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APPLICATI��� FOR CONSTRUC�'DN PERMIT <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT � <br /> BUILDING DEPARTMENT HEATIiJG SYSTEM: �CAS O ELECTRIC ❑ <br /> 259•b810 <br /> I:1 DEMOLITION ❑ COMBINATIOPf ❑ BUILDING iX MECHANICAL ❑ PLUMBING f=l SIGN <br /> OWNER MAILA��RES� � CITY ZIP PHONE <br /> GMAB, INC. �aa /Q�������O(� Bellevue �j�vo� 453-0304 <br /> TENANT MAILADDRE55 CITY 2'P FIiONE <br /> HAIRCRAFTERS 4835 Evergreen Way Everett 98203 <br /> AR^,HITECTORDESIGNER MAILADIIRESS CITY ZIP PHOIIE <br /> GENERALCONTFACTGR MAILADOPESS CITY ZIP PHONE S7ATELICENSEx <br /> TGP Constr. 1129 Eastlake East Seattle 98109 624-4778 <br /> MECHANICALLONTflACTOR MAILA�DflESS SW Spokan�e� St . 21P PHONE STATEUCENSEp <br /> MARTIN AIR CONDIT:ONING, INC. Seattle 98106 932-4048 MARTIACOBIB9 <br /> PLLIMBING CONTRACTOR MAIL ADDRE55 CITY 21P F'HONE STATE LICENSE# <br /> .,� - ,. CLASSOFWORK <br /> LJ NEW [ 1 ADDITION QC ALTERATION CI REPAIR I. I DEMOLITION I I WOODSTOVE/FRPLINSERT 1-1 BUILDINGRELOCATION <br /> CONTACT PERSGN AND PHONE NO. <br /> CONTRACTPPICEOFWORK $ 5 .00 .�(pOv Tully McIntyre, President 932-4048 <br /> DESCRIBE WORK AND SOUARE FOOTAGE INVOLVED <br /> Install (1) 5 TON Gas/filectric Roof-Top Unit <br /> PROPOSEDUSEOFBIIILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Reta i 1 APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEGALDESCRIPTIONOFPROPEflTY�SHOWNBELOWORATTACHFOUflCOPIES) PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEQF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECI�IED HEREIN OR <br /> �oT BLOCK __ OF NOT. THE GRANTING OF A PERMIT DOES NOT PRES1IME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL L.�W REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNEfi OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 78.27 RCW AND 296200 WAC. <br /> ��__�:l� 06/23/93 <br /> ' PROJECTA�DBESS �SiGNATME y DFTE <br /> 4835 Evergreen Way Everett 0753�'fq <br /> CITY BUSMESS tiCENSE NO. <br /> PLUMBING MECHANICAL <br /> � NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE _ , <br /> � WATER CLOSET(TOILET) � A/C—FUHNCILG UNITS—H.P. � <br /> � BATHTUB ; � FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> LAVATORY(WASH BASIN) � UNIT HEATEFS—B.T.U. M � <br /> SHOWER ' CLOTHES DRYEFS � <br /> KITCHEN SINK&DISP � VENTILATION FAN ; <br /> ; DISHWASHER � RANGE HOOD � <br /> � . LAUNDRYTRAY ; 1 VJATERHEATER Ventin ONLY � <br /> CLOTHES WASHER � WOOD STOVE <br /> URItJ�4L ; METAL FIREPLACE 8 CHIMNEY � <br /> DRINK�NG FOUNTAW I FIPoEPLACE INSERT � <br /> FLO.OR ORAIN � HEAT PUMP � <br /> BACKFLOW PREVENTERS ; ]. GAS PIPING ; <br /> ROOFDRAINS—RAWLEADERS � EXHAUSTFAIJ � <br /> SINK(SEflVICC—BAR,ETC.) ; � <br /> � <br /> � � <br /> , � <br /> � <br /> � <br /> � � <br /> SUB TOTAL 3 ; � SI1R iJTAL $ ; <br /> PERMIT $ � PERMIT $ _ <br /> TOTALFEE $ ' TOTALFEE $ <br /> FOR OFFICE USE OIvLY: <br /> FRONTSETBACK REARSETBACK SIOESETBACN PLANCHECKNUMBE� FEE RECEIPTNO. <br /> y�o�la <br /> USEZONE LOTAREA VACANTSITE FEES VALUATION FEE <br /> ��T^ <br /> BUILDING � <br /> 1YPEOFCC9i5.ALLOWABLE ttPEOfCONSLACTUAL aCUPeNtY NO.ofowELUNGUNns i <br /> �AW° � PLUMBING i <br /> SIZEOFBLOG. NO.OFSTORIES BASEMENT MECHANICAL � � <br /> OCCUPANCVLOAD FIRESPRNKLER'sAE�I'D HEIGHTLIMITATION ADDITIONALPLANCHECK i <br /> i <br /> � SPRINKLER i <br /> REASON FOR SPRINKLERS <br /> . STATE BUI�DING SURCHARGE i <br /> INTAKE BY PLANSAPPFOVEDBY CITY OF EUEREIT PUBLIC WORKS i <br /> LOCAL SALES , <br /> TAX CODE IS 3105 rora� ; <br />