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APPLICATI `.N FOR CONSTRUC ION PERMIT <br />CITY OF ERETT • DIVISION <br />3200 CEDAR STREET • EVERETTRETT, WA <br />98201 •259-8810 <br />(7 DEMOLITION 1-1 COMBINATION I I BUILDING I I MECHANICAL X PLUMBING 17 SION <br />PROJECTADDRESS _EVerett <br />Bvilj;.j4 <br />4D-ZZ Y <br />it-4 <br />40-Z3 <br />140-33 <br />J <br />OWNER MAILADDRESS <br />CITY <br />ZIP <br />PHONE <br />?tit Bwl.y <br />CFn'#III <br />Ever&* <br />TENANT <br />MAIL ADD R—E S— <br />CITY <br />ZIP <br />PHONE <br />PHONE <br />ARCHITECT OR DESIGNER <br />MAILADDRESS <br />CITY <br />ZIP <br />T6 Avib- Cc, <br />P,e.6&X AS-7 <br />CVrra* <br />q/To3 <br />W-1f60 <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CIIY <br />ZIP <br />PHONE STATE LICENSE <br />MECHANICAL CONTRACTOR <br />MAIL ADDnESS <br />CITY <br />ZIP <br />PHONE <br />STATE LICENSE <br />PLUMBING CONTRACTOR <br />MAILADDRESS <br />CITY <br />ZIP <br />PHONE <br />STATE LICENSE <br />CONTRACT PRICE OF WORK <br />HEATING SYSTEM: Cl GAS ❑ ELECTRIC ❑ <br />DESCRIBE WORK ANO SOUkIE FOOTAGE INVOLVED <br />TFuF.I( illy OF 44- Q4c6,44 <br />twienr,Pool <br />r <br />CONTACT PFRSON AND PHONEeNO. 3 42 �Z3 2O <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 UONSTRUCTION. 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 Si ATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. p <br />X IN/4/ 7f <br />PROPOSED USE OF BUILDING <br />LEGAL DESCRIPTION OF PROPERTY ISHOW,4 BELOW OP ATTACH TWO COPIES) <br />LOT BLOCK _ OF <br />PARCEL TAX LD. NUMBER —" <br />CONSTRUCTION LOAN LENDER. ADDRESS, TELEPHONE NUMBER <br />SIGNATURE D <br />CITY BUSINESS LICENSE NO. <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPF OF FIXTURE OR ITEM <br />_ <br />FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />I <br />A/C—AIHNDLG UNITS — H.P. <br />I <br />BATHTUB <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />' <br />LAVATORY (WASH BASIN) <br />I <br />HEAT PUMP <br />I <br />SHOWER <br />UNIT HEATERS — B.T.U. M <br />' <br />KITCHEN SINK 8 DISP <br />i <br />CLOTHES DRYERS <br />i <br />DISHWASHER <br />VENTILATION FAN <br />' <br />LAUNDRY TRAY <br />_ <br />; <br />RANGE HOOD <br />; <br />CLOTHES WASHER <br />I <br />WATER HEATER <br />�— <br />_ <br />URINAL <br />WOOD STOVE <br />' <br />DRINKING FOUNTAIN <br />i <br />PIETAL FIREPLACE (WOOD BURNING) <br />FLOOR DRAIN <br />' <br />FIREPLACE INSERT (WOOD BURNING) <br />' <br />_ <br />BACKFLOW PREVENTERS <br />; <br />GAS FIREPLACE <br />SINK (SERVICE — BAR, ETC.) <br />GAS RANGE <br />' <br />10 <br />twee S A#Is u <br />'10 'oa <br />GAS PIPING <br />EXHAUST FAN <br />I <br />T <br />, <br />I <br />SUB TOTAL $ <br />SUB TOTAL $ <br />PERMIT S <br />l06 <br />PERMIT $ <br />I <br />TOTAL FEE E <br />TOTALFEE S <br />' <br />FOR OFFICE USE ONLY. <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECIt11UA'ER /$ FEE <br />RECEIPT NO. <br />Y/U/ (i/J zGJJA <br />USE ZONE <br />LouneA <br />VACANT SITE <br />FEES <br />VALUATION <br />FE�.—L-- <br />BUILDING <br />TIYES 11 NO <br />HEIGHT LIMITATION <br />NO OF DWELLING <br />UNITS <br />SIZE OF DLDUZTI <br />I <br />PLUMBING <br />re-- <br />OCCUP CY NO OE STORES <br />OCCUPANT LOAD <br />BASEMENT <br />MECHANICAL <br />J <br />ITYES TT NO <br />ADDITIONAL PI AN CHECK <br />t <br />FIRE ALARM TIED <br />REASON <br />DINER <br />FIRE SPRINKLER RED D <br />REASON <br />STATE BUILDING SURCHARGE <br />TYPE OF CONST <br />PUNS APPROVED BY <br />CITY OF EVERETT <br />PUBLIC WORKS <br />LOCAL SALES <br />TOTAL <br />3 (� <br />TAX CODE IS 3105 <br />DATE <br />