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f <br />APPLICATIC A FOR CONSTRUCT ._73N PERMIT <br />TO BE COMPLETED IN BLACK INK -PLEASE PRINT <br />BUILDING DEPARTMEN? HEATING SYSTEM: NGAS U ELECTRIC U —� <br />2598810 <br />DEMOUr ION _ ! COMBINATION BUILDING MECHANICAL 1PLUMBING I SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />TENANT MAIL ADDRESS CITY ZIP PHONE <br />AOCHGECI OR DESKINER MAR ADDRESS CITY ZIP PHONE <br />OENEMLCONtRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LILENSEE <br />L L $�/LDc �5 l07f 112EW_Li �Y�KE7T gBZo'l 19D-Ipl �I LLIIUIIglpl <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE F <br />PLUMBING CONTRACTOR MAIL ADDRESS CRY ZIP PHONE STATE LICENSE <br />CLASS OF WORK <br />'Y NEW I I ADDITION I I ALTERATION REPAIR I DEMOLITION I I WCODSTOVE/FRPL INSERT 11 BUILDING RELOCATION <br />CONTRACT PRICE OF WONK / <br />7 <br />CAfrtM:T PERSOND PIIUNE NO. <br />/_ xk <br />DESCRIBE WORK AND SOUARE FOOTAGE INVOLVED <br />290-ISMS <br />_ <br />PROPOSED USE OF BUILDING <br />�'5U (;, LV EA M 1 LEI HA <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 COMPLETE- WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATEO OTHER STATE OR LOCAL LAW CANCEL THE PROVISIONS OF ANY <br />W REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER O <br />APPLICATION IISRMADE AND OPERTY TO PI COMPYERFORM HWITH KT ER STATE <br />CONTRACTORS LAW 10 7 RCW AND 296.200 WAC. <br />LEGAL OEf&RIPTION OF PROPERTY (SHOWN BELOW OR ATTACH FOUR om <br />TA'AcT- 7A LA.vd <br />LOT G BLOCK of #ABC Vm <br />QC �� /�Z� <br />—T------ ----- <br />�� <br />P — - <br />PROJECT ADDRESS <br />PLUMBING <br />.rurNPF ��.nnlE <br />CITY BUSINESS IInr,,Em <br />MECHANICAL <br />no. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILE 1) � <br />_ <br />_ <br />L <br />A/C—A/HNOLG UNITS—H.P. <br />i <br />BATHTUB -�%-- <br />FORCED AIR SYSTEMS-B.T.U. M E.A. - <br />3 <br />- <br />LAVATORY (WASH BASIN) // <br />_- <br />UNIT HEATERS-B.T.U. M <br />SHOWER / <br />' <br />CLOTHES DRYERS <br />' <br />KITCHEN SINK & DISP <br />VENTILATION FAN <br />; <br />/ <br />DISHWASHER - <br />' <br />HOOD - <br />�— <br />LAUNDRY TRAY - <br />_RANGE <br />WATER HEATER <br />CLOTHES WASHER - / <br />I <br />$ <br />WOOD STOVE <br />I <br />URINAL <br />METAL FIREPLACE & CHIMNEY GA5 <br />' <br />DRINKING FOUNTAIN <br />I <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />' <br />-B- <br />HEAT PUMP <br />' <br />BACKFLOW PREVENTERS <br />; <br />GAS PIPING <br />' <br />ROOF DRAINS-RAINLEADERS <br />' <br />EXHAUST FAN <br />I <br />SINK (SERVICE -BAR. ETC.) <br />, <br />I <br />1 <br />I <br />I <br />I <br />SUB TOTAL $ <br />- <br />SUB TOTAL $ <br />- <br />PERMIT $ <br />PERMIT 3 <br />TOTAL FEE $ <br />TOTAL FEE $ <br />' <br />FOR OFFICE USE ONLY: <br />FRONTSETDACK / <br />REAR SETBACK / <br />SIDESEIBACK <br />PLAN CHEC P41 MaEn <br />3 <br />FEE L� <br />G ,�N <br />RECEIPT NO <br />USEZONE <br />LOTAHEA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />RUILDING— <br />- —�-- - <br />-- <br />~ 1 <br />mKDECONIIS„—ALLOWABLE <br />TYPE OF CONST ACTUAL <br />aawuc. xa ovxEu+:culnra <br />_ / <br />V <br />PLUMBING <br />_ <br />25EOFJLM3.F y <br />NO. OF STORIES <br />BASEMENT <br />MECHANICAL <br />66 1R <br />Z <br />ADDITIONAL PLAN CHECK <br />OCCUPANCY LOAD <br />FIRE SPRNKLERS RELiD <br />HEIGHT LIMIIDT17 <br />Nb <br />REASON FOR SPRINKLERS <br />SURCHARGE <br />� v <br />STATE BUILDING <br />INTAKE BV <br />PUNB AgqPROVED BY <br />CITY OF EVERETT <br />PUBLIC WORKS <br />20� <br />`J H <br />LOCAL SALES <br />TAX CODE IS 3105 <br />TOTAL <br />— <br />