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APPLICATILd FOR CONSTRUC'1 .ON PERMITO-_j; <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT, WA 98201 •259.8810 ur <br /> DEMOLITION I I COMBINATION F;rBUILDING MECHANICAL (l PLUMBING SIGN <br /> PROJECT ADDRESS 22f- 7P-'112/ So <br /> OWNER v MAIL ADOIES9 CITY PHONE <br /> /j�/� -Clv �'e,n�st /S4i� 21?1: 'AVSE Ad//Im err eICN wA 9.FoI L 3io �j61 <br /> TENANT MAIL ADDREV CITY ZIP PHONE <br /> ARCHITECT OR DESIGNER MAILADURESS CITY ZIP PHONE <br /> GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSER <br /> Acz /jr-Elld'- 29 '_AAVGS:= /w///erre/C,w-4 . QFU12 MCi lI0#** Crs-5q <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE# <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE <br /> CONTRACT PRICE OF WORK <br /> HEATING SYSTEM: FrGAS Fl ELECTRIC F!_ <br /> DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED CONTACT PERSON AND PHONE NO <br /> f Q I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSED USE OF BU DING 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 SrECIFIED HEREIN OR <br /> LEGAL DESCRIPOONOPROPERTY(SIIOVR/BELOW OR TTACH TWO COPIE5) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT BLOCK oft r l �-A 4 r 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 4S MADE AND I COMPLY WITH THE STATE <br /> PARCEL T I D. B R CONTRACTO LAW 18.27 RCW AND 298.200 WAC. <br /> CONSTRUCTION LOAN LENDER.ADDRESS,TELEPHONE NUMBER <br /> SKWTUL DATE <br /> CIT V BUSINESS 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 AJC—AMNDLO UNITS—H.P. <br /> _Z BATHTUB FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> LAVATORY(WASH BASIN) I HEAT PUMP I <br /> 1 SHOWER <br /> UNIT HEATERS—B.T.U. M <br /> KITCHEN SINK 8 DISP i CLOTHES DRYERS i <br /> DISHWASHER I VENTILATION FAN ' <br /> LAUNDRY TRAY ; RANGE HOOD ) <br /> _L CLOTHES WASHER , WATER HEATER I <br /> URINAL ' WOOD STOVE ' <br /> _ DRINKING FOUNTAIN ; METAL FIREPLACE(WOOD BURNING) I <br /> FLOOR DRAIN FIREPLACE INSERT(WOOD BURNING) —�— <br /> BACKFLOW PREVENTERS GAS FIREPLACE ' <br /> SINK(SERVICE—BAR.ETC.) 1 OAS RANGE I <br /> ' OAS PIPING <br /> I EXHAUST FAN I <br /> I I <br /> I I <br /> I <br /> SUB TOTAL $ ' SUB TOTAL $ ' <br /> PERMIT $ I PERMIT S I <br /> TOTAL FEE $ ' TOTAL FEE $ ' <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBACK REAR SETBACK / SIDE SETBA PUN CHECK NUMBLR FEF._ — RECEIPT NO. <br /> USEZO7--/ <br /> LOT ARBA VACANT SITE FES `-VALUATION FEE <br /> 7-—/ n YES TT NO BUILDING <br /> HEIGHT LIMITAN NO UNOF UWEWND SIZED BLDGRI J — <br /> I �f &/L/ Z+ T PLUMBING 9.1 <br /> OCCUPANCY NO OF SSTTORIES OCCUPANT LOAD BASEMENT / MECHANICAL <br /> DU-1 �1 nYES &46 <br /> FIRE ALARM RED REASON ADDITIONAL PLAN CHECK <br /> OTHER <br /> FIRE SPRINKLER RED'D REASON <br /> STATE BUILOWG SURCHARGE <br /> TYPE OF CONST PLANS APPPV BY CITY OF EVERETT rustic WORKS <br /> %J� ��1I LOCAL SALES <br /> GATE Z y(.• TAX CODE IS 3105 TOTAL 779 -522 <br />