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A�PLICATI�TI FOR CONSTRUCT'ON PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />BUILDING DEPARTMENT HEATING SYSTEM: ❑ GAS ❑ ELF_CTRIC 0 N. A. � <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION I7a BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILADDRE55 CIN 21P PHONE <br />Housing Authority of the City of Everett, 1407 Poplar, Everett, WA 98201 258-9222 <br />TENANT MAILADDRESS CITY ZIP PNONE <br />Same <br />AflCHITECTORDESIGNER MAILADOflE55 CITV ZIP PHONE <br />CNJJ Architects, 2722 Colby, Suite #607, Ever�att, WA 98201 259-1560 601-291-582 0 <br />GENERALCONTHACTOR MAILADDRESS CITY 21P PHONF: STATELICENSE� <br />MECMANICALCONTRACTOR MAILADDRESS CITY ZIP PHONE STATEUCENSEs <br />PLUMBING CONTRACTOfl MM� AUDRESS CITV ZIP PHONE STATE UCENSE II <br />CONTMCT PRICE OF WOflK <br />DESCRIBE <br />Misce <br />s.f.l <br />PROPOSEU USE OF BUILDING <br />LEGAL OESCFIPTION OF PflOPERTY <br />LOT BIOCK — <br />(See Attached) <br />PPRCELTA%I.D.NUMBER <br />-ior (pi�.�s or minus 700 <br />n existinc� Office for <br />PHONE NO. <br />Mike Nickerson (CNJ: <br />i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVIS�ONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF. <br />BELOWCFATfACHTWOCOPIES) WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />- oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISIOWS OF :.NY <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 />CONTRACTOflS LAW 18.27 RCW AND 296.200 WAC. <br />CONSTRUCTIONIONl�ENDER.ADDRES'u.TELEPHONE <br />PRWECT ADDRE55 <br />2720 - 7th Street <br />PLUMBING <br />N0. TYPE OF FI <br />WATER CLOSET (T <br />BATHTUB <br />SHOWER <br />KITCHEN SINK & DISP <br />DISHWASHER <br />WASHER <br />URINAL <br />OR ITEM <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />FOOF DRAINS—RAINLEAL <br />SINK (SERVICE—BAR, ETC <br />FOR OFFICE USE ONLY: <br />FRONTSETBACK REARSETP.ACR <br />ZONE <br />iVPEOiCONSi. / <br />V, �,i <br />SiZE OF BLIXi. <br />o� � ,F T <br />OCCUPAN/CVLOAD <br />__J — <br />REASUN <br />INTAKE B'I <br />SUB TOTAL 3 <br />PERMIT $ <br />TOTAL FEE $ <br />SIDE SETBACK <br />IOTAflEA VACANTSITE <br />❑ YES ❑ rio <br />NG.OFSTONIES OC[uP.WCY NO.OiD'MllixGUNifS <br />1 l�paL <br />Flf7E SPRINNLERS REO'0 <br />FIP.E� RMRE�'0 <br />j,� � <br />DATE t�_�Pj <br />ev <br />❑ YES C�I-NO <br />CITY OF EYERETT <br />LOCALSALES <br />TAX CODE 15 3105 <br />X 6-17-93 <br />SIGNAiUNE O Z.� S�, D�iE <br />CIiV BIl5ME5S LICENSE N0. <br />N0. <br />UNITS—H.P. <br />FORCED AIR SYSTEMS—B. <br />1NIT HEATERrB.T.U. �d <br />:LOTHES DRYERS <br />/ENTILATION FAN <br />RANGEHOOD <br />WOOD STOVE <br />METAL FIREPLACE � <br />FIREPLACE INSERT <br />HE!1T PUMP <br />GAS PIPING <br />EXHAIJST FAN <br />PLAN <br />BUIL�ING <br />PLUMBING <br />MGCHANICAL <br />ADOITIONAL PLAN CHECK <br />OTHER <br />STATE BUILDING SUFCHARGE <br />PUBLIC WORKS <br />TOTAL <br />SUB TOTAL $ <br />PERMIT $ <br />TOTAL FEE $ <br />FEE RECEIPT <br />