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APPLICATION FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT IF BUILDING DIVISION <br />3200 CEDAR STREET IF EVERETT, INA 98201 •259.8810 <br />n DEMOLITION F1 COMBINATION rl BUILDING 1-1 MdCHANICAL 11 PLUMBING 1 ! SIGN <br />PROJECT ADDRESS <br />ZIP <br />ADDRESS CITY <br />ARCHITECT OR DESIGNER MOIL ADDRESS CITY 71P PHONE <br />GENERAL CONTRACTOR AAIL ADDRESS CITY ZIP PHONE STATE LICENSE• <br />MECHANICALCONTRACTOn MAIL ADDRESS CITY 71P PHONE STATE LICENSE• <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE• <br />GON C EOF yryRN <br />' <br />HEATING SYSTEM: GAS L I ELECTRIC F-1 <br />CONTACT PERSON AND PHONE NO <br />DE!�RIaEWDRK / SQUARE FOOTAGE INVOLVED <br />L ` <br />I HEREBY CERTIFY THA" I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW TI IE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS A',U ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WV' THER SPECIFIED HEREIN OR <br />NOT. THE GRANTI".^, 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 I A 6//I COMPLY WITIi THE STATE <br />CONTRAC OR AW 7 (ND 296.200 WAC. <br />X 1 <br />PROPOSED USE OF BUILDING ' <br />�� <br />LEGAL DESCRIPTION OF PROPERTY I SHOy BELOY"OIA ACH TWO COPIES) <br />LOT BLOCK OF <br />PARCEL TAX LD. NUMPER <br />CONSTRUCTION LOAN LENDER. ADDRESS. TELEPHONE NUMBER <br />SIGNATURE DATE <br />CITY BUSINESS LICENSE NO <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />' <br />A/C—A/HNDLG UNITS —H.P. <br />I <br />BATHTUB <br />; <br />FORCED AIR SYSTEMS — B.T.U. M E.A. <br />LAVATORY (WASH BASIN) <br />I <br />HEAT PUMP <br />, <br />SHOWER <br />' <br />UNIT HEATERS—B.T.U. M �OGIG— <br />KITCHEN SINK 8 DISP <br />CLOTHES DRYERS <br />; <br />DISHWASHER <br />VENTILATION FAN <br />LAUNDRY TRAY <br />RANGE HOOD <br />' <br />CLOTHES WASHER <br />I <br />WATER HEATER <br />, <br />URINAL <br />' <br />WOOD STOVE <br />' <br />DRINKING FOUNTAIN <br />METAL FIREPLACE (WOOD BURNING) <br />i <br />_ <br />FLOOR DRAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />I <br />BACKFLOW PREVENTERS <br />GAS FIREPLACE <br />' <br />SINK (SERVICE — BAR, ETC.) <br />GAS RANGE <br />GAS PIPING <br />' <br />EXHAUSTFAN <br />SUB TOTAL S <br />SUB TOTAL $ <br />PERMIT S <br />PERMIT $�_�_ <br />TOTAL FEE $ <br />' <br />TOTAL FEE $ <br />' <br />FOR OFFICE USE ONLY: <br />FRONT SFTRACK <br />REAR SETBACK <br />SIDE SETBACK <br />PI AN C,IIECK NLIMnnn <br />FEF <br />RECEIPT NO <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />f 1YES I NO <br />BUILDING <br />_ <br />HEIGHT LIMITATION <br />NO OF DWELLING <br />SIZE OF BLDGRI <br />llNliS <br />PLUMBING <br />OCCUPANCY NO OI STORIES <br />OCCUPANT LOAD <br />BASEMENT <br />GRCUP <br />MECHANICAL <br />I <br />IIYES it NO <br />ADDITIONAL PLAN CHECK <br />-- <br />FIRE ALARM RED I) <br />REASON <br />OTHER <br />FIRF SPRINKLER PEOD <br />REASON <br />STATE BiPHYNG SURCHARGE <br />TvaE OF roNqT <br />PLANS APPROVE By <br />CITY OF EVERETT <br />PUBUCwonKS <br />LOCAL SALES <br />--- - <br />TOTAL <br />DATE <br />TAX CODE IS 3105 <br />