1420 80TH ST SW ZUMIEZ 2018-01-02 MF Import

APPLICATILA FOR CONSTRUC7.ON PERMIT O�r CITY OF EVERETT • BUILDING DIVISION 3200 CEDAR STREET A EVERETT, WA 98201 • 259-BB10 ING �J MECHANICAL [-I PLUMBING I I SIGN I DEMOLITION I i COMBINATION BUILD PROJECT ADDRESS EV&RE 5z6 �{20 15T"5N/51� A EvEl0r, "'A OWNFMAIL ADPRESS CITY ZIP %�Qj�ry ION[ b�. -3UAX-� * 3--?4- i4Y(CITY MD)1 f_IIIDNe O%OO E�Tf�3l.'!iifl��S�'L!.w1SL/�L•.�u�.L�; ��i..._��n PRICE OF WUHK O MORK AND SOU BE OOEI E INVOLVED NJ :5 6 r-� ./A/.. yL+ Au_W LOT BLOCK 200 30Z LOAN LENDER. ADDRESS. TELEPHONE NUMBER SINK SUB TOTAL S PERMIT S TOTAL FEE 9 FOR OFFICE USE ONLY: FRONT SETBACK nl An SETBACK SIDE HEATING SYSTEM: IIFAGAS I 1 ELECTRIC n CONTACT PI RSON ANPHPHONE NOS 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 NOT THE ILGRANTINGL BE POF A PERMIT LIED WITH HDOES NOT ETHER FPRESUME CIFIED HETEIN OR GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT II AM AUTHORIZED BY THE OWNER OF APPLICATTIONHI IS PROPER MADET AND PI COMPLYTHE VWIH TO OH KTOER WHICH STATE CONTRACTORS LAW 11127 RC 7 AND 290200 WAC. /6-q5 SIGNATURE DATE CITY SUSINE 55 LICPNSE NO TYPE OF FIXTURE UN n A/C—AMNDLG UNITS — H.P. cnorcn AIR SYSTEMS — B.T.U. — B.T.U. GAS FEE IRECEIPT NO. PLAN CHECK NUMBER USE ZONE LOT AREA VACANT SITE - flYFS Il NO BUILDING HEIGHT LIMITATION NO OF DWELLING SIZE OF BLDGII PLUMBING UNITS OCCUPANCY W OT Sloni, EA.CIIPANT LOAD BASEMENT MECHANICAL GDOIIP AYES fl NO ADDITIONAL PLAN CHECK FIRE ALARM PROD REASON �— OTHER FIRE SPRINKLER REO'D RFASON STATE BUILDING SURCHARGE TYPE OF CONST PLANS APPROVED BY CITY OF EVERETT PURLICWOPKS LOCAL SALES TAX CODE IS 3105 TOTAL