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APPLICATIO64 FOR CONSTRUCT.JN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 E 259-8610 <br />F I DEMOLITION i COMBINATION kr BUILDING ( 1 MECHANICAL 1 PLUMBING (I SIGN <br />PROJECT ADDRESS A362 1-7 ` I + S� <br />iOWNER MAIL ADDRESS '"� CITY 21P PHONE <br />1'h TVC,KfR girt rN�F Ft�R fT yjtll ' 7z-9 <br />TENANT MAILADDRESS CITY ZIP PHONE <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRAC TOR MAILADDRESS CITY ZIP PHONE STATE LICENSEE <br />N" V UC-,ro, Col -Sr 11; t 11r�y�yi, o �f F lf/49T `) $ter J_; I. -) YSe A1444c'+ 23aoy <br />MECHANICAL CONTRACTOR MAILADDRESS CITY 21P PHONE STATE LICENSEE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSEE <br />CONTRACT PRICE OF WORN <br />HEATING SYSTEM: f 1 GAS fl ELECTRIC ❑ <br />DESCRIBE WORK AND SOUARF FOOTAGE INVOLVED <br />60 1 IS <br />CONTACT PERSON AND PROLE NO <br />i r. Ali L t— <br />RcrgER a>QMEs a� Dr <br />_ <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 COMPLIP.D 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 <br />51GNA RE DATE <br />CITY BUSINESS LICENSE NO. 3 <br />PROPOSED USE OF BUILDING <br />fur <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW ORATTACH `TW,O `COPIE S) <br />LOT �- -C 0 DLOCK 63 9 OF'� ,�l �I7-� <br />PARCEL TAX I.D. NUMBER., g <br />36 <br />CONSTRLICRON LOAN LENDER, ADDRESS, TELEPHONE NUMBER <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 />WATER CLOSET (TOILE I; <br />A/C —AMNDLG UNITS —H.P. <br />�— <br />BATHTUB <br />_ <br />FORCED AIR SYSTEMS — B.T.U. M E.A. <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />I <br />SHOWER <br />UNIT HEATERS—B.T.U. M <br />KITCHEN SINK & DISP <br />CLOTHES DRYERS <br />i <br />DISHWASHER <br />1 <br />VENTILATION FAN <br />LAUNDRY TRAY <br />RANGE HOOD <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />WOOD STOVE <br />' <br />DRINKING FOUNTA;N <br />METAL FIREPLACE (WOOD BURNING) <br />i <br />FLOOR DRAIN <br />I <br />FIREPLACE INSERT (WOOD BURNING) <br />' <br />_ <br />BACKFLOW PREVENTERS <br />GAS FIREPLACE <br />i <br />SINK (SERVICE —BAR, ETC.) <br />GAS RANGE <br />�— <br />_ <br />GAS PIPING <br />i <br />EXHAUSTFAN <br />I <br />i <br />1 <br />SUBTOTAL $ <br />SUBTOTAL $ <br />PERMIT s <br />PERMIT $ <br />—FEE <br />I <br />TOTAL FEE $ <br />I <br />TOTAL $ <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBEC <br />FF.E <br />RECEIPT NO, <br />USE ZONE <br />HEIGHT LIMITATION <br />OCCUPINCY NO OE STORKS <br />FIRE ALARM RED <br />FIRE SPRINKLER RED <br />TYPE OF CONST <br />LOTAREA <br />VACANT SITE <br />fIYES n NO <br />VALUATION <br />FEE <br />I <br />1 <br />I <br />i <br />I <br />I <br />I <br />I <br />I <br />_FEES _ <br />BUILDING <br />0 <br />NO. Of DWELLING <br />UNITS <br />SIZE OF BLDG�TI. <br />PLUMBING <br />OCCUPANTLOAD <br />BASEMENT <br />❑YES T7 NO <br />MECHANICAL <br />ADDITIONAL PLAN CHECK <br />REASON <br />OTHER <br />REASON <br />STATE BUILDING SURCHARGE <br />PLANS APPROVED BY <br />DATE <br />CITY OF EVERETTPUBLIC <br />LOCAL SALES <br />TAX CODE IS 31051TOTAL <br />WORKS <br />