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APPLICATILA FOR CONSTRUC7.43N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98208201 • 259.8810 <br />C1 DEMOLITION fl COMBINATION I 1 BUILDING 1-1 MECHANICAL n PI iiumldn r, QIP_AI <br />PROJECT ADDRESS , - __..._..•_ <br />OJY qE�+ Yy,/ MAIL rtUDNf55 frtv TIP PNONF. <br />m,*Tf f f•iU A/ <br />.!ri/d•.19,t-0AV.1G <br />ml// crye& <br />?'Fwal <br />.3��-8.gr <br />TENANT <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE ! <br />ARCHITECT CR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE STATE LICENSEF <br />/�)ez <br />ISY/8-24T4A%/ rS <br />Mal r/....r <br />TDr-AiA <br />W" -WJI•. A/nr <br />-- <br />— • .,r rM.t <br />STATE LICENSE X <br />STATE LICENSE• <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />r'Rr ZIP PHONE <br />CONTRACT PRICE Of WORK <br />— _ <br />HEATING SYSTEM: 11 GAS ❑ ELECTRIC Cl <br />DESCRIBE WORK AND SOWRE FOOTAGE INVOLVED <br />CONTACT PERSON AND PHONE NO <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SOME TO BE TRUE AND CORRECT ALL <br />PRGPOSED USE OF BUILDING <br />PROVISIONS OF LAWS AND ORDINANCES OVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />LEGAL DESCRIPTION OP PaoPERTV ISNOWN BELow oaennanwo corlEsl <br />LOT BLOCK OP <br />NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY J VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRU'TION. 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 />CONTRACTOR LAW 18.21 RCW AND 291 "o WAC. <br />L <br />PAROEL TAX ID. NUMBER <br />CONSTRUCTION LOAN LENDER, ADDRESS. TELEPHONE NUMBER <br />1 0 <br />.� <br />$IGNA R DATE <br />� <br />CITY BUSINESS LICENSE NO <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />Z <br />WATER CLOSET (TOILET) <br />A/C — AIHNDLG UNITS — H.P. <br />'2. <br />BATHTUB <br />_ <br />FORCED AIR SYSTEMS — B.T.U. M E.A. <br />% <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />' <br />UNIT HEATERS —B.T.U. M <br />I <br />If <br />KITCHEN SINK 6 DISP <br />i <br />CLOTHES DRYERS <br />' <br />I <br />DISHWASHER <br />I <br />VENTILATION FAN <br />LAUNDRY TRAY <br />I <br />' <br />RANGE HOOD <br />) <br />CLOTHES WASHER <br />' <br />1 <br />WATER HEATER <br />I <br />URINAL <br />' <br />WOOD STOVE <br />I <br />_ <br />DRINKING FOUNTAIN <br />I <br />METAL FIREPLACE (WOOD BURNING) <br />; <br />FLOOR ORAIN <br />I <br />FIREPLACE INSERT (WOOD BURNING) <br />H <br />BACKFLOW PREVENTERS <br />OAS FIREPLACE <br />' <br />SINK (SERVICE — BAR, ETC.) <br />I <br />OAS RANGE <br />�— <br />GAS PIPING <br />_ <br />— <br />r <br />EXHAUST FAN <br />I <br />I <br />H <br />' <br />H <br />SUB TOTAL S <br />' <br />SU13 TOTAL E <br />' <br />PERMIT S <br />I <br />PERMIT S <br />I <br />TOTALFEE E <br />' <br />TOTALFEE E <br />' <br />run vrrik r uOr UIVLT: 1� O.r / / n 7 <br />FRONT SETHAJK <br />REAR SETBACK <br />SIDE SETBACK <br />PUN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />o' <br />o <br />4l%cj <br />USEZONE T <br />2 <br />LOT/ApEA <br />�� <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />b <br />YES r' NO <br />HEIGHT LIMITATION <br />/ <br />NO OFOWELUNG SIZE Of LDGjS1 <br />UNITS <br />PLUMBING <br />2 V <br />I II Sf GIV /`4t <br />s Ac. <br />n <br />OCCU^ANCY NO OF STORIES <br />GROUT • I * <br />OCCUPANT LOAD BASEMENT / <br />` 1 14 n YES *l <br />/v /+ <br />MECHANICAL <br />FIR ALARM RED <br />REASON <br />ADDITIONAL PLAN CHECK <br />�O <br />l <br />/ <br />OTHER <br />FIRE SPRINKLER REO'D <br />REASON <br />STATE BUILDING SURCHARGE <br />C J <br />TYPE OF CONSi <br />PUNS APPROV Oqr CITY OF EVERETT <br />�- <br />PUBLIC WORKS <br />LOCAL SALES <br />TOTAL <br />'N <br />DA: TAX CODE IS 3105 <br />n <br />