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APPLICATIOA FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STHEET • EVERETT, WAA998201 • 259-8810 <br />DEMOLITION `I COMBINATION I1 BUILDING y MECHANICAL 1 PLUMBING I1 SIGN <br />PROJECT ADDRESS <br />G[NERALi�� <br />yyp,, CITY ZIP PHONE STATE /L,I {C/ENSEv <br />MECHANIC R '�iLi,� IL P.5 CITVI,n�' II ��/ <br />ZIP PHONE STATE LICENSE <br />SEATTLE NIA f,8199 <br />r-2 V al I ) � <br />DESCRIBE YI DAK AND SQUARE FOOTAGE INVOLVED <br />ZIP <br />LICENSE v <br />FIEATING SYSTEM: J/f GAS FI ELECTRIC rl _ <br />f.ONTACT PERSON AND PHONE NO/. _ ' J n \ <br />pzP <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE <br />PROPOSED USE OF BUILDING <br />AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />LEGAL DESCRIPTION OF PROPER7V (SHOWN BELOW OR ATTACH Two COPIES) -- <br />NOT. THE GRANTING OF A PERMIT DOES <br />LOTBLOCK OF <br />NOT PRESUk'F TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />_— <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUC ION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERT P OHM THE WORK FOR WHICH <br />APPLICATION MAD A I COMPLY WITH THE STATE <br />CONTRACT S L <br />PARCEL TAXI DRUC. NUMBER <br />_ <br />y � � � ��� 1UMi �i(I( CI <br />"CONSTRUCTION <br />W AN 296200 AC. / <br />LOAN LENDER, ADDRESS. TELEPHONE NUMBER <br />X <br />SIGNATU ATE <br />CITY BUSINESS LICENSE NO <br />PLUMBING <br />— <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATEF: CLOSET (TOILET) <br />' <br />--- FEE <br />.T— <br />__- <br />BATHTUB <br />; <br />A/C-AMNDLG UNITS-H.^ <br />FORCED AIR SYSTEMS -B.T.U... .rq E.A. <br />LAVATORY (WASH BASIN) <br />�— <br />I <br />HEAT PUMP <br />SHOWER <br />KITCHEN SINK 8 DISP <br />UNIT HEATERS - B.T.U. M <br />; <br />CLOTHES DRYERS <br />DISHWASHER <br />VENT!LATION FAN—; <br />— <br />LAUNDRY TRAY <br />; <br />RANGE HOOD <br />CLOTHES WASHER <br />—T— <br />I <br />WATER HEATER <br />URINAL <br />WOOD STOVE <br />DRINKING FOUNTAIN <br />' <br />METAL FIREPLACE (WOOD BURNING) <br />FLOOR DRAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />�— <br />BACKFLOW PREVENTERS <br />GAS FIREPLACE <br />I <br />SINK (SERVICE -BAR, ETC.) <br />I <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />i <br />I <br />- <br />_SUB TOTAL $ <br />; <br />SUB TOTAL 5 <br />L� <br />PERMIT $ <br />i <br />-� <br />PERMIT $ <br />i <br />TOTALFEE $ <br />TOTAL FEE $ <br />v• Vv. VJC VI\Li. <br />FRONT SETBACK <br />REAR SFTBACK <br />SIDE SETBACS <br />PLAN CHECK BFR <br />FFE <br />RECEIPT 110. <br />USEZONE <br />IOTARFA <br />VACANT SIZE <br />FEELS <br />VALUATION <br />FEE <br />I IYES Ii NO <br />BUILDING <br />r— <br />HEIGHT LIMI TATION <br />NO OF DWELLING SIZE OF BLDGR.I <br />UNITS <br />' <br />PLIIMAING <br />OCCUPANCY NOOF STORES <br />GROUP <br />OCCUPANT LOAD BASEMENT <br />------r-- <br />MECHANICAL <br />I <br />(IYES II NO <br />' <br />FIRE ALARM REOD <br />REASON <br />AOnI{IONM Pi AN CHECK <br />OTHERE0T1 <br />— <br />FIRESPRINKIERn <br />REASON <br />STATE BUILDING SURCHARGE <br />i <br />TYPE OFroNST <br />PLANSAPPnOVFOBr <br />CITY OF EVERETT <br />ruRIICIYORKS <br />LOCAL SALES <br />---- <br />TOTAL <br />__ <br />DATE TAX CODE IS 3.05 <br />