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APPLICATION! FOR CONSTRUCTmON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 •259.8810 00L <br />PROJ�CT ADD S <br />fDEMOLITION f l COMBINATION I I BUILDING f I MECHANICAL I l PLUMBING SIGN <br />ES <br />1YO)a?, -s-zm <br />zau / J vUU HEATING SYSTEM: f I GAS ELECTRIC 1-I <br />SOLLARE OO AG INVOLVED C TPERSDNA <br />USA alml . E,�Onh.d "° <br />acuM MM HIPTIRN OF PROPERTY ("in <br />SI i M <br />LOT BLOCK <br />ADDRESS, TFLEPIIOHE NUMBER <br />ITEM <br />DRAIN <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CO RECTTHIS 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 TO PERFORM THE WORK FOR WHICH <br />APPLICATIO IS MADE ANI 1 COMPLY WITH THE STATE <br />C T A S LAW 18.27 RCW AND 298.200 WAC. <br />S Jul <br />X N <br />SI T E OAIE <br />CITY BUSINE$S LICENSE Nn <br />FAN <br />OF <br />BUB TOTAL <br />S ' <br />SUB TOTAL <br />S <br />' <br />OE GMIT <br />- <br />e <br />T I I <br />I I <br />PERMIT <br />1 <br />$ <br />a 1 <br />Tf1TA1 FEE <br />1 <br />TOTAL FEE <br />S <br />FOR OFFICE USE <br />ONLY. <br />3 <br />FRONTSETBACK <br />REAR SETBACK <br />SIDESETBACX <br />PIAN It CKNIIMBFR <br />FFf � /O <br />RFCFIPI NO <br />USE ZONE <br />IOT AREA <br />VACANT SITE <br />FE S <br />VALUATION <br />FEE <br />I,VCR 11 NO <br />HEIGIRLIMITATX)N <br />NO OF DWELLING SIZE OFBLO(GIT1 <br />BUILDING: <br />�J <br />/ DOO <br />_ <br />MITS <br />2 / 1 <br />PLI/MflINO <br />OCCUPANCY 1 10 OF StMfS <br />GROUP <br />UCCUPANI LOAD <br />BASEMENT <br />1 <br />37 <br />IIVFS Of NO <br />MFCRANICAL <br />_ <br />FIRE ALARM REED <br />RFASON <br />----- <br />AODITIONALPI.ANCHFCK <br />/Yv <br />_ <br />FIRF SPAINXI ER RED IT <br />REASON <br />- <br />OTHER <br />/ <br />V O <br />STATE RIRt DING SURCHARGF <br />�� <br />TYPE OE CONST <br />Pt ANS AP VEO BY <br />- <br />CITY OF EVERETT <br />PIIBI <br />— <br />IF, WOPKS <br />I <br />Y-N <br />LOCAL SALES <br />DATE _ j <br />TAX CODE IS 3105 <br />TOTAL <br />.J <br />