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APPLICATIfid FOR CONSTRUCT ION PERMIT <br /> CITY OF EVERETT E BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259.8810 <br /> f-1 DEMOLITION f 1 COMBINATION f 1 BUILDING 11 MECHANICAL PLUMBING 1 1 SIGN <br /> PROJECT ADDRESS <br /> 302 (,of-k Placc 5. E• Evermft wfl- gg203 <br /> OwNrn MAIL ADDRESS Cm ZIP PHONE <br /> Jeffrey ij5uzann 5'"IAc s 3oz � Pf• S•E. EVM+ WA 48203 20(o-290-5628 <br /> TENANT MAIL AODPESS CITY IIP PHONE <br /> ARCHITECT OB DESIGNER MAIL LDDnESS CITY IIP PHONE. <br /> owner <br /> GENERAL CONTRACTOR MAIL ADDRESS Clh' IIP PHONE STATE I ICENSE E <br /> MECHANICAL CONTRACTOR MAILADDRESS CITY IIP PHONE STATE LICENSEE <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY IIP PHONE STATE LICENSE• <br /> f z <br /> • CONTRACT PRICE OF WORK <br /> HEATING SYSTEM: f1GAS IIELECTL'C F1 <br /> DESCRIOE VNRK AND SQUARE FOOTAGE INVOLVED CONTACT PERSON AND PHONE NO <br /> ' i n f - I n r CLI � �•s� <br /> non-load btari✓1a w fu rs <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> rRornSEo u2E F AND 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 /> LEGI L DESCRIPTIO/OF PROPERTY IS14OWN BELOW OR ATTACH TWO COPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT 49 BLOCK 000 0 Or AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> Hanabroak Div. I V01 : 5217a. O� SVIO IN PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> y T OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> GO I f. 164 (o 91 APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCEL TAK MIMflER CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> RIC <br /> 1% -000 -0�5- II /e y)/1 '/A (� <br /> CONSTRUCTION I OAN IENDFRADDnr SS.TREMRONE NUMBER AX //, l(I A.�MUi Y/Ll- I_17-9" <br /> SI y E 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—H.P. ' <br /> BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> LAVATORY(WASH BASIN) 1 HEAT PUMP ' <br /> SHOWER ' UNIT HEATERS—B.T.U. M ' <br /> KITCHEN SINK 8 DISP I CLOTHES DRYERS i <br /> DISHWASHER ' VENTILATION FAN ' <br /> LAUNDRY TRAY ) RANGE HOOD i <br /> CLOTHES WASHER 1 WATER HEATER ' <br /> URINAL ' WOOD STOVE <br /> DRINKING FOUNTAIN 1 METAL FIREPLACE(WOOD BURNING) I <br /> FLOOR DRAIN ' FIREPLACE INSERT(WOOD BURNING) ' <br /> BACKFLOW PREVENTERS GAS FIREPLACE i <br /> SINK(SERVICE—BAR.ETC.) 1 GAS RANGE ' <br /> ' GAS PIPING <br /> g EXHAUST FANSUB TOTAL S ' SUB TOTAL SPERMIT S 1 PERMIT S <br /> TOTAL FEE S ' TOTAL FEE S ' <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBACK nEAR SETBACK SIDE SETBACK PLAN CHECK NUMnrn FEF RECEIPT NO <br /> USFZONE LOTAnFA VACANT SITE. FEES VALUATION FEE <br /> "YES 11 NO BUILDING f s90 <br /> HEIGHT LIMITATION NO OF ONVELUNG BILE DF BLOORI ; <br /> UNITS CC4 SJc PLUMBING <br /> OCCUPANCY I NO LK STDIIIES OCCUPANT LOAD BASEMENT MECHANICAL <br /> GROUP — <br /> 3 1 1 IVES II NO ' <br /> FIRE ALARM REOO REASON ADDITIONAL MAN CHECK I_ <br /> OTHEn <br /> FIRE SMINKIER REDD REASON I r-A <br /> STATE BUILDING SIInCHARGE <br /> TYPE OF CONST PLANSAPP:n DLar CITY OF EVERETT PURI IT,WORKS <br /> cJ I� LOCAL SALES D <br /> DATE I 96 TAX CODE IS 3105 TOTAL <br />