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- .� <br /> q yl D APPLICAT11.�1 FOR CONSTRUCI .ON P�RMIT <br /> CI'I'Y OF EVEHETi• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 53201 •259-8870 <br /> ❑ DEMOLITION fl COMBINATION i BUILDING Cl MECHANICAL CI PLUMBING Cl S7GN <br /> PROJECT ADDRESS � � <br /> Sy z2 �5� <br /> ONRJER MAILADOPESS CITV ZIP PHONE <br /> �ood �a�»�vs Sr,c I y41 o I'�/,p�d l�,t .# �.oa�,��tnu 9 8�7 G yy �3�a <br /> TENANT � MAILA�DRE55 CITY 21F PNONE <br /> ARCM?ECTOROESiGNER q MNIL�A�.O�qE55 CIIY ZIP PMONE <br /> yJ7[LS�� l_AAJ/W/ <br /> NERALCONTHACTOR MNLA�ORESS CITY 21P PHONE STATEUCENSEN <br /> A5 O�w, outirz� �roM <br />� MECHANICALCONTPACTOq MAILAD�RF55 Clry Z�p PHONE STATELICENSE�r <br /> PLUMBINGCONiRACTOR MAILADDRE55 CIN ZIP PHONh STATELICENSEM <br /> CONTq4CT PRIGE OF WO� - <br /> �I,3 . Ol� HEATING SYSTEM: GAS ❑ ELECTRIC p <br /> DESCRIB RK AND SU E FOOTAGE I OLVED, C N C�PERSON 0 P NF NO � <br /> c v�- L�!9� 8/SF <br /> 3y�Z � ma� � a-� a� �,,� c, ^ ��� <br /> ^ /� �T , � I HEREBY CER'fIFY THAT I HAVE READ AND EXAMINED TH�S <br /> PROPOSED USE OF BUILOINO APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERN�NG THIS TYPE OF � <br /> LEGALDESCRIPTIONOFPROPERTV�SHOWNBELOWORATTACHTWOLOPIES� W'ORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> �G NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �oT ✓p_e�ocK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> ��V PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHi.^.H <br /> APPLICATIOM IS MADE AND I COMPLY WITH THE STATE <br /> PARCELTAX I.�.NUMBER /� CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> _ �OVo . OS�r ' �' <br />� :,.N�iTRUCTION LOFN LENDER,AD�FESS.TELEPMONE NP�ABER X �y'y�. /_ �� 3��gs <br /> SIGNATURE������ UATE <br /> ' CITV BUSINE55 LICENSE NO. <br /> � PLUMBING MEC'iANICAL <br /> � NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF FIXTURE OR ITEM FEE � <br /> WATER CLOSET(TOILET) � A/C—A/HNDLG UNITS—H.P. � � <br /> ' BATHTUB _ ; FORCED AIR SYSTEMS—B.Y.U. M E.A. � � <br /> LAVATORY(WASH BASIN) � HEAT PUMP � � <br /> I SHOWER � UNITHEATERS—B.T.U. M � � ' <br /> _ I KITCHEN SINK&DISP ; r CLOTHES DRYERS ' <br /> DISHWASHER ' <br /> � VENTILATION FAN , <br /> LAUNDRYTRAY ' RANGE HOOD � <br /> CLOTHES WASHER _ � WATER HEATER , <br /> URINAL ' WOOD STOVE � <br /> ORiVKING FOUNTAIN i METAL FIREPLACE(WGOG tURNING) - <br /> FLOOH DRAIN _ � FIREPLACE INSEHT(WOqJ BU�iNING) i <br /> BACKFLOW PRF.VENTERS ; GAS FIREPLACc i � <br /> SINK(SERVICe—BAR,ETC.) � GAS RANGE i <br /> i GAS PIPIN9 � . <br /> � <br /> i EXHAUST FAN , <br /> � � <br /> ' i <br /> i � <br /> � <br /> SUB TOTAL S i SUB TOTAL g � <br /> PERMIT S � PEFMIT S � <br /> _ TOTAL FEE S � TOTAL FEE $ <br /> FUR OFFICE USE ONLY: <br /> FRONT SETAACK�/ i.EAR SETBACK SIOE SETBACN PLAN CHEf S NUMB FEE RECEIPT N0. <br /> USEZONE (' ZS � �__ �a -��� � � !a >>��_ <br /> :OTAR7EF VACr1NT51TE FEES VALUATION FEE <br /> Z,S � (,.. �� O �S CI NO BU�LDING n ��- <br /> HEIGHT LIMITATION � N0.OF DWELIJNG SI E Of BLDG/rl `3 I OL�� �J �� <br /> 2� UNRS � �3 �y SF 4v�..f�fi p�UMBING ////i <br /> � <br /> GpCUP.A3NCY NOAF�pIES OCCUPAN�� BASEtMEEs � MECHANICAL � /�/) i <br /> (/ <br /> FIREALARMPEO'D REASON � ADDITIONALPLANCNECN � <br /> i <br /> '"�T_ <br /> OTHER - % . � <br /> FIRE SPRINKLER FEO'D REASON � _�� � <br /> �STATE BUILDING SURCHFqGE � " � <br /> TYPEOf CONST PLANSAPPRO1VE�OLBY CITY OF EV£RETT PUBLIC WORKS ���� <br /> �_� V 1� LOCAL SALES � <br /> oaTE 3 r, cyS TAX CODE IS 3105 TOTAL • �I _ <br />