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I • <br /> APPLICATItiN FOR CONSTRUCT�ON PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT,WA 98201 •259-8810 <br /> ❑ DEMOLITION fl COMBINATION fl BUILDING f MECHANICAL �l PLUMBING fl SIGN <br /> PROJECT ADDRESS — <br /> � �� `>�' - � UC"L �,V� �I ,.'� <br /> ONTlER M�ILAOORESSI� CITV IIP PHON[ <br /> c�A(�tF� �� NtJSC�r� '�1��C•�� `�'�� �1)F �ni C���r i� , W�1 ���i''� �`']�—�I�4� <br /> 7ENRNT �AAILP�DHE55 CITY lIP F��ONE <br /> `-�l�i�\� <br /> A7CHITECTORDESIGNER MAl1ADDFE55 Cltt 71P P110NF <br /> GENERALCONTMCTOR MAILADDRESS QiV lIP P�IO4E S7aTELICENSE• <br /> �Dr-AL ('�;C('�6�I �151�=i�S �t�C- ��1�a1 (r��i41 A��i- lt..� ��INfiU;cc`�� �i�(`��C, 1.7�ALC���E:� H <br /> MECHRNICALCONTRACTOR MAILADDFE55 CITV 7.IP PIIONG STATELICFNSE� <br /> PLUMBINGCONiNACTOR MAILAODRE55 Gltt ZIP PNONE STAiELICENSE� <br /> LONTRACTPRICEOFWOR � <br /> � _�Gj HEATING SYSTEM: I GAS fl ELECTRIC �l <br /> OESCRIBE WORN�NO SOUARE FOOTAGE INVOLVED CONTACt FERSONAND PHONE NO. <br /> -, �:��_, . � � �A� � V'� '1 -�3 �_ <br /> —�, s u ti,�c <br /> _ � HEREBY CERT�FY THAT I HAVE READ AND EXAMINED THIS <br /> � ��- � '� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROPoSED USE OF 0111LDING PROVISIONS OF LAWS AND ORDINANCES GOVEFNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> II LEGALDESCRIPTIONOFPROPERTY�SHOWNBELOWORAITACHTVIOCOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT� BLOCK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANC[OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNEfi OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCELTA%�.D.NUMBER CONTRAC RS LAW 1827 R AND 29fi.200 WAC. <br /> `�(�1G- (:CL�,- n�`I - CCr�(� _?-� — YL <br /> CONSTRUCTION LOAN LENOER.ADURE55.TELEPNONE NIIMBER X � <br /> SIGNFiUPE OATE <br /> CITY BUSME55 LICENSL N0. � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF PIXTURE OR ITEM FEE NO. TYPE OF EpUIPMENT FEE <br /> WATERCLOSET(TOILET) � A/C—A/HNDLGUNRS—H.P. ' <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. ; <br /> LAVATORY(WASH BASIN) � HEAT PUMP � <br /> SHOWER ' UNITHEATERS—B.T.U. M ' . <br /> KITCHEN S�NK 8 DISP � CLOTFiES DRVERS � <br /> DISHWASHER � VENTILATION FAN ' <br /> LAUNDRY TRAV ; RANGE HOOD � <br /> CLOTHES WASHER � WATER HEATEii ' <br /> URINAL ' WOOD STOVE ' <br /> DRINKING FOUNTAIN I METAL FIREPLACE(WOOD BURNING) � I <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) ' <br /> BACKFLOW PREVENTERS i GAS FIREPLACE i <br /> SINK(SERVICE—BAA.ETC.) � GAS RANGE <br /> � GAS PIPING � <br /> � <br /> ; E%HAUST FAN � <br /> � ' <br /> � ' <br /> SUB TOTAL $ ; SUB TOTAL 5 ; _ <br /> PEFMIT S � PERMIT S � <br /> TOTALFEE $ ' TOTALFEE S ' <br /> FOR OFFICE USE ONLY: <br /> FRONT SETPACN �E�fi SF.TBpCK SIDE SETB/LN PLAN GHECK NlIMF1F� fE[ RECF.IPi NO. <br /> USEZONE iornnEn �ACANTSIIE PEES VALUATION FEE <br /> I I VES f 1 NO OIIIlOING <br /> HEIGHTLIMIUTION NO.OFUWELUNG SIZEOfBLDGRI <br /> UNIIS PLUMOING <br /> {— <br /> OCCUPANCY NO O�Si0RiE5 OCCUPANTLOAO BASEMENT M[CIInNICaL � <br /> GROUP <br /> f1VE5 II ND ' <br /> FIRE AURM FEO'D R[RSON n�D1110Nn1 MAN C��F.CN i <br /> i <br /> OOIE{i i <br /> FIRF.SPRINHLER REO�O RFA90N ( <br /> Stql[�Ullpl!1G SVRLINqGE i <br /> TYPEOFf,ONST PInNS�PPROVEDOY CITYOFEVERETT �IIflI�f.YJO[�NS i <br /> LOCAL SAL[S -' <br /> oare TAX CODE IS 3105 707AL <br />