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APPLICATIG_1 FOR CONSTRUCT. JN PERMIT <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT � <br /> BUILDING DEPARTMENT HEATING SYSTEM: ❑GAS ]ELECTRIC ❑ <br /> 259-8810 <br /> � DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING 1 SIGN <br /> ���C� / `�/(QM��ESSa73//—��r,�.�C`/f✓` �(/ ZIP O/ 1'NONE <br /> J C 9Xa ��s a -/��y <br /> TENANT AHIL ADORESS dTV ZIP PMONE <br /> G A. :�?3� ��Ofaac.cJ✓� �v y��.�a� �,� /�,�9 <br /> RRCHITECTORDESGNER P���nDORE55 CITv 2�' PHONE <br /> U LU yl r f� �� �( s/ // <br /> GENERAL CONTRqCTOR IdAI,qO�PESS GITV ZIP PNONE STRTE LIGENSE� <br /> MELH�NICQCONTR�CTOR MAIUODPE55 LItY ZIP P40NE STATELICENSEt <br /> PLUMBING CIXJTR�CTOR MRIL pOGRE55 C�TY Z�P PHONE STpTE LICENSE I <br /> CLASS OF WORK _ <br /> ; I NEW I ! ADDITION � ALTERATION REPAIR . DEMOUTION WOODSTOV6FRPL INSERT ' BUILDING RELOCATiON <br /> " - ------ <br /> CONIACT PERSON ANO PHONE NO. <br /> CONiRRCT PRICE OF WORK <br /> DESCRIBE WORN AND SOVARE FOOTRGE INVOLVED <br /> PPOPOSEDlISEOFBUIIDING i HEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEGAI DF.SCRIPTION OF PROPERtt�SNOWN OELOW OR RTTACN FOUR COPIES� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �or N�°�K oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I qM AUTHORIZED 8Y THE <br /> _ OWNER OF THIS PROPERTY TO PERFORId THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE . <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> � <br /> PROJECTADDRESS X vnwR��� �/%�N!���� � // �� <br /> o�.E <br /> � v ff-�u> �J� �Jf� ,�. �,,.A�s��Eu�ME�s��o <br /> PLUMB�N(i Qv� MECHANICAL <br /> NO. TYPE OF flXTURE OR ITEM FEE NO. TVPE OP EOUIPMENT �E <br /> WATER CLOSET(TOILET) A/C—A�HNDLG UNITS—H.P. <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. � <br /> LAVATORY(WASH BASIN) UNIT HEATERS—B.T.U. M � <br /> _ SHOWER CLOTHES DRVERS <br /> KITCHEN SINK 8 DISP ; VENTILATION FAN <br /> DISHWASHER �- RANGE I IOOD <br /> LAUNDRV TRAV WATEN HEPTER <br /> CLOTHES WASHER � WOOD STOVE ; . <br /> URINAL MCTAL FIREPLAf,E 8 CHIMNEY <br /> DRINKING FOUNTAIN � FIREPLACE INSERT � <br /> FLOOR ORAIN HEAT PUMP , <br /> _ BACKFLOW PREVENTEflS GAS PIPING <br /> ROOF DRAINS—I�AINLEADERS � EXHAUST FAN ' <br /> SINK iSERVICE—BhR,ETC.) � <br /> � <br /> --� <br /> � <br /> SUB TOTAL $ SUB TOTAL $ <br /> PERMIT $ PER1'IT $ � <br /> TOTALFEE 5 TGTALFEE $ <br /> FOR OFFICE USE ONLY: <br /> � FFONTSET�ACN REARSETBACK SIDESETBACN PLANCHECKNUMBER FEE RECEIPTNO. <br /> � � � ! � � <br /> u5E ZONE l0T FREA VpCRNT SITE FEES VALUATIO'= PEE <br /> C — � <br /> tlJILDING ' <br /> i <br /> iVPEOfGONtS.AtLOWABIE 7YPEOFCOk57.AL1UAl p:cuveNcr naattn•,�:vcuxn5 �-- <br /> �pa'� l pLUM911JG � <br /> SIZEOFBLDG NOOFSTORIES BASEMSNT MECHANICAL � <br /> i <br /> OCCUPANCv LORo FIRE SPRNKtERS pE00 NEIGHt LIMIinT10N ADDITIONAL PIAN CHECN � <br /> �' <br /> SPRINKLER <br /> RERSON FOR SPRINKIERS <br /> T <br /> STATE BUILDING SURCHARGE ; <br /> INTRN[BY P1A�15 qPPqOVEO BV i <br /> � CITY OF EVERETT PUBIIC WORNS � <br /> � LOCALSALES ' <br /> f '1 TAl(CODE 1' �105 Tor�� ; <br />