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APPLICATIA FOR CONSTRUAN PERMIT((//������������ <br />CITY OF EVERETT • BUILDING DIVISION I/��_j_. <br />3200 CEDAR STREET • EVERETT, WA 96201 •257-8810 ``��'"'������ <br />n nFMnIITION F" COMBINATION '7 BUILDING C MECHANICAL C7 PLUMBING � .. SIGN <br />PROJECT ADDRESS 9%io lath fire SET g cre* WA 9820A —� <br />WNFN MACAWPESS CITY III IIINE <br />:: �,� N . . �. i• :F <br />ZIP <br />ZIP <br />PLUMPING CONTRIZVOR MARAUCRESS CITY ZIP PHONE STACLICENSE • <br />CpIQBh'ZPR EIC OFjV A <br />�LS,I(J,/VVLAT <br />HEATING SYSTEM: ❑GAS ❑ELECTRIC 11 <br />DESCRIBE MPH, Al40 SCUAREF TAOE IN4 avcO <br />eta Ilatnn � a . tMrplfSS <br />c NrM.r rERsoN : raMe ra <br />,i�l[dC��+�OnSon <br />O,Cynmu [?a bda_AL hbl_ <br />i HEREBY CERTIFY THAT I HAVE HEAD 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 PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCY.' AND 296 200 WAC, <br />�y� <br />on <br />rROPOSED use aF BUKwm �n' j % <br />LEGAF MSCRiTNN OF PROPERTYISNOPN BELow OR ATTAtH TWO COPIES) <br />LOT BLOCK JF <br />sec <br />PAPCEL rA41C RUMP R <br />CONSrNJClION LOAN LENDER. AOORE55. TELEPHONE r1UM0CR <br />R DATE <br />CITY BUSINESS LICENSE NO <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE_ <br />WATER CLOSET (TOILET) <br />AIC—AIHNDLG UNITS <br />BATHTUB <br />I <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />j <br />UNIT HEATERS <br />KITCHEN SINK d DISP <br />CLOTHES DRYERS <br />_ <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />MF-T:L FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />SACKFLOVJPREVENTERS <br />GASRANGE <br />SINK (SERVICE —BAR, ETC.) <br />__ <br />GAS PIPING <br />EXHAUST FAN <br />— <br />I <br />I <br />SUBTOTAL S <br />j <br />SUBTOTAL S <br />- <br />PERMIT $ <br />PERMIT S <br />TOTALFEE S <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK <br />REAR SETBACK <br />SICESETUACK <br />COFCK NUIFBER Z)a <br />G - <br />FEE <br />RECEIPT NO <br />USE ZONE <br />LOTAREA <br />VACANT SITE <br />❑YES ❑ No <br />FEES <br />VALUATION <br />FEE _ <br />BUILDING <br />HECHTLIMIFATION' <br />NO OFOVEUOND <br />UNITS <br />5UECFBLDCM <br />/JZL <br />PLUMBING <br />— F <br />aMC1UMPPANCY MMEIDRES <br />n <br />OCCUPANT LOAD BASEM//E11NT <br />❑YES D NO <br />MECHANICAL <br />AWIigrIAI MAN f,NECK <br />FAG SPRINKLCfl�CREOD <br />N'1 <br />REASON <br />OMEN <br />FAEALARMREOOU <br />,Y /E <br />REASON <br />STATE BWIDING SURCHARGE <br />T—r <br />TgE OF CONST <br />1..OhpA - M I P- <br />MAxSAPP <br />DATE , 00 <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />PRE ACNKS <br />TOTAL <br />