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I <br />APPLICATIGA FOR CONSTRUCI SON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET A EVERETT, WA 98201 A 259.6810 <br />I-1 DEMOLITION i I COMBINATION I I BUILDING i 1 MECHANICAL V PLUMBING SIGN <br />PROJECT ADDRESS <br />S Z O cI <br />nWNrn MAII ADOnr SG rm nn rune[ <br />S{_FFI�1T• 1027o d7F.{/rsr,u�rr_��pKE.ILAD 9j&933-Of000 <br />TENANT MAIL ADDRESS CITY ZIP PHONE <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENF. RALCGNTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSES <br />L[l AA3 <br />MECHANICAL CUNTRACTGn MAIL ADDRESS CITY ZIP PHONE STATE LICENSE I <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONF STATE LICENSE. n <br />k,ch #agL_ ,00A, Aac )OA&. 2321 SrAw—mA 7&2- 3t4F-36s% /L/iulADrt]PY2L.� <br />GINTRACT PRICE OF W;a <br />HEATING SYSTEM: 100GAS Fl ELECTRIC Fl <br />01 SCRIBE WITTK AND SOUA5LF.POTAGE INVOLVED <br />C NTACI rFRSON AND PHONE NO <br />I 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 10 PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 (RRCW AND 29C.200 WAC, <br />D <br />X �_ ` / _ Z &. rt <br />SIGNATURE GATE <br />Q 7— C47&�e, <br />— <br />RPOOSEEDD USE OF BU17�� <br />�k�tif�x'� <br />LEGAL DESCRIPTION OF PlOPERTY ISIOWN BELOW OR ATTACH TWO COPIES) <br />LOT BIIkK or <br />PARCEL TAX I D NUMBFA <br />CONSTRUCTION LOAN LENCER. ADDRESS. TELEPHONE NUMBER <br />CITY BUSINESS LICENSE NO. <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />I <br />A/C — AMNDLG UNITS — H.P. <br />BATHTUB <br />; <br />FORCED AIR SYSTEMS — B.T.U. M E.A. <br />' <br />LAVATORY (WASH BASIN) <br />I <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 />DISHWASHER <br />_ <br />VENTILATION FAN <br />' <br />LAUNDRY TRAY <br />1 <br />RANGE HOOD <br />CLOTHES WASHER <br />I <br />WATER HEATER <br />' <br />URINAL <br />WOOD STOVE <br />' <br />_ <br />DRINKING FOUNTAIN <br />i <br />METAL FIREPLACE (WOOD BURNING) <br />i <br />FLOOR DRAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />' <br />BACKFLOW PREVENTERS <br />i <br />GAS FIREPLACE <br />i <br />SINK (SERVICE — BAR, ETC.) <br />I <br />GAS RANGE <br />' <br />' <br />GAS PIPING <br />' <br />1 <br />EXHAUSTFAN <br />H <br />SUB TOTAL. S <br />SUB TOTAL $ <br />PERMIT $ <br />I <br />PERMIT a <br />I 1 <br />TOTAL FEE S <br />' ' <br />TOTAL FEE �' <br />_ <br />FOR OFFICE USE ONLY. <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHE K NUMBER <br />FEE <br />RECEIPT NO. <br />�Vy <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />IT YES n NO <br />HEIGHT LIMITATION <br />NO OF DWELLING <br />SIZE OF BLDGgI <br />I <br />UNITS <br />PLUMBING <br />OCCUPANCY NO Ol S10FIES <br />OCCUPANTLOAD BASEMENT <br />MECHANICAL <br />GROUP <br />IT YES n No <br />ADDITIONAL PUN CHECK <br />FINE ALARM REDO <br />REASON <br />OTHER <br />FIRE SPRINKLER REO'D <br />RFASON <br />1 <br />STATE BUILDING SURCIIADOE <br />1 <br />TYPE OF CONST <br />PUNS APPROVED BY <br />CITY OF EVERETT <br />PUBLIC WORKS <br />i <br />LOCAL SALES <br />TAX CODE IS 3105 <br />TOTAL <br />DATE <br />