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APPLIICATIGA FOR CONSTRUCI.ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, VIA 98201 • 259-8810 <br />Fl DEMOLITION <br />ADDRESS <br />COMBINATION <br />MAIL ADDRESS <br />I I BUILDING <br />C" <br />Zlr <br />MECHANICAL 1 ' PLUMBING I T SIGN <br />TENANT MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />// <br />�On/1f%TiA� <br />;LoF <br />3&FS 3355 <br />bNom sf/ �� Ty _ P",&L, <br />ARCHITECT OR DESIGNER MAIL ADD SS CNY <br />ZIP <br />PHONE <br />/BARD (/AI21% �EQAeftAYr Sie IAI to <br />6SI7alfL swTs z <br />YUuA <br />2�L- Xr/ �3J i <br />G NERAL CONTRACTOR MAILADDRESS CITY <br />ZIP <br />^IIONE <br />STATE LICENSE <br />MECHANICAL CONTRACTO�RL� MAIL ADDRESS 33/n CEQQf� CITV ZIP PHONE STATE LICENSE II <br />�fi 51' Tmi-4 6AAE- l,aA 983o 1 1S�r�j4 F Est /�iD� <br />PI NMMI nnNIPACTnn MAR AFAAFSS CITY ZIP PHONE STATE LICENSE <br />CONTRAC`^�-10E�0`WORK <br />``--��lL,((lI Z� <br />HEATING SYSTEM: I GAS Fl ELECTRIC FI <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />CONTAC T P[RSON f.NU PH ONE 0 <br />ZvS�+a rd, UC'T� A;L <br />iLvd <br />do& as -a l <br />G%(' T'f'/!S (Y� <br />fhof <br />pvg <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 CONSTRUCTION. 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 STATE <br />CONTRACTORS LAW-18.27 RCW AND 296.200 WAC. <br />X / / (e,,v21 // L Z// 2- <br />SIGNATURE &I DATE <br />PROPOSED BunD)l��Nc <br />f.. <br />J \. <br />LEGAL DESCRIPTION OF PROPS FEY (SHOWN BELOW OR ATTACH TWO CORE SI <br />LOT _ BLOCK OF <br />PARCEL TAX I. D. NUMBER <br />CONSTRUCTION LOAN LENDER, ADDRESS, TELEPHONE NUMBER <br />CITY BUSINESS LICENSE NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />wo-7 <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />A/C — A/HNDLG UNITS — H.P. <br />' <br />BATHTUB <br />FORCED AIR SYSTEMS — B.T.U. M E.A. <br />_ <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS — B.T.U. M <br />KITCHEN SINK 8 DISP <br />i <br />CLOTHES DRYERS ti EI'vcr <br />i <br />DISHWASHER <br />VENTILATION FAN <br />LAUNDRY TRAY <br />RANGE HOOD <br />i <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />' <br />WOOD STOVE <br />DRINKING FOUNTAIN <br />METAL FIREPLACE (WOOD BURNING) <br />i <br />FLOOR DRAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />; <br />BACKFLOW PREVENTERS <br />GAS FIREPLACE <br />SINK (SERVICE — BAR, ETC.) <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />ffS�i <br />H <br />SUBTOTAL <br />SUBTOTAL S <br />i <br />PERMIT <br />PERMIT S <br />I <br />TOTAL FEE <br />TOTAL FEE $/ <br />' <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK. <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO <br />USE ZONE <br />LOTAREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE_ <br />BUILDING <br />I <br />_ <br />EIYES ET NO <br />(HEIGHT LIMITATION <br />NO. OF DWELLING <br />SIZE OF BLDGrt I. <br />UNITS <br />PLUMBING <br />OCCUPANCY NO OF STORIES <br />OCCUPANT LOAD BASEMENT <br />MECHANICAL <br />GROUP <br />I YES n NO <br />ADDITIONAL PLAN CHECK <br />i <br />FIRE ALARM RED <br />REASON <br />OTHER <br />1 <br />FIRE SPRINKLER REDD <br />REASON <br />i <br />STATE BUILDING SURCHARGE <br />' <br />TYPE OF CONSi <br />PLAINS APPROVED BY <br />CITY OF EVERETT <br />PUBLIC WORKS <br />" <br />LOCAL SALES <br />TAX CODE IS 3105 <br />TOTAL <br />DATE <br />