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APPLICATI(!.i FOR CONSTRUCI JN PERMIT <br /> TO 8E COMPLETED IN BLACK INK—PLEASE PRINT �'� <br /> BUILDING DEPARTMENT HEATING SYSTEM: ❑GAS D ELECTRIC I] i,� u.<!Ea*z-o n-c d c'. <br /> 259-8810 <br /> DEMOLITION COMBINATION �BUILDING MECHANICAL PLUMBING SIGN <br /> OWNER nN j MAILAOORE55 GITV ZIP PMONE //� /��''j �7 <br /> ENA15 C7 /V /\ /1N MAl�lpaa � � ��Q�TyI'—Ll�� ZI�I PHON�7 T)~/ 1 l 9J <br /> AR IEf.'ORDESIGN MAILADDRESS � �ITV ZIP HONE <br /> , l 7 <br /> / <br /> GENE ALWNTRACTINi MAIIADDRESS CITY 21P PNONE STFTEJ:cNSEa <br /> �_�:�J A�L,� <br /> AIECHPNICALCONTRqGTOF MRILADDRESS CITY ZIP PNUNE STATELICENSE♦ <br /> �, <br /> PLUIdBINGGONTRACTOP MAILADDRESS CiTY ilP PHONE (,TATELICENS@r <br /> C1A550F WORK <br /> � �I NEW ADDITICiJ _ _ALTERA OM REPJdR DEMOLITION WOODSTOVE/FRPL INSEFT '. BUILDING RELOCATIO�I <br /> ��ax3� � � �� O� C)NAGTPERONANOPH EN0 ��^ �� <br /> CONTRGCTPRIGEJFWOIiK � ) f - •�� � <br /> iiJG � <br /> UESCryOEWORKAN05 RE `A�;INVOLVED _ <br /> / <br /> PRo SEDOSEOFBOIIDING r , i HEREBY CERTIfY THAT I HAVE READ AND EXAMINED THIS <br /> � APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> N <br /> ecn�o�scaiv�wNOFvaorearvisNowrvoeowoanrrncHF uacoaies PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> WORK WILL BE COMPLETED WITH WHE-THER SPECIFIED 11EREIN OR <br /> tor BLOCK �� oF � NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �� AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> a(/ OTHER STATE OR LOCAL I^.W REGULATING CONSTRUCTION OR THE <br /> , / PERFORMANCE OF CONSTFUCTION. THAT I AM AUTHORI7.ED BV THE <br /> � OWNER OF THIS PROPERTY i0 PERFORM TIiE WORK FOR WHICH <br /> ^ PLICATION IS MADE AND I CO!APLY WITH THE STATE <br /> J�J � � ONTRACTORSLAW 18.27RC AND 96200WAC. <br /> X / <br /> PqOJECTAD/��]RES scr�>runE oai — <br /> �" ' U CI1YpU5iryE$SI�L _ENO <br /> PLUMBING MECHANICAL <br /> N0. T fPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> 'NATER CLOSET(TOILET) � AiC—AiHNDLG UNITS—H.P. <br /> I3ATHTUB ; 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 T, — <br /> � LAUNDRY TRAV ; WATER HEATFF <br /> CLOTHES WASHER � WOOD STOVE ; <br /> URINAL � A�SETAL FIREPLACE 8 CHIMNEV � <br /> DRIWKING POUNTAIN FIREPLACE INSERT � <br /> ROOR DRAIN HEAT PUMP �— <br /> ,9ACKFLOW PREVENTERS ' GAS PIPING <br /> RCOF DRAIN9—RAINLEADERS � EXHAUST FAN � <br /> SINK(SERVICE—BAR,ETC.) <br /> � <br /> � — <br /> � <br /> �— <br /> SUD TOTAL y ' _ SU�IOT�L $ <br /> PERMIT $ i PERMIT $ <br /> TOTALFEE $ � TOTALFEE $ <br /> FOR OFFICE USE ONLY: �- : 3� <br /> FFONTSETBAGk REAq5ET0ASN SIDESETBFCK PIANCHECKNUMBER FEE RECEIPT . <br /> , a ' ,o � o� �; � . � �;l,,,4c� � �pPU,� <br /> �USE2GNE LOTAREA vacaNrsrtE FEES ' VALUATION FEE <br /> �'V I �C� ' "� BUILDING �� � /� � � v0 <br /> 7YPEOFGONfS.AI�..OWABLE TYPE CONSfACiUAI otcuremcr Honrarvuur:cu�a�s <br /> -t/� � .ry / tao o � / pLUMBING � <br /> yN Jl.1V <br /> 52E OF BLDG. NO OF STORICS DASEMENT !AECHANICAL � <br /> i�qti�,r� � rVv ' - <br /> OCCUPANGYLOAD FIRESPRNKLEPSREO'D HEIGNTUMITATIDN ADDITIONALPLANCHECN � �"� ,. <br /> � �10 � - <br /> SPRINKLER , <br /> i REASONFOBSFRINKLERS � <br /> —_r'_" <br /> STATE BUILDING SURCHARGE 'S-lj <br /> INiAKE BY PLqNS APPROVED DY CITY OF EVERETT PUBLIC WORKS 3S'i p0 <br /> LOCAL SALES <br /> �� Z5 � J� TAX CODE IS 3105 TOTAL � � � <br /> - E o d' <br />