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APPLICATIOA FOR CONSTRUCTkON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 A259-8810 <br />11 DEMOLITION ( I COMBINATION I I BUILDING 1 1 MECHANICAL PLUMBING 1 11 SIGN <br />PROJECT ADDRESS <br />,. <br />, <br />A <br />I h <br />7 e' 5 <br />OWNER ' <br />MAIL ADDRESS <br />CITY <br />TIP <br />PIIONE <br />T NANT <br />MAILL ADOTIFSS <br />CITY 71P <br />PIgNE <br />ARCHITECT OR DESIGNER <br />MAII ADDRESS <br />CITY 71r <br />PIIONE <br />PHONE STATE LICENSE F <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY )Tr <br />MECHANICAL C-O-LIL-TRACTOR MAIL LA.DDDRESS ary 71r PIIONF STATE ULETI5EA <br />111OY/Nerd L N 11 L% <br />PLUMBING CONTRACTOR MAIL E59 CIT\ ZIP PHONE. STATE LICENSEE <br />CONT T PRICE O WORK <br />3/02 <br />HEATING SYSTEM: I l GAS I I ELECTRIC fI <br />DESCRIBE WORK AND SOIARE FOOTAGE INVOLVED <br />CONTACT PFRSON AND rIIONE NO <br />Y <br />1 HERcBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PVOVISIONS OF LAWS A4D 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 />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 118...227 FICWW AND 296.200 WAC. <br />X ry vita. �✓L+LN -Z'1'F4SO'^` D�fz-7,�ggS <br />PROPOSED USE OF BUILDING <br />_ <br />LEGAL DESCRIPTION OF PROPERTY ISIIOWN BELOW OR ATTACH TWO COMES) <br />LOT BLOCK of <br />PARCEL TAXI D NUMBER <br />CONSEFILICRON LOAN LENDER. ADDRESS. TELEPHONE NUMBER <br />SIGNATURE DATF <br />CITY BUSINESS IICENSC NO <br />PLUMBING <br />MECHANICAL <br />NO. _TYPE OF EOUIPMENT FEE <br />T <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />' <br />A/C—ARINDLG UNITS — H.P- <br />BATHTUB <br />' <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />' <br />LAVATORY (WASH BASIN) <br />I <br />HEAT PUMP <br />' <br />SHOWER <br />' <br />UNIT HEATERS — B.T.U. M <br />' <br />KITCHEN SINK 8 DISP <br />i <br />CLOTHES DRYERS <br />DISHWASHER <br />' <br />VENTILATION FAN <br />! <br />LAUNDRY TRAY <br />i <br />RANGE HOOD <br />CLOTHES WASHER <br />I <br />WATER HEATER <br />' <br />URINAL <br />' <br />WOOD STOVE <br />'f— <br />DRINKING FOUNTAIN <br />I <br />ME IAL FIREPLACE (WOOD BURNING) <br />FLOOR DRAIN <br />' <br />FIREPLACE INSERT (WOOD BURNING) <br />' <br />BACKFLOW PREVENTERS <br />GAS FIREPLACE <br />SINK (SERVICE — BAR, ETC.) <br />I <br />GAS RANGE <br />' <br />' <br />GAS PIPING <br />I <br />EXHAUST FAN <br />' <br />I <br />! <br />I <br />I <br />� <br />T— <br />r <br />' <br />SUB TOTAL S <br />' <br />SUB TOTAL S <br />' <br />PERMIT S <br />I <br />PERMIT S <br />I <br />TOTAL FEE S <br />' <br />TOTAL FEE S <br />' <br />t nn nrC ^m nee nul V. <br />FRONT SFIRACK <br />REAR SFTSACK <br />SIDE SE TRACK <br />PUINCIIET-K Um"VW <br />FFE <br />RECFIPT NO <br />USEZONE <br />IOTARFA <br />VACANT STTF <br />IYES 11 NO <br />FEES <br />VALUATION <br />FEE <br />— <br />BUILUI ITT <br />HEIGHT LIMITATION <br />NO ODWFLLINO <br />UNITS <br />SIZE OF BLOGrTI <br />PLUMBING <br />I <br />MECHANICAL <br />OCCUPANCY W W STORIES <br />GFINIP <br />'TIE ALARM RED D <br />OCCUPANT LOAU PASEMENT <br />rES 11 NO <br />RFASON <br />ADDITIONAL PI AN CHECK <br />DINER <br />FIRE S%RINNIER REDO <br />Rf ASfri <br />STARE BUII DING SITREITARGE <br />PURR IC WORKS <br />' <br />TYPE. OF CONST <br />PI ANS APPROVED BY <br />BATE <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />TOTAL <br />