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I <br />APPLICATIOw FOR CONSTRUCTIvN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • (425) 257-8810 44rff <br />❑ DEMOLITION ❑ COM13INATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING J�(SIGN <br />PROJECT ADDRESS: <br />�cnwm <br />MAII. ADDNLSti <br />CITY <br />ZIP <br />PHONE <br />ARCHITFCT OF DESIGNER <br />M ADDRESS <br />CITY <br />ZIP <br />PHONE <br />yLllk cAS� <br />S16n15 ffl?3 <br />l�El7?(�c�3J �t7. <br />�t�303 <br />4z)-r)L�-41 <br />GENERAL CONTRACTOR <br />MAI,. ln0RES5 <br />CITY <br />ZIP <br />PHONE STATE LICENSE A <br />MECHANICAL CONTRACTOR MAR ADDRESS CITY ZIP PHONE STATE LICENSEE <br />Pt 1IMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE• <br />CONTRACT PRICE OF WORK <v <br />.S f( <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />DESCRIBE. WORK AND SOUARE FOOTAGE INVOLVED <br />KwA�tU i2A7F (C.-c'e1'c�>lc( — U�_. <br />CONTACT PERSON AND PHONE NO <br />�S L.In)0E-v-2-- <br />cc— <br />NOV, - Ciec -v-c0.k <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 PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH T11E STATE <br />CONTRACTORS LAW 18.27 RCW AND 295.200 WAC. <br />X !;Y^?✓ <br />PROPOSED USE of BUILDING - <br />(L,-L�� �Lt { L �I �� C C� <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW ORA ACH TWO COPIES) <br />LOT __ BLOCK of <br />nn <br />L l ) tV LI -7 <br />PAPC[L 7A%10. NUMBER <br />n ' <br />CONSTRUCTION LOAN I. ENDER, ADDRESS. 'TELEPHONE NUMBER <br />DATE <br />p j� <br />Z Ul //% Z) Z' <br />CITY BUSINESS LICENSE NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET TOILET <br />( ) <br />I <br />A/C UNITS <br />—T— <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK 3 DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE. HOOF <br />_ <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />FIREPLACE INSERT (WOOD BURNING) <br />_ <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />I <br />GAS FIREPLACE <br />_ <br />BA.CKFLOW PREVENTERS <br />GASRANGE <br />SINK (SERVICE — BAR, ETC) <br />GAS PIPING <br />' <br />EXHAUSTFAN <br />I <br />T <br />SUB TOTAL E <br />SUB TOTAL $ <br />PERMIT $ <br />PERMIT E <br />_ <br />TOTAL FEE S <br />TOTALFEE $ <br />' <br />FOR O'FICE USE ONLY: 4,1)15 <br />FRONT SFTBACK <br />REAR SETBACK <br />SIDE SFT BACK <br />PIAN CHECK NUMPFR <br />FEE' <br />RFC.PPf NO <br />USE ZjyF <br />IOI AREA <br />VACANT SHE <br />FEESALUATICN <br />FEE <br />_—��— <br />PUnnwG <br />.C/�� <br />7- z / <br />❑YES ❑ NO <br />MEIGIII IIMITAt10N <br />NO OF DWELLING <br />SIZE OF BLDGRI <br />PIIIMBIND <br />UNITS <br />—T <br />OCCUPANCY <br />ND OT SIRRIkS <br />OCCUPANT LOAD <br />BASEMEN) <br />MFCHANICAI <br />GROVP <br />❑YES ❑ NO <br />_—.__—____�____ <br />ADOIIIONAI. PI AN GVCK <br />---- <br />FIRE SPRINKLER REOD <br />REASON <br />OTHER <br />FIRE ALARM REO'D <br />RFASON <br />SINE B(IIIDIND SURCIIAn(1E <br />TYPE OF CONST <br />PLANS AP D BY <br />CITY OF EVERETT <br />PDeu(. WORKS <br />' <br />LOCAL SALES <br />-- -- <br />TOTAL <br />- <br />_ _ _ <br />DATE - i ' <br />TAX CODE IS 3105 <br />