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r• <br />APPLICATIC I FOR CONSTRUCT JIN PERMIT <br />CITY OF EERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERCTT, WA 98201 •259•BB10 <br />❑ DEMOLITION 4�nCOMBINATION ❑ BUILDING L I MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADC RE S: "T� v_ �S r� �c, C Q S LJ 80q F <br />122r� -�5v� <br />DWNF.n N ES -CITY ,11' PHONE <br />TENANT NAIL ADOIIESS CITY AIP PHONE <br />p _ <br />PID 4ioX��1315 SC"t l� - 1$ 14'z _mac 3`7-99`7 Uhl l?oOJ- X-AQVI.701 <br />MAIL AODnEss uY AIP PII[IN[ STATE LICENSE <br />MECIIANICAL CONTRACTOR MAIL ADORE SS CITY ,II' I'IIJNE STMIICENSEI <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY (IP-- PIDNE STATE LICENSE <br />CONTRACT PA;Ft OF WORK <br />j (; pf HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />O SCNBE WOIIK ANO SOUAR FOOTAGE INVOLVED'/-- <br />errnvegna� �nsfAll /�eL-/ <br />(,ompcsf.b�,s <br />CI)LIIAI:I P1 6011 AND PIIONE N0 <br />I HEIIEDY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICAI ION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WIII. DE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. 111E GIIANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTIIEn STATE OR LOCAL LAW REGULATING CONSTRUCTION On THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPER Y TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />�CGNTRACTon LA 10.27 RCW AND 296.200 WAC. <br />L <br />+ 14[/�1 <br />--- <br />-- <br />PROPOSEDUSE OF BUIIdNG <br />LEGALoEscnmTloNOF rnoPERTY ISIDWNRELOWORATTACII TWOCOPIESI <br />LOT BLOCK OF— <br />PARCEL TAM LD. NUMBER <br />CONSTRUCTION LOAN LENDER. ADDRESS. IFLEM40POE NUMnEn <br />IGNAIIIIIF DATE <br />CITY BUSINESS LICENSE NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />OF EQUIPMENT <br />FEE <br />WATER CLOSET TOILET <br />( ) <br />_ <br />�— <br />--.----TYPE <br />A/C UNITS <br />�— <br />BATHTUB <br />AIR SYSTEMS <br />' <br />LAVATORY (WASH BASIN) <br />-i-- <br />__ <br />_FOIICED <br />ILL:AT PUMP <br />SHOWER <br />' <br />U_141T HEATEnS <br />' <br />KITCHEN SINK A DISP <br />i <br />CLOTHES DRYERS <br />DISHWASHER <br />1 <br />RANGE HOOD <br />LAUNDRY TRAY <br />WAT En I IEATER <br />) <br />CLOTHES WASHER <br />_ I <br />WOOD S10VE - <br />URINAL <br />_�_- <br />MEIAL FIREPLACE (WOOD BURNING) <br />' <br />DRINKING FOUNTAIN <br />i <br />FIIEPLACE INSERT (WOOD BURNING) <br />i <br />FLOOR DRAIN <br />GAS FIREPLACE <br />' <br />_ <br />BACKFLOW PREVENTERS <br />; <br />GASRANGE <br />; <br />SINK (SERVICE — BAR, ETC.) <br />�_— <br />GAS PIPING <br />I <br />EXHAUST FAN <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />SUB TOTAL S <br />' <br />SUB TOTAL S <br />' <br />PERMIT S <br />I <br />_ <br />_ <br />PERMIT S <br />I <br />TOTAL FEE S <br />' <br />TOTAL FEE S <br />' <br />FOR OFFICE USE ONLY: _ <br />FRONT SE MACK REAR SETBACK SIDE SFIBACK PI All [IITCN IAIMIII II T[F nFCFIPT NO <br />USE ZONE <br />IIEIONt LIMITATION <br />OCCUPANCY NO MB <br />GROUP <br />FIRE SPRINKLER RED <br />LOIAn[A <br />NO OF DWELLING <br />UNITS <br />VACANI SITE <br />❑YES 0 Bn <br />SIZE OF BLOOffI <br />OYES ❑ m) <br />um m <br />I'1IIMOINfi <br />Mf C11ANICAI-_ �----. <br />AUUI I10"At PI AN CI-1 .:K <br />OUIIII• — --_--- <br />SIAII 011lllltllll Sl lllf'.IlAllll[ <br />CITY OF EVERETT P1I1111E <br />LOCAL SALES - - — <br />TAX CODE IS 3105 TOTAL <br />