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APPLICATIL A FOR CONSTRUCT _dN PERMIT <br />CITY OF EVERETT • RDIVISION <br />3200 CEDAR STREET •EVERETT, EVERETT, WA WA 98201 • 259-8810 <br />i 1 DEMOLITION COMBINATION /'BUILDING ' I MECHANICAL I PLUMBING I SIGN <br />^•�rnurve <br />ARCHRECi OR DESIGNER MAIL ADDRESS CRV 2IP P110HE <br />G�JERAL CONIRAC] OR MAILAODRESS CITY )IP PHONE <br />�� / /Y STATE LICENSE <br />CITY <br />CITY <br />PHONE <br />/i "AA /--� f. -�-% I HFATING RVSTFM• I I I:AC r l cl =rTolr n <br />DESCRIBE WORK AN SOUARE FOOTAGE INVOLVED <br />+� T <br />CONTACT PERSON AND PHONE 0 <br />yYIA/L� (�dDnE 3`i 92G 2 <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 />\%�i-C-/A. p /�.tos�iJ /• : 9 /� y.J <br />PROPOSED USE OF BUILDING <br />y l-D <br />LEGAL oescRl ION OF PROPERtt ISH0IVN BE��L)O)W OR ATTAC1111V0 COPIESI <br />0-0b <br />LOT 2 i Z BLOCK ODO- F <br />�y�.� / <br />// / C 1-Q a94 //ti /4dV <br />3 _ <br />PARCEL TAX 10, NUMBERS 1 <br />�jC `71,:27,2 art <br />CONSTRUC.A? BAN LENDER. ADDRESS. TELEPHONE NUMBER <br />..JJ <br />SIGNAl1RE DATE <br />CITY BUSINESS LICENSE IJO <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 (TOILET) <br />I <br />A/C-A/HNDLG UNITS - H.P. <br />' <br />BATHTUB <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 />DISHWASHER <br />VENTILATION FAN <br />LAUNDRY TRAY <br />RANGE HOOD <br />- <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />WOOD STOVE <br />DRINKING FOUNTAIN <br />METAL FIREPLACE (WOOD BURNING) <br />FLOOR DRAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />' <br />BACKFLOW PREVENTERS <br />' <br />GAS FIREPLACE <br />SINK (SERVICE - BAR, f.TC.) <br />GAS RANGE <br />�— <br />GAS PIPING <br />EXHAUST FAN <br />I <br />' <br />T <br />SUB TOTAL S <br />SUB TOTAL $ <br />i <br />PERMIT $ <br />PERMIT 5 <br />TOTALFEE $ <br />' <br />TOTAL FEE ,$ <br />' <br />FOR OFFICE USE ONLY: S h, J/ / �/yf� }� — ���p//1ryi�j� 10 <br />FRONT SETBACK / <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHE,K ER <br />FEE <br />RECEIPT NO, <br />2A <br />b� <br />.5' <br />USE ZqU <br />LOT AREA <br />VACPNT SITE <br />FEES <br />VALUATION <br />_ <br />FEE <br />✓�- <br />1 <br />nYES � <br />BUILDING <br />--- <br />HEIGHT LIMITATION <br />NO OF DWELLING <br />SIZE OF BLDGRI <br />ZI <br />U NITS <br />SF <br />PLUMPING <br />OUPANCY <br />NO OF STORE <br />S IES <br />OCCUPANT LOAD <br />BASEMENT <br />GROUP <br />MECHANICAL <br />I <br />fI YES A(NO <br />ADDITIONAL PLAN CHECK <br />I <br />FIRE ALARM REO-D <br />REASON <br />O <br />OTHER <br />FIRE SPRINKLER REGO <br />R ASON <br />STATE BUILDING SURCHARGE <br />I <br />TYPE OF CONST <br />PLANS APP OVED BY <br />Lim\ <br />CITY OF EVERETT <br />PUBLIC WORKS <br />LOCAL SALES <br />TOTAL <br />I <br />DATE % y S <br />TAX CODE IS 3105 <br />