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APPLICATIC -I FOR CONSTRUCT,„,,IN PERMIT 47, <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT HEATING SYSTEM: L1( AS IDELECTRIC <br /> 259-8810 <br /> LI DEMOLITION 1 1 COMBINATION I 1 BUILDING LI MECHANICAL 1111 PLUMBING I 1 SIGN <br /> OWNER MAIL ADDRESS <br /> CITY ZIP PHONE <br /> TENANT MAIL ADDRESS CITY ZIP PHONE <br /> r,06,72,-,06S1-. P.o. (Sox. Z.IZg 5./e- ITT V 2.o z5 -z431 <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br /> GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSER <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSER <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSER <br /> CONTRACT PRICE OF WORK <br /> DESCRIBE WORK AND SOUARE FOOTAGE INVOLVED G.; .I <br /> 1 CONTACT PERSON AND PHONE NO. <br /> t►SSTA�L_ Cac-E0. . 1. N1 LJ E L.. G v./AL'T �E-EE-IN1 2S ES-z•4 3.1 <br /> IZoo1-4 <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSED USE OF BUILDING ID'P'1 L .S 4 ME GT 1E"I A APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> QCUt-4• PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEGAL DESCRIPTION OF PROPERTYISHOWN BELOW OR ATTACH TWO COPIE SI WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> LOT BLOCK OF NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS 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 /> PARCEL TqK 1.0 NUMBER APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> CONSTRUCTION LOAN LENDER.ADDRESS.TELEPHONE NUMBER y T� jr / / <br /> PROJECT ADDRESS _yfjTL 3 skpo, Ea DA4{ 1 3f 94' <br /> ZZo o6.�rMP+e- £ L ./&� E �e.J ./=`( GY BUSINESS LICENSE HO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—AMNDLG 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 DRYERS • <br /> KITCHEN SINK 8 DISP VENTILATION FAN <br /> DISHWASHER RANGE HOOD • <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER _ WOOD STOVE <br /> URINAL METAL FIREPLACE(WOOD BURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> SINK(SERVICE—BAR,ETC.) <br /> 1 <br /> SUB TOTAL S SUB TOTAL $ <br /> PERMIT $ PERMIT S <br /> TOTAL FEE S TOTAL FEE $ <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBACK REAR SETBACK SIDE SETBACK PLAN CHECK UAIBEI1) FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> YES El NO BUILDING /ppo <br /> TYPE CIF COIIST./ NO.OFSTORIES OCUP3+,,,�CE MC PK,TlLV Gl.VUS C�S <br /> V ��// 11) PLUMBING <br /> SIZE OF BLDG FIRE SPRINKLERS RECTOBASEMENT MECHANICAL <br /> a$09 (T.I\.! �V - YES NO <br /> — <br /> OCCUPANCY LOAD / FIRE ALARM RAO D HEIGHT LIMITATION ADDITIONAL PLAN CHECK <br /> 3aQ Vd <br /> REASON OTHER f <br /> STATE BUILDING SURCHARGE y - C.)INTAKE BY Puy s APPROVED BY CITY OF EVERETT PUBLIC WORKS / ' <br /> stir: <br /> LOCAL SALES <br /> DAE Li ../3_1 TAX CODE IS3105 TOTAL <br />