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APPLICATN. A FOR CONSTRUCI.ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />❑ DEMOLITION I I COMBINATION ❑ BUILDING MECHANICAL I I PLUMBING ❑ SIGN <br />PROJECT ADDRESS: <br />„ITT-F �zC� ((b�-�ST�-� <br />9M <br />TENANT MNl ADDRESS f.IIY lm PIgNf <br />Mg111TTCT OR DESIGNER MAII ADDRESS CITY j'p PHONE <br />CONTRACT PRICED Z -, <br />HEATINGSYSTEM: FfGAS ❑ELECTRIC ❑ _ <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />CONTACT PERSON AND PHONE NO <br />- <br />2,S7.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 T TY T PERFOI M THE WORK FOR WHICH <br />APPLICAT E I COMPLY WITH THE STATE <br />CONT TO 1 C AND 296..2200 WAC. <br />PROPOSED USE OF BUILDING <br />LEGAL DESCRIPTION OF PROPERTY ISHOWN BELOW OI ATTACH TWO COPIESI <br />LOT BLOCK - OF <br />- <br />PARCEL TAM I D NUMBER <br />CONSTRUCTION ICAN IENDFA ADINIE55. TEI EPW NE NOR <br />SqNITATE <br />CITY BU53NESS LICENSE NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />—T <br />WATER CLOSET (TOILET) <br />A/C-M1NDL0 UNITS <br />_ <br />BATHTUB <br />; <br />FORCED AIR SYSTEMS <br />; <br />LAVATORY (WASH BASIN) <br />I <br />HEAT PUMP <br />I <br />SHOWER <br />UNIT HEATERS <br />' <br />KITCHEN SINK 6 DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />' <br />RANGE HOOD <br />' <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />I <br />WOOD STOVE <br />URINAL <br />' <br />METAL FIREPLACE (WOOD BURNING) <br />' <br />DRINKING FOUNTAIN <br />I <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />' <br />GAS FIREPLACE <br />' <br />BACKFLOWPREVENTERS <br />; <br />GAS RANGE <br />SINK (SERVICE - BAR, ETC.) <br />I <br />GAS PIPING <br />' <br />EXHAUSTFAN <br />I <br />' <br />I <br />I <br />' <br />' <br />, <br />SUB TOTAL <br />S <br />SUB TOTAL S <br />PERMIT <br />S <br />I <br />PERMIT S <br />' <br />TOTALFEE <br />Sl <br />TOTALFEE S <br />' <br />FOR OFFICE USE ONLY: <br />FRONT SETRACK ATARSFIBACN SIDE SETBACK MAN CHECK MIMBFR FEF RFCFIPI NO <br />USEZONE <br />101 ANCA <br />VACANT SIZE <br />FC[a <br />OYES ❑ N) <br />BURDING <br />HEMT UMITATNMN <br />NO O DWELLING <br />SIZE O BLDGRI <br />UNITS <br />PLUMBING <br />OCCUPANCY <br />GROUP <br />I ND N SIMES <br />OCCUPANT LOAD <br />BASEMENT <br />MFCIIANICAI <br />OYES O NO <br />FIRE SPRINKLER REO'D <br />MASON <br />ADQ110NAI. MAN CNf CK <br />OIHER <br />FIRE ALARM REGO <br />REASON <br />STATE OURDING SIIGCIMRGE <br />TYPE OF ICONST <br />MANS APPROVFO BY <br />CITY OF EVERETT <br />PART Ir VIEN1KS <br />LOCAL SALES <br />--- <br />,, <br />TAX CODE IS 3105 <br />TOTAL <br />