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E <br />APPLICATIC I FOR CONSTRUCT 3N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 90201 • 259.8810 <br />❑ DEMOLITION /��nCO�MBINATION ❑ BUILDING LI MECHANICAL ❑ PLUMBING El SIGN <br />PROJECT ADDRE S:142o f I cT.� ¢, S Gi 90cj ! ^ ^ ! <br />TENANT MAIL ADOnESS CITY !IP PIIONE <br />NITECT OR DESIGNEn MAiI ADDRESS <br />F Q g3IS" <br />CITY <br />Tie <br />/P' <br />Ili`,(-_ <br />PNONE <br />4Q1.955/ <br />�T <br />ENEfUL CONTRACTOR MAIL AGOnE 55 <br />__---�g <br />rd Y <br />!rl' <br />PntINT. <br />51ATE LICENSE. <br />PIIONE <br />STATE LICENSE( <br />MECIIANICALCONTRACTOn MAIL ADDRESS <br />CITY <br />!ii' <br />Rv <br />PHONE <br />STATE LICENI'EI <br />PLUMBING CONTRACTOR MAIL ADDRESS <br />CITY <br />CON/RACY PRI E OF Won; <br />�L ) <br />BEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />O SCRIBE WURN AND SOIIAR 100TADE INVOlVEO <br />e ryiove a nab =.,sig/l IV <br />1' <br />Curl 0st ohs <br />f.OHIAIa PT IISOII AND PIIONF. NO <br />_ -- <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICA1 ION AND KNOW THE SAME TO BE TRUE ANC CORRECT ALL <br />PFlOV!SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GIIANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHEII STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE Ov 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 />CO TRA(:TCRSL W1� AND 296.200 WAC. <br />- <br />PROPOSED USE OF BUILDING <br />LEGAL DESCRIPTION OF PROPERTY ISIIOWN BELOW On AT1ACII TWO COPIES) <br />LOT BLOCK Of <br />PARCEL TAX I.D. NUMBER <br />CONSfRUCRON LOAN LENDEn, ADDRESS, TFLEPIONE NUMBER <br />_ _ <br />IONAIT;TIE DATE <br />CITY BUSINESS lCENSE NO <br />PLUMITING <br />MECIIANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />rF,E _ <br />T <br />�- <br />NO. _ <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />UNITS <br />_ ! <br />BATHTUB <br />' <br />_A/C—A1INDLG <br />AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />I <br />_FOPCED <br />I TEAT PUMP <br />I <br />SHOWER <br />' <br />U_141T HEATERS <br />' <br />KITCHEN SINK 8 DISP <br />_ <br />CLOTHES DRYERS <br />DISHWASHER <br />�— <br />_— <br />RANGE HOOD <br />' <br />LAUNDRY TRAY <br />; <br />WATER I IEATEFl <br />; <br />CLOTHES WASHER <br />_ <br />I <br />_ <br />WOODSIOVE <br />I <br />URINAL <br />Mf IAL FIREPLACE (WOOD BURNING) <br />' <br />_ <br />DRINKING FOUNTAIN <br />I <br />_ <br />FIIEPLACE INSERT (WOOD BURNING) <br />i <br />DRAIN <br />GAS FIREPLACE <br />' <br />_FLOOR <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />- <br />SINK (SERVICE - BAR. ETC.) <br />I <br />GAS PIPING <br />' <br />— <br />' <br />-- <br />EXI MUST FAN <br />' <br />I <br />' <br />� <br />I <br />, <br />I <br />I <br />_ ' <br />I <br />' <br />SUB TOTAL $ <br />' <br />SUB TOTAL S <br />PERMIT $ <br />I <br />PERMIT S <br />I <br />TOTAL FEE S <br />' <br />TOTAL. FEE S <br />' <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK 1 REAR SETBACK I SIDES[ TBAC.K r P1 All CIICCK MIM111 IT FEE RECEIPT NO <br />USE ZONE <br />LOT AREA <br />VACANT 511C <br />UYFS O NO <br />OIIII IIIIIO <br />HEIGHT LIMITATION <br />NO OF OWELUNG <br />SIZE OF BLOGnI <br />-----'- <br />UNITS <br />Ir111MNHn <br />MECIIANIC.AI <br />OCCUPANCY <br />GROUP <br />I NO 01111011 <br />OCCUPANT LOAD <br />BASEMENT <br />O rFS Dr10 <br />--- <br />FIRE BPRINKLERnEO'O <br />RFASON <br />ADDITIONAL PIANCOICK <br />0II411 -- <br />----'-- <br />_ <br />FIRE ALARM REOV <br />REASON <br />..TA)E n1111IIIIIG !iI II1f.IlAllliF <br />TYPE OF C,ONST <br />PLANS APPIIOVEO UY <br />CITY OF EVERETT <br />rum¢wnnAS <br />LOCAL SALES <br />- -- <br />- <br />.,. <br />TAX CODE IS 3105 <br />TOTAL <br />1 <br />