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APPLICAT14i1 FOR CONSTRUC7.ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />Fl DEMOLITION Fl COMBINATION Fl. BUILDING f-1 MECHANICAL I I PLUMBING I SIGN <br />OWNER <br />MAILADDRESS <br />RICE OF WORK 0 8 ^ ' O- `— <br />FORK SQUARE SQUARE FOOTAGE INVOL EUEO <br />USE OF BUILDING <br />LEGAL DESCRIPTION OF PROPERTY TSHuwN ocw <br />LOT BLOCK OF <br />PARCEL TAXI D. NUMK[n <br />CONSTRUCTION LOAN LENDER. ADDRESS, TELEPNONE NUMBER <br />ZIP <br />PHONE <br />CITY A" <br />HEATING SYSTEM: f I GAS I I ELECTRIC I l <br />CONTACT ^PERSONA NY PHONE I � — Ur*l _���'� <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 PROPERTYATO ND PERFORM <br />THE <br />PLY VWORK FOR WHICH <br />THE STATE <br />APPLICATIO S <br />ACT PIS*AW,27 CW AND 296.200 WAC. <br />UR DATE <br />CITY BUSINESS LICENSL NO _ <br />G <br />FEE NO. TYPE OF EQUIPMENT FEE <br />TYPE OF FIXTURE OR ITEM <br />A/C -A/HNDLG UNITS-H.P. <br />WATER CLOSET (TOILET) <br />FORCED AIR SYSTEMS-B.T.U. M E.A. <br />BATHTUB <br />HEAT PUMP <br />LAVATORY (WASH BASIN) <br />, UNIT HEATERS- B.T.U. M_ <br />SHOWER <br />1 CLOTHES DRYERS <br />KITCHEN SINK 8 DISP <br />VE!JTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />' <br />I WATER HEATER <br />CLOTHES WASHER <br />1 WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />F GAS FIREPLACE <br />BACKFLOW PREVENTERS' <br />GAS RANGE <br />SINK (SERVICE - DAR. ETC.) <br />, GAS PIPING <br />- <br />EXHAUST FAN <br />SUB TOTAL 5 <br />PERMIT $ <br />TOTAL FEE $ <br />FOR OFFICE USE ONLY: <br />IRONTSFTSACK REAR SETBACK <br />USE ZONI ' LOT AREA <br />HEIGHT LIMITATION NO OF DWELLING <br />UNITS <br />OCCUPANCY NO OT SIORLS I OCCUPANT LOAD <br />TYPEOFrONSI PI AN <br />DATE <br />SIDE SETBACK <br />VACANT SITE <br />SUBTOTAL S <br />PERMIT $ <br />TOTALFEE $ _ <br />rrr I Rr CFIPT NO <br />PLAN CHECI NUMBER <br />I IYES I' NO <br />BUII, DING <br />SIZE OF BLUGR I <br />PLUMBING <br />BASEMENT <br />MECHANICAL <br />I IYES I I NO <br />_ <br />Ap01110NAL PLAN CHECK <br />OTHER <br />STAIE BUILDING SURCHARGE <br />BY CITY OF EVERETT <br />PUBDr,wOP" <br />LOCAI SALES <br />TAX CODE IS 3105 <br />TOTAL <br />