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APPLICATIGA FOR CONSTRUC7.JN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STRUT A EVERETT, WA 98201 0259.8810 <br />DEMOLITION I I COMBINATION j PrUILDING �16CHANICAL <br />%l/ <br />ipCITY Y ZIP <br />CITY ZIP <br />ars',c'LT% <br />CITY ZIP <br />r <br />ZIP 141014 STATE LICENSE I <br />SIGN <br />CONrnACTPFildtI WK <br />--- <br />HEATING SYSTEM: I I GAS 1-1 ELECTRIC _ <br />DESCRIBE WORK AND SOOARE FOOTAGE INVOLVED <br />CON CT PER ND PIfJNF NO <br />C r <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />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 />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />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 />CONTRACTOR AW 18.27 RCW ND .78.200 WAC. <br />X <br />rnoPoseO USE OF euRDING F ` <br />} <br />LEGAL DESCRIPTION OF PROPERTY ISL/pLv(p/�ELow aR An 1 COPI <br />LOT BLOCK —1.L_ <br />*, <br />EL I.D. TAX BE <br />CONSTRUCTION LOAN LENDER, ADDRESS, TELEPHONE NUMBER <br />SI AT R ' DATE <br />CITY BUSINESS LICENSE NO <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />p A/C — A/HNDLG UNITS — H.P. 1 <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />I <br />BATHTUB <br />' <br />Q <br />FORCED AIR SYSTEMS — B.T.U. M E.A. <br />LAVATORY (WASH BASIN) <br />I <br />p <br />HEAT PUMP <br />I <br />SHOWER <br />' <br />UNIT HEATERS—B.T.U. M <br />' <br />KITCHEN SINK 6 DISP <br />i <br />CLOTHES DRYERS <br />I <br />DISHWASHER <br />I <br />VENTILATION FAN <br />' <br />LAUNDRY TRAY <br />RANGE HOOD <br />CLOTHES WASHER <br />I <br />WATER HEATER <br />URINAL <br />' <br />(y <br />WOOD STOVE <br />' <br />l <br />DRINKING FOUNTAIN <br />I <br />METAL FIREPLACE (WOOD BURNING) <br />1 <br />FLOOR DRAIN <br />I <br />Q <br />FIREPLACE INSERT (WOOD BURNING) <br />' <br />BACKFLOW PREVENTERS <br />GAS FIREPLACE <br />i <br />Ci <br />SINK (SERVICE — BAR, ETC.) <br />I <br />Q <br />GAS RANGE <br />' <br />' <br />GAS PIPING <br />+— <br />EXHAUSTFAN <br />I <br />I <br />I <br />� <br />1 <br />1 <br />I <br />I <br />SUB TOTAL S <br />SUB TOTAL S <br />' <br />PERMIT 9 <br />1 <br />PERMIT S <br />I <br />TOTAL FEE 9 <br />TOTAL FEE $ <br />' <br />FOR OFFICE USE ONLY: <br />RKWT SETBACK <br />REM SETBACK <br />SIL'E SETBACK <br />PLAN CHECK t#jkprn <br />FEE" _ <br />RECEIPTN <br />USEZONE <br />LOTMEA <br />VACANT SITE <br />FEES <br />I VALUATION <br />FEE <br />BUILDING 5 <br />ri Y'Es n NO <br />HEIGHT LIMITATION <br />NO OF DWELUNO <br />SIZE OFULD"I <br />UNITS <br />TOty SIf LA ArMG '�' <br />PLUMBING <br />t <br />OCCUPANCY NO OF STORIES <br />OCCUPANTLOAD BASEMENT <br />MECHANICAL <br />GROUP <br />1 <br />(� <br />ADDITIONAL PLAN CNECK <br />/,� IIYEs WIO <br />FIRE ALARM RED <br />REASON <br />OTHER <br />FIRE SPRINKLER IIEO'O <br />REASON <br />_ <br />T a U,126C <br />STATE BUILDING SURCHARGE <br />TYPE OF CONST <br />PLANS ArrR(,I,VVEQ Or CITY OF EVERETT <br />rUBLIC WORKS <br />.VI L�Ly LOCAL SALES <br />— <br />TOTAL <br />D <br />