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APPLICATI%oN FOR CONSTRUCT iI PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> DEMOLITION I I COMBINATION I BUILDING I I MECHANICAL PLUMBING I SIGN <br /> PROJECT ADDRESS <br /> O ER MAIL AGGRESS CITY 71P PHONE <br /> � ��� ���3 s-y�zs <br /> TENANT MAILADDRESS CITY ZIP PHONE <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br /> OWFIAL CONTRACTOR MAI;!? —1 CITY ZIP PHONE STATE LICENSE A <br /> MECHANICAL CON (TACTOR MAILAODRE.SS city ZIP PHONE STATE LICENSE• <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE <br /> CONTRACT PRICE OF WORK <br /> HEATING SYSTEM: I 1 GAS I I ELECTRIC fl <br /> DE BE WORN AND SWAR TAOE INVOLVED CONTAyt PLRSON AND NO <br /> < <br /> s 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSED USE of BUILDING 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 /> LEGAL DESCRIPTION OF PROPERTY(SHOWN BELOW OI ATTACH TWO COPIES) 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 /> 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 iAK 10.NUMBER CONTRACT RS LAW 18.27 RCW AND 296.200 WAC, <br /> CONSTRUCTION LOAN LENDER.ADDRESS.TELEPHONE NUMBER l( 1 <br /> 41 RB pslE <br /> V POSINESS LICENSE NO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE <br /> WATER CLOSET(TOILET) I A/C-AIHNDLG UNITS-H.P. r <br /> BATHTUB ' FORCED AIR SYSTEMS-B.T.U. M E.A. <br /> LAVATORY(WASH BASIN) I HEAT PUMP r <br /> SHOWER ' UNIT HEATERS-B.T.U. M ; <br /> KITCHEN SINK 8 DISP i CLOTHES DRYERS I <br /> DISHWASHER 1 VENTILATION FAN 1 <br /> LAUNDRY TRAY I RANGE HOOD I <br /> CLOTHES WASHER 1 WATER HEATER 1 <br /> URINAL ' WOOD STOVE ' <br /> DRINKING FOUNTAIN I METAL FIREPLACE(WOOD BURNING) 1 <br /> FLOOR DRAIN ' FIREPLACE INSERT(WOOD BURNING) ' <br /> BACKFLOW PREVENTERS I GAS FIREPLACE ' <br /> r <br /> SINK(SERVICE-BAR. ETC.) I GAS RANGE I <br /> ' GAS PIPING ' <br /> I EXHAUST FAN 1 <br /> i <br /> SUB TOTAL S ' SUB TOTAL $ ' <br /> PERMIT $ 1 PERMIT S 1 <br /> TOTALFEE S TOTAL FEE S ' <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBACK REAR SETBACK SIDE SETBACK PUN CHECK NUMBER FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> IlYE6 Cl NO BUILDING <br /> HEIGHT LIMITATION NO OF DWELUNO SIZE OF BLD(LRI <br /> UNITS PLUMBING <br /> O <br /> RWPPANCY HO 01STCRES OCCUPANTLOAD BASEMENT MECHANICALLYES FI NO <br /> FIRE ALARM REGD REASON ADDITIONAL PLAN CHECK <br /> OTHER <br /> FIRE SPRINKLER REO'D REASON <br /> STATE BUILDING SURCHARGE <br /> TYPE OF CONST PLANS APPROVED BY CITY OF EVERETT PUBLIC WORKS <br /> LOCAL SALES <br /> DATE TAX CODE IS 3105 TOTAL <br />