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I <br />APPLICATIGA FOR CONSTRUCT rON PERMIT <br />CI fY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 •259-8810 <br />n DEMOLITION COMBINATION I I BUILDING I I MECHANICAL I PLUMBING f I SIGN <br />OWNER <br />MAIL ADDRESS <br />CITY <br />�ZZIIP PHONE <br />�'f" <br />IAVIV Ud",t�rr <br />lF <br />✓Ir//r %p2yj, iI/�!'JP <br />TENANT <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE Y <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE STATE LICENSE II <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE S,AIE LICENSE A <br />CONTRACT PRICE OF WORK <br />D G7u ?77' <br />HEATING SYSTEM: 71 ELECTRIC flf-1 ELECTRIC fl _ <br />DESCRIBE K A1N1ID SOU E FOOTArOECINYOLVED <br />CONTACT PERSON ANp PHO/NE NO <br />Hov-rr — 775— <br />Q r <br />I 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 THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAG. <br />X <br />raoPosEo u�E of BUILdNG <br />�� <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH COPIES) <br />LOT BLOCK DF r/f <br />P <br />EL TAX LD. NUMB <br />n yf�z ooe Fort 000? <br />CONSTRUCTION 10 N LENDER, ADDRESS. TELEPHONE NUMBER <br />I d'^ri <br />SIGNATURE DATE <br />CITY BUSINESS LICENSE NO <br />PLUMBING <br />MECHANICAL _ <br />NO. TYPE OP EQUIPMENT FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />A/C—AMNOLGUNITS —H.P. <br />' <br />7— <br />BATHTUB <br />FORCED AIR SYSTEMS74 B.T.U. M E.A. <br />' <br />LAVATORY (WASH BASIN) <br />1 <br />HEAT PUMP <br />I <br />SHOWER <br />' <br />UNIT HEATERS — B.T.U. M <br />KITCHEN SINK 8 DISP <br />CLOTHES DRYERS <br />i <br />DISHWASHER <br />VENTILATION FAN <br />' <br />LAUNDRY TRAY <br />RANGEHOOD <br />i <br />CLOTHES WASHER <br />I <br />/ <br />WATER HEATER <br />URINAL <br />' <br />WOOD STOVE <br />' <br />DRINKING FOUNTAIN <br />I <br />METAL FIREPLACE (WOOD BURNING) <br />1 <br />_ <br />FLOOR DRAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />' <br />BACKFLOW PREVENTERS <br />; <br />GAS FIREPLACE <br />) <br />SINK (SERVICE — BAR, E'i C.) <br />I <br />OAS RANGEof <br />' <br />c r <br />Z <br />GAS PIPING <br />' <br />Z <br />Nurr <br />EXHAUST FAN <br />I <br />' <br />I <br />I <br />' <br />' <br />I <br />' <br />SUB TOTAL E <br />' <br />SUB TOTAL E <br />' — <br />Ov <br />PERMIT f <br />I <br />PERMIT E <br />I <br />TOTAL FEE S <br />' <br />TOTAL FEE S <br />' <br />FOR OFFICE USE ONLY: <br />FRONT SFiPACK <br />REAR SETBACK <br />Z <br />SIDE SETBACK <br />PLAN CHECK NUI�BFR <br />rN�• 1 �� <br />TEE ) <br />CJ CS� <br />RECEIPT NO <br />USE ZON �-,, <br />IOT AREA <br />VACANT SITE <br />I IYES II NO <br />FEES <br />VALUATION <br />FEE <br />BUILDINO <br />6Z 5 <br />— <br />HEIGHT LIMITATION <br />;Z 2 <br />NO OF DWELLING <br />UNITS <br />SIZ OF PL m <br />I 7J jS Le 4./V/A/:I <br />PlI1MBING <br />OCCUPANCY HO DSI(NXFS <br />GRM P <br />y3-I IAj <br />7AODIGONAI. <br />FIREALARM EOD <br />(] <br />OCCUPANT LOAD BASEMENT <br />)IYES GYNO <br />REASON <br />MECHANICAL <br />PLAN CHECK <br />OTHER <br />FIRE BP I ER REDO <br />n <br />REASON <br />STATE BUILDING SURDIARGE <br />TYPE OF GONST <br />PLANSAPPROV€D BY <br />PATE Z//L 91ca <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />PUBLIC WORKS <br />2 <br />TOTAL <br />�ZIOZ <br />