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APPLICATILA FOR CONSTRUCI.47N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET I EVERETT, WA 98201 I259-8810 <br />DEMOLITION 171'COMBINATION BUILDING n MECHANICAL 11 PLUMBING F1 SIGN <br />PROJECT ADDRESS <br />ONT'FR MAII ADDRFSS CITY lip PHnNF <br />,JOHF5o,L/ �picc.ICE 17/0 /✓.gDNur Ecfkra7' '9�to1 2-se-6/Y7 <br />TENANT MAR. ADD IFSS CITY ZIP PHONE <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSER <br />AC64 cvcorSt 9-131- hl,I:o4v N/ILJnC -� 'L I <br />MECHANICAL.:ONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE <br />PLUMBING CONTRACTOR MA-L ADDRESS CITY ZIP PHONE STATE LICENSE <br />666c, <br />CONTRACT PRICE OF WORK <br />HEATING SYSTEM: []GAS f I ELECTRIC ❑ <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />IL Il67L/f 4,vi <br />I SG) IL <br />f"/,ii <br />CONTACT PERSON AND PHONE NO <br />L /),, /,/A L/S,i S/ 1,5 y 5 <br />%Le-P rAl'r 7—l.1 .l <br />C4PU`( KI �L.lCY� roRn/v/ /IM WiCA. Fr S4�k <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO Bg� 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 />$ <br />X L.Yu _ �( / /r �t'-en/1-�- <br />PROPOSED USE OF BUILDING <br />.5 Gw r'c/` <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH TWO COPIES) <br />LOT Lrl 'i, BLOCK_3 9Z TF YT'I rCO:T LF /IOR <br />PARCEL TAX I.D. NUMBER <br />'SG> 3 u,5 of ooc I <br />CONSTRUCTION LOAN LENDER. ADDRESS. TELEPHONE NUMBER <br />/`� <br />SIGNATURE DATE <br />-li)L33 <br />_ <br />CITY BUSINESS LICENSE NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />_ <br />WATER CLOSET (TOILET) <br />' <br />A/C — AMNDLG UNITS — H.P. <br />' <br />BATHTUB <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />; <br />/ <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />' <br />SHOWER <br />' <br />UNIT HEATERS—B.T.U. M <br />/ <br />KITCHEN SINK 8 DISP <br />i <br />_ <br />CLOTHES DRYERS <br />i <br />DISHWASHER <br />VENTILATION FAN <br />LAUNDRY TRAY <br />) <br />RANGE HOOD <br />i <br />CLOTHES WASHER <br />�— <br />WATER HEATER <br />' <br />URINAL <br />WOOD STOVE <br />' <br />DRINKING FOUNTAIN <br />i <br />METAL FIREPLACE (WOOD BURNING) <br />i <br />FLOOR DRAIN <br />' <br />FIREPLACE INSERT (WOOD BURNING) <br />' <br />BACKFLOW PREVENTERS <br />; <br />GAS FIREPLACE <br />SINK (SERVICE — BAR, ETC.) <br />GAS RANGE <br />' <br />_ <br />GAS PIPING <br />i <br />i <br />EXHAUSTFAN <br />I <br />I <br />I <br />' <br />SUB TOTAL $ <br />SUB TOTAL $ <br />PERMIT $ <br />I <br />PERMIT $ <br />I <br />TOTAL FEE $ <br />' <br />TOTAL FEE $ <br />' <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CI F. K NUMBER <br />EEE <br />RECEIPT NO. <br />USE ZONE <br />LOTARF.A <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />// <br />BUILDING 6bb0 <br />---� <br />L --- <br />fI YES fl NO <br />HEIGHTUMITATION <br />NO. OF DWELLING <br />SIZE OF BLDGtlI Z <br />G4 <br />n <br />UNITS <br />IZ r SICO <br />PLUMBING <br />L ' <br />OCCUPANCY <br />GROUP <br />NO OP STORIES <br />OCCUPANT LOAD <br />BASUMENT <br />MECHANICAL <br />_ <br />I <br />fTYES <br />ADDITIONAL PLAN CHECK <br />Ih� <br />FIRt ALARM RED <br />REASON I <br />OTHER <br />F <br />I <br />FIRE SPRINKLER RED <br />REASON <br />SURCHARGE <br />STATE BUILDING <br />TYPE OF CONST. <br />PIANS APPR VEp �Y <br />CITY OF EVERETT <br />PUBLIC WORKS <br />/ <br />i <br />LOCAL SALES <br />TAX CODE IS 3105 <br />TOTAL <br />DATE <br />