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APPLICATIVIN FOR CONSTRUC*ON PERMIT <br />CITY OF EVERETT F BUILDING DIVISION <br />3200 CEDAR STREET A EVERETT, WA 98201 •257.8810 <br />J DEMOLITION ® COMBINATION ❑ BUILDING It MECHANICAL m PLUMBING ❑ SIGI,, <br />PROJECT ADDRESS <br />DMIER MULADORESS CITY ZIP PNOME <br />1�4 DiY. ..AIY•1 �_�P_J�%I�L3Z_� VLt41411 Tpc. QUi1 AlZ� �u Nl 7� (u L'IU % ✓7 I <br />TENANT / MA0.ADDNESS CRY P E <br />ARCNrtECT ON MSpNEII <br />ZIP <br />GENERALCOMPACTCR MA0.ADDHESS CITY ZP PHONE STATE LICENSE• <br />STATE U:ENSE F <br />'yj1ySR�Ci PR E CF W M <br />HEATING SYSTEM: C>bGAS I] ELECTRIC ❑ <br />DESCRIBE WORK AND SOWRE FOOTAGE INVCIVED , CONTACT PERSON AIID PHONE NO <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />/ �i 1 1 QL`�_. L"'• �L T APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />osso u;E mING PROVISIONS OF LAWS AND ORDINANCES GOVERNING MIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />LEGALDESCRPIpNOFPPOPEWYISHOWNBELOWORATULHTWOCOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />LOTBLOCK SD-0L�f <( I Ik AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />z 7 kaN FA PERFORMANCE OF CONSTPVCTION. THAT i AM AUTHORIZED BY THE <br />"AID-1 OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />i tl vL 00 <br />APPLICATION IS MADE AND I COMPLY WITH THE: STATE. <br />PARCEL TAX ID NUMBER CONTRACTORS LAW 18.27 RCW AND 296.2001VAC. <br />CONSTRUCTION LOAN LENDER, ADDRESS. TELEPHONE NUMBER l F 0 <br />jp URE DATE <br />CITY BUSINESS LICENSE NO <br />PLUMBING MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br />Z WATER CLOSET (TOILET) A/C —A/hNDLG UNITS <br />I BATHTUB 1 FORCED AIR SYSTEMS <br />L LAVATORY (WASH BASIN) HEAT PUMP ! <br />SHOWER UNIT HEATERS _ <br />1 KITCHEN SINK 8 DISP 1 CLOTHES DRYERS <br />DISHWASHER RANGE HOOD _ <br />1 LAUNDRY TRAY I WATER HEATER _ <br />I CLOTHES WASHER WOOD STOVE _ <br />URINAL METAL FIREPLACE (WOOD BURNING _ <br />DRINKING FOUNTAIN ! FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN GAS FIREPLACE <br />BACNFLOW PREVENTERS GAS RANGE 1 <br />SINK (SERVICE —BAR, ETC.) I I GAS PIPING I <br />! EXHAUSTFAN 1 <br />SUBTOTAL $ SUBTOTAL S <br />PERMIT S PERMIT S <br />TOTAL FEE $ TOTALFEE S <br />FOR OFFICE USE ONLY: XO Otl4—Otl Ce <br />FROM SETBACK NEAR SETBACK SIDE SETBACK PLAN^HECK NUMBER FEE RECEIPT NO <br />USE ZONE LOT AREA VACAMSGE FEES VALUATION FEE <br />DYES 0NO BUILDING <br />HMITUMNAtpN NO. OF OWE:LING SIZEOf BID(YEI. <br />UNITS PLUMBING <br />OCCUPANCY NOO SDRIES MCUPAM LOAD BASEMENT <br />P OYES ❑ NMECHANICAL <br />GAWO <br />FIRE SPRINKLER RED D REASON AODRpNA PIAN CHECK <br />OTHER <br />FINE ALARM REGD REASON <br />STATE BUM1DIND SDRCNA4GE <br />TYPE OF GMST PUNS APPROVED BY CITYOFEVERETT PUBLIC WORKS <br />LOCALSALE9 <br />DArE TAX CODE IS 3105 ITOTAL <br />FOR OFFICE USE ONLY: XO Otl4—Otl Ce <br />FROM SETBACK NEAR SETBACK SIDE SETBACK PLAN^HECK NUMBER FEE RECEIPT NO <br />USE ZONE LOT AREA VACAMSGE FEES VALUATION FEE <br />DYES 0NO BUILDING <br />HMITUMNAtpN NO. OF OWE:LING SIZEOf BID(YEI. <br />UNITS PLUMBING <br />OCCUPANCY NOO SDRIES MCUPAM LOAD BASEMENT <br />P OYES ❑ NMECHANICAL <br />GAWO <br />FIRE SPRINKLER RED D REASON AODRpNA PIAN CHECK <br />OTHER <br />FINE ALARM REGD REASON <br />STATE BUM1DIND SDRCNA4GE <br />TYPE OF GMST PUNS APPROVED BY CITYOFEVERETT PUBLIC WORKS <br />LOCALSALE9 <br />DArE TAX CODE IS 3105 ITOTAL <br />