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APPLICATIC I FOUR CONSTRUCT 3N PERF41T <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET r EVERETT, WA 98201 r259-8810 <br />Ll DEMO:-ITION COMBINATION ,,<BUILDING AECHANICAL ULUMBING ❑ SIGN <br />j <br />PPRROJJ EEC�T ADDRESS: 7O ed- SE <br />OWNER Mly EBS CITY V 1 JIP <br />IENMrt MAIL ADDRESS CITY ZIP rnONE <br />ARCHITECT On DESIGNER MAIL ADDRESS CITY P; PHONE <br />GENERAL CONTRACTOR MUI ADDRESS CITY Jlr PHONE SPATE LICENSE <br />SM41G, <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY J'r PHONE STATE LICENSE r <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE <br />L b vy— <br />CONTNArT PRICE or wOnK -. <br />,1 �!'� .) <br />HEATING SYSTEM: GAS ❑ ELECTRIC ❑ <br />DEES,7E WORK AND FOOTAGE INVOLVED <br />CONTACT PERSON AND PHONE NO <br />-SQUARE <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 />OTH STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PE O A CE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />O ER HIS OPERTY TO PERFORM THE WORK FOR WHICH <br />AP LICA IS ADEI <br />ND I COMPLY WITH THE STATE <br />C T R L 7A 96:400 WAC, <br />X D <br />PROPOSED USE OF BUILDING �- <br />» <br />U` <br />LEGAL OE SC IPTION OF PROPEOTY (SIN)BELOW OIL ATTACH TWO . IC' E.I <br />LOT BLOCK Or <br />— C <br />V I w ,� Yc+� 4 <br />PARCEL TAX 10, NUMBER <br />CONSTRUCTION LOAN LENDER, ADDRESS. TELEPHONE NUMBER <br />SIGNA UR DATE <br />CITY BUSINESS LICENSE NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />_ <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />' <br />A/C — AMNDLG UNITS <br />BATHTUB <br />' <br />FORCED AIR SYSTEMS <br />; <br />LAVATORY (WASH BASIN) <br />L <br />HEAT PUMP <br />I <br />SHOWER <br />' <br />UNIT HEATERS <br />; <br />KITCHEN SINK 6 DISP <br />I <br />CLOTHES DRYERS <br />DISHWASHER <br />I <br />RANGE HOOD <br />LAUNDRY TRAY <br />) <br />WATER HEATER <br />; <br />I <br />CLOTHES WASHER <br />I <br />WOOD STOVE <br />—t— <br />URINAL <br />' <br />_ <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />I <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />' <br />( <br />GAS FIREPLACE <br />_ 1 <br />BACKFLOW PREVENTERS <br />; <br />GASRANGE <br />; <br />SINK (SERVICE — BAR, ETC'.) <br />I <br />GAS PIPING <br />'o2, <br />EXHAUSTFAN <br />I <br />1 <br />I <br />SUB TOTAL f <br />' <br />SUB TOTAL S <br />PERMIT f <br />I <br />PERMIT f <br />TOTAL FEE S <br />TOTALFEE S <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK <br />PEAR SETBACK <br />SIDE SETBACK <br />PLAN CIIECK NUMRFR <br />FEF <br />RECEIPT NO <br />USE ZONE _ / <br />LOT AREA <br />VACANT SITE <br />DYES ❑ NO <br />FEES <br />VALUATION <br />FEE <br />_ <br />Duu nwR <br />(.• <br />NEIOITT LIMITATION <br />NO OF DWELLING <br />UNITS <br />SIZE OF BLOOR I <br />7 <br />' / <br />I_ <br />PLIINnING — <br />i <br />76 <br />OCCUPANCY <br />OnOUP <br />NO O SIORES <br />OCCUPANTLOAD <br />BAS ENI <br />MECHANICAL <br />/Q <br />v.4 <br />❑YES O <br />ADORIONAL PI AN GRCK <br />— <br />I <br />i <br />I — <br />FIRE PRIfNKLER REO'D <br />FIFARON <br />owEn <br />i <br />FIRE ALARM REO'D <br />REASON <br />1 <br />STATE BUILDING, SunpunOE <br />TYPE of CONST <br />PLANS AP PRO eY <br />CITY OF EVERETT <br />runur. worms <br />I <br />��— <br />LOCAL SALES <br />TOTAL <br />— <br />2 I <br />/,j <br />DATE 11ca q <br />TAX CODE IS 3105 <br />