPMENT <br />FEE <br />WATER CLOSET DOLIET) <br />AIR COND UNITS-H P. EA <br />BATHTUB <br />RIFRIGERATION UNITS -El. P. EA <br />LAVATORY (WASH BASIN) <br />BOILERS -TIP [A <br />SHOWER <br />GAS FIRED AC UNITS -TONNAGE [A <br />KITCHEN SINK A LISP <br />fORCED AIR SYSTEMS-B.T.U. M EA <br />D15WASHIR <br />WALL ##EATERS-B T. U. M <br />LAUNDRY TRAY <br />UNIT HEAIERS-B I U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT- C F M. <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS-RAINLEAMRS <br />METAL FIREPLACE A CHIMNEY <br />SINK (SFRVICE-BAR. ETC) <br />SUB TOTAL <br />SUBTOTAL B <br />PERMIT <br />f <br />PERMIT B <br />TOTAL FIE <br />S <br />TOTAL FEE B <br />SIDE YARD SETBACK <br />SIR[ IT SETBACK <br />�r iE <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />� S.S <br />PLAN <br />It[ 33 <br />�� <br />CHECK FEE <br />RECEIPT NO. ,T <br />O V <br />USE ZONE <br />c'Z <br />LOT ARE A4F <br />,f ^ <br />IV, <br />VACANT SITE <br />DYES ko <br />FEES <br />VALUATION <br />FIE <br />TYPE `OFCONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />S <br />SIZE OF BLDG <br />NO. OF STORIES <br />MAX. OCC LOAD <br />Mil <br />PLUMBING <br />FIRE ZONE <br />BASE -ENT <br />_ <br />BEDROOMS <br />FIRE SPRINKLERS <br />REQUITE <br />DYES go - <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />- <br />I. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. IBJ(F) <br />2 BUILDING PLANS <br />TOTAL <br />] FIRE HYDRANT <br /># TIRE PROTECTION SYSTEM <br />5 GRADINGIIXCAVATIONACLEARINGIGRUBBING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />' <br />6 DRAINAGE <br />7. FNVIRONMENTAL IMPACT STATEMENT <br />8 HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANSCHECKED BY <br />APPR FOR ISSUANCE BY <br />9.179 <br />