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APPLICATIOd FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT A BUILDING DIVISION <br />3200 CEDAR STREET • EV ERETT, WA 93201 • 259.8810 <br />r DEMOLITION F1 COMBINATION BUILDING MECHA141CAL PLUMBING 1-1 SIGN <br />PROJECT ADDRESS <br />1(0/1 VIV-61.IIR <br />OVMER MAILADDRESS. CITY - ZA, PHONE <br />TENANT MAIL AD DRE CITY ZIP PHONE <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY 4-1 PHONE <br />MECNANICALCONTRACTOR MAIL ADDRESS CITY ZIP (�2A�7 R ONE��� STATEOLICE±S � W <br />�Qdu ,� I LIT! 66 L� t wc�d ll[[NN (/Z,W/ N 1LnL <br />PLUMBING CONTRACTOR MAILADORESE CITYLP Pilo. E STATE LICENSE <br />ZF r�tirir-uiA2, � kwi r- A(lr_ QnAcI,L.ucl.ii IA1aGslnl Flo (4 <br />CONTRACT PRICE OF WORK <br />HEATING SYSTEM: XGAS n ELECTRIC Fl <br />DB SCRIBE WORK AND SQUARE FOOTAGg INVOLVED <br />of NeW <br />CONTACT PERSON AND PHONE N , <br />'ice �A)InIA �kc—utr,) �4i 132-4c41 Fi+c <br />I HEREI3Y CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO SE 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 CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORMNHE WORK FOR WHIC4 <br />APPLICATION IS MADE AND I COMPLY WITH THE STATI' <br />'CTO AW 18?7NO 296.200 WAC. <br />E DATE <br />PROPOSED USE OF BUILpING <br />ELT P<(-- <br />IEG L DESCRIPTION OF PROPERTY (SHO'NN BELOW OR ATTACH TWO COPIES) <br />LOT y BLOCK OF 4VF,f aERe!jt <br />k��__`` rr q <br />T -514 �[•ltT� ��-�j�- D� )RS e-.4 1( im-'Zol <br />PARCEL TAX 10. NUMBER - --EJdSIGNA <br />CON$iRUCilO LOAN LENDER. ADDRESS. TELEPHONE NUMBER <br />N^�LJ O <br />' 45-- 5133 <br />CITY BUSINESS LICENSE NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT —FEE <br />WATER CLOSET (TOILET) <br />A/C-A/HNOLG UNITS -H.P. <br />'L <br />BATHTUB <br />FORCED AIR SYSTEMS-B.T.U. M E.A. <br />LAVATORY (WASH BASIN) // <br />1 <br />HEAT PUMP <br />�— <br />SHOWER <br />1 <br />UNIT HEATERS - B.T.U. M <br />' <br />KITCHEN SINK 8 DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />VENTILATION FAN <br />' <br />LAUNDRY TRAY <br />RANGE HOOD <br />if <br />CLOTHES WASHER <br />WATER HEATER <br />T— <br />URINAL <br />' <br />WOOD STOVE <br />DRINKING FOUNTAIN <br />i <br />METAL FIREPLACE (WOOD BURNING) <br />i <br />FLOOR DRAIN <br />' <br />FIREPLACE INSERT (WOOD BURNING) <br />BACKFLOW PREVENTERS <br />! <br />GAS FIREPLACE <br />�— <br />SINK (SERVICE -BAR, ETC.) <br />GAS RANGE <br />_ <br />_ <br />' <br />GAS PIPING :%/ <br />i <br />_ <br />EXHAUST FAN <br />I <br />SUBTOTAL S <br />SUBTOTAL $ <br />) <br />I <br />PERMIT $ <br />- <br />PERMIT $ <br />;�— <br />--F1 <br />TOTAL FEE $ <br />TOTAL FEE S <br />; <br />FOR OFFICE USE ONLY: h�Q/]r�o��},-G/fp,fMi�l l%(', /S/d/ .%le l <br />FRONT SETBACK <br />REAR SETBACK / <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECFIPTN <br />us, 2oNE <br />LOTAREA <br />VACANT SITE <br />FEES <br />VALUATION <br />rIYES T7 NO <br />BUILDING <br />!/ 2j <br />/FEE <br />HEIGHT LIMITATION / <br />NO. OF DWELLING <br />S12E OF BLDGR I. <br />j <br />I-po <br />uNRs <br />Pu,Ma1Nc <br />271 <br />OCCCUPANCY NO OFnSIORLS <br />OCCUPANT LOAD <br />dA$ MENT <br />MECHANICALGR <br />e. (j <br />FIYEB WRO <br />ADDITIONAL PLAN CHECK <br />I <br />FIREALARM REDO <br />REASON <br />OTHER <br />FIRE SPRINKLER REDO <br />REASON <br />STATE BUILDING SURCHARGE <br />i5D <br />TYPE OF f,ONSi <br />PUN$APPROYEQ BY <br />CITYOFEI <br />PUBLIC WORKS <br />J <br />�- <br />DATE <br />LOCAL SALES <br />TAX CODE IS 3105 <br />TOTAL <br />I <br />