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APPLICATIO.. FOR CONSTRUCTI./N PERMIT* <br /> CITY OF EVERETT K BUILDING DIVISION <br /> 3200 CEDAR STREET A EVERETT, WA 98201 •259-8810 <br /> ❑ DEMOLITION ❑ COMBINATION c EJ BUILDING /., E-11,MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECT ADDRESS: 62-IS J��� )iL Cuewl a-- / Upo-� <br /> DW+NFn x�lCl,�y\ <br /> MAIL A JSS��lkNt JI �n� J CRY lip PHONE <br /> JlV �`�`` SE E <br /> MAII ADDRESS <br /> TENANT CITY IN PHONE <br /> ARCHITECT On DESIGNED MAIL ADDRESS CITY lip PHONE <br /> GENERAL CONTRACTOR MAR ADDLE SS CITY lip PIIGNF STATE LICENSER <br /> MECFI Al CONTTTACTOn MAIL ADDRESS CITY lip PHONE STATE LICENSE A <br /> 7 <br /> PLLWMING CONTRACTOR MAIL ADOPESS CITY ZIP PHONE STATE LICENSER <br /> CONTRACT PRICE OF IL__— <br /> _ HEATING SYSTEM: ❑GAS ❑ ELECTRIC ❑ —_ <br /> DESCRIBE WORK AND SQUARE FOOTA('E INVOLVED uONTAC L PERSON AT J PHONE NO <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROPOSED USE OF BUILDING PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGAL DESCRIPTION OF PRKN'ERTY(SHOWN BELOW On ATTACH IWO COPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> IGT BLOCK D_ 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 /> PARCEL TAX Lo.TFDMeea CONTRACTORS LAW 918.2"7 RCW AND 296.200 WAC. <br /> CONS TION LdW lE R,ADDRESS.TELEPHONE MIMBEIT X /1 GL ?LJ <br /> �(1�� i? S NAI RE DATE <br /> CITY BUSINESS LICENSE NO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) ' _ A/C—A HNDLG UNITS ' <br /> BATHTUB FORCED AIR SYSTEMS ; <br /> LAVATORY(WASH BASIN) HEAT PUMP �— <br /> SHOWER UNIT HEATERS <br /> _ KITCHEN SINK 6 DISP CLOTHES DRYERS _ <br /> DISHWASHER ' RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER ; <br /> CLOTHES WASHER I WOOD STOVE <br /> URINAL METAL FIREPLACE(WOOD BURNING) ' <br /> DRINKING FOUNTAIN FIREPLACE INSERT(WOOD BURNING) <br /> FLOOR,DRAIN GAS FIREPLACE <br /> OACKFLOW PREVENTERS _; GAS RANGE ; <br /> SINK(SERVICE—BAR,ETC.) GAS PIPING <br /> EXHAUST FAN <br /> SUB TOTAL f SUB TOTAL S <br /> PERMIT f PERMIT f _ <br /> TOTAL FEE f ' TOTAL FEE f <br /> FOR OFFICE USE ONLY: _ <br /> FRONT SETBACK REAR SETBACK SIDE SETBACK PIAN CHECK NUMBER FEF nECFTPT NO <br /> USE ZONE 101 AREA VACANT SHE FEES VALUATION FEE <br /> OYES ❑ NO BUILDING <br /> N <br /> HEIGHT[IMITATION NO OF DWELLINGSIZE OF BLi/T <br /> DI <br /> UNITS PLUMBING — -- <br /> OCCUPANCY I NO D 110IL6 OCCUPANT LOAD BASEMENT MECHANICAL <br /> GHOUL r <br /> O rES D NO I <br /> FIRE SPRINKLER REDO FWASON ADKIIONAI.DANCIRCK i <br /> OTHER <br /> FIRER mREO'D RFAS7N <br /> STATE FRILLING stnCHARGE <br /> I YEE CF CONST PIANS APPROVED BY CITY OF EYELET( PRIBI If.WORKS <br /> LOCAL SALES - —''— <br /> RATE TAX CODE IS 3105 TOTAL <br />