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APPLICATI4e1 FOR CONSTRUCT iON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 998201 •259-8810 Oorwrr <br />F1 DEMOLITION f I COMBINATION I I BUILDING ✓"MECHANICAL 'PLUMBING 1 1 SIGN <br />PROJECT ADDRESS ,, <br />OWNER MAIL ADDRESS <br />r� , _ i _ Cm ZIP rNnNr <br />CITY <br />ARCHITECT OR DESIGNLW MAIL <br />,m-�7LL7 <br />ZIP <br />CONTRACT PRICE OF WORK , <br />', � � <br />HEATING SYSTEM: YGAS Fl ELECTRIC I I <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />CO TACT PERSONAND PIIO NO <br />' 1 <br />L- to 1 I <br />J <br />• s <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROPOSED USE OF BUILDING <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />LEGAL DESCRIPTION OF PROPERTY )SHOWN BELOW OR ATTACH TWO COPIES) <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />L07 BLOCK OF <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OFl THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFO�M THE WORK FOR WHICH <br />APPLICATION IS MADE AND ,I'!COMPL" WITH THE STATE <br />CONTRACTORS LAW 18.27 RCWAND 296.200 WAC. <br />PARCEL TAX I D NUMBER <br />11 <br />/ <br />CONSTRUCDON IOAN LEND[iL ADDRESS. TELEPHONE NUMBER <br />X <br />SIGNATURE /, / U F <br />LID <br />CITI BUSINESSLNS-N <br />PLUMBING <br />MET' HANICAL <br />NO. TYPE OF EQUIPMENT FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />' <br />A/C —A/HNDLG UNITS —H.P. <br />T— <br />BATHTUB <br />; <br />FORCED AIR SYSTEMS — B.TU. M E.A. <br />LAVATORY (WASH BASIN) <br />I <br />HEAT PUMP <br />�— <br />SHOWER <br />' <br />UNIT HEATERS—B.T.U. M <br />' <br />KITCHEN SINK 8 DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />VENTILATION FAN <br />I <br />LAUNDRY TRAY <br />' <br />RANGE HOOD <br />' <br />CLOTHES WASHER <br />I <br />WATER HEATER <br />URINAL <br />WOOD STOVE <br />' <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 />-------- <br />� <br />GAS PIPING <br />�— <br />_ <br />_ <br />EXHAUSTFAN <br />; <br />T <br />— <br />SUB TOTAL <br />$ <br />SUB TOTAL $ <br />' <br />' <br />PERMIT <br />$ <br />I <br />PERMIT $ <br />TOTAL FEE <br />$ <br />' <br />TOTAL FEE $ <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEF <br />RECFIPT NO <br />S�ln <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />T1YES T1 NO <br />BUILDING <br />i <br />HEIGHT LIMITATION <br />NO OF DWELLING <br />SIZE OF BLDO.RI <br />UNITS <br />PLUMBING <br />OCCUPANCY <br />NO OE STORIES <br />OCCUPANTLOAD <br />BASEMENT <br />i <br />GROUP <br />I <br />MECHANICAL <br />I1 YES IT NO <br />ADDITIONAL PLAN CHECK <br />— <br />— <br />i <br />FIRE ALARM REOD <br />REASON <br />OTHER <br />FIRE. SPRINKLER REO'D <br />REASON <br />STATE BUILDING SURCHARGE <br />1 ' <br />TYPE OF C.ONST <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />Punur, wonlcs <br />LOCAL SALES <br />TOTAL <br />-'— <br />', <br />DATE <br />TAX CODE IS 3105 <br />