515 72ND ST SE 2018-01-02 MF Import

APPLICATION FOR CONSTRUCII. vON PERMIT CITY OF EVERETT • BUILDING DIVISION 3200 CEDAR STREET •EVERETT, WA 98201 •259-8810 I I DEMOLITION I I COMBINATION I I BUILDING 11 MECHANICAL PLUMBING I I SIGN PROJECT ADDRESS OWNER ti�I�1 ( MAI�tmnr CITY. l,11411✓4e—i %. )�,�'ki'ln 7 cl� -71 A llr — rnoRE ARCHITECT OR DESIGNER MAIL ADDRESS COY lm PHONE GENERAL CONTIRADTDIR MAIL ADDRESS CITY In PHONE STATE LICENSE• OLf'Vi� •� DESCRIBE WORK AND SQUARE LEGAL DESCRIPTION OF PROPERTY(SHOWN BELOW Oil ATTACF LOT BLOCK OF PARCEL TAX I.D. NUMBER .ONSTFIUCTION LOAN LENDER ADDRESS. TER LEPHONE NOMFE ---TNO NO. TYPE OF FIXTURE OR ITEM WATER CLOSET ITOH FT) SINK 71P PHONE STATELUCENSEA G HEATING SYSTEM: O GAS 1-1 ELECTRIC CONTACT PERSON AND PHONE NO, I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE CONTRACTgR LAW LRCW AND M200WACX^/////'//-/ 3 �5 BIGNATLI E DATE CITY BUSINESS LICENSE NO. ' A/C — AMNDLG UNITS — H.P. •--_ �_ FORCED AIR SYSTEMS — B.TU. M F A. _ 1 SUB TOTAL S PERMIT S �I TOTAL FEE FOR OFFICE USE ONLY: FRONT SETBACK REAR SETBACK SIDE SETBACK USEZONE LOT AREA VACANT SITE TT YES !T NO 14EIG14T LIMITATION NO OF DWELLING SIZE Of BLDGRI UNITS TT YES TT NO coNsr PUNS APPROVED BY CITY OF EVERETT LOCAL SALES DATE TAX CODE IS 3105 RANGE PLAN CHECK NUMRFR WILDING PLUMBING MECHANICAL ADDITIONAL PLAN CHECK OTHER STATE BUILDING SURCHARGE PUBLIC WORKS TOTAL SUB TOTAL $ PERMIT $ TOTAL FEE FEETOTAL FEE $ R FEE I RECEIPT NO.