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APPLICATIGA FOR CONSTRUC7.JN PERMIT <br />CITY OF EVERETT E BUILDING DIVISION <br />3200 CEDAR STREET E EVERETT, INA 98201 , 259.8810 <br />DEMOLITION n COMBINATION BUILDING n MECHANICAL I PLUMBING I I SIGN <br />PROJECT ADDRESS LC/HIt-- q /uvo <br />/ y2o p SV- s K/ -4f1 CVE-� Wa 9d-2c'� $ <br />OWN[ 11 MALL ADDRE = a Ingon ZIP r <br />TENANT MMAAJILADDRESS city ZIP PHONE <br />ZVHIez /&,c l(1,20 gc) sT S L1/ �&'-&7T- WA- q; 3 �2[x.I3S3oS/z <br />CITY ZIP PHONE STATE LICENSE E <br />MECHAMCALCONTPACTOB <br />MAIL ADDRESS <br />CRY <br />ZIP <br />PRONE <br />STATE LICENSEE <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />STATE LICENSEE <br />PWMBINGCONTRd'_. OR <br />C N ACT PRICE OF VWK <br />HEATING SYSTEM: ❑ GAS n ELECTRIC n <br />DESdAIBE WORK AND SQUARE FOOTAGE INVOLVED <br />CONTACT PERSON D PHONE NO <br />o+-> NC?•IKE I- <br />�20L 3S3 t�s/2 �'�I <br />570Atte FT.YL CLCrn4'f"b <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 />PROPOSED USE OF BUILDING <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH r.VO COPIES) <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />LOT elocK of <br />OTHER STATE OR LOCAL LAW REGULATING CC JSTRUCTION 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 />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />PARCEL TAX I D. NUMBER <br />NUMBER <br />CON!. )RUCTION LOAN LENDER. ADDRESS, TELEPHONE <br />WN, CATE <br />E <br />CITY BUSINESS LICENSE NO. <br />PLUMBING <br />FEE <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />' <br />A/C — AMNDLG UNITS — H.P.H.P. <br />' <br />'� <br />' <br />FORCED AIR SYSTEMS—B.T.U. M E.P.. <br />BATHTUB <br />' <br />' <br />LAVATORY (WASH BASIN) <br />, <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />SHOWER <br />' <br />CLOTHES DRYERS <br />' <br />KITCHEN SINK 8 DISP <br />, <br />' <br />DISHWASHER <br />VENTILATION FAN <br />_ <br />LAUNDRY TRAY <br />) <br />RANGE HOOD <br />CLOTHES WASHER <br />I <br />WATER HEATER <br />' <br />URINAL <br />' <br />WOOD STOVE _ <br />METAL FIREPLACE (WOOD BURNING) <br />' <br />DRINKING FOUNTAIN <br />, <br />FIREPLACE INSERT (WOOD BURNING) <br />' <br />FLOOR DRAIN <br />I <br />I <br />BACKFLOW PREVENTERS <br />i <br />OAS FIREPLACE <br />' <br />' <br />SINK (SERVICE — BAR, ETC.) <br />, <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />' <br />, <br />I <br />I <br />I <br />' <br />I <br />, <br />I <br />' <br />SUB TOTAL S <br />SUBTOTAL S <br />PERMIT 9 <br />' <br />PERMIT $ <br />i <br />TOTAL FEE S <br />' <br />TOTAL FEE E <br />' <br />FOR OFFICE USE ONLY: <br />FRONT SFTSACK BEAR SETBACK SIDE SETBACK PUN CHECK NAM^F. Jn FEE <br />USE ZONE <br />LOT AREA <br />VACANt SITE <br />nYE6 n NO <br />BUILDING <br />— <br />HEIGHT LIMITATION <br />NO OF DWELLING <br />SIZE OF BLOW <br />UNITS <br />PLUMBING <br />MECHANICAL <br />OCCUPANCY NO D STOPIE6 <br />OCCUPANT LOAD <br />BASEMENT <br />GROUP <br />noes n No <br />ADDITIONAL PUN CHECK <br />FIRE ALARM REO'0 <br />REASON <br />OTHER <br />STATE. BUILDING SURCHARGE <br />PusuC WORKS <br />FIRE SPRINKLER REO'D <br />REASON <br />TYPE OF CONST <br />PUNS APP v�D BY <br />CITY OF EVERETT <br />�'�" <br />LOCAL SALES <br />DATE h , j - V)) <br />TAX_CODE.IS 3105 <br />TOT' L <br />