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APPLICATIO.. FOR CONSTRUCTI N PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />I HEATING SYSTEM: U GAS U ELECTRIC L9 I <br />BUILDING DEPARTMENT <br />259-8810 <br />IjdRDEMOLITION � 1 COMBINATION I J BUILDING ❑ MECHANICAL ❑ PLUMBING O SIGN <br />OWIlER IAAR�ODRESS CITY 21P PHONE <br />BRCR Associar.es, 1429 Broadway Everett Wa. 98201 258-1414 <br />lE�i�Nt MIIRADORE55 CIfY 21P Pf10NE <br />OIiUE51GNER MRIl11DDRE55 <br />CITY ZIP PIqNE <br />GE��EMICONiR4CTOH IAAIL�OORESS CITY 21P PI/ONE STI1iElILEN9E� <br />Welch Enter rises, Inc. P. 0. Box 366, 115 Lind Street, Mt. Vernon, Wa. 98273 1092 <br />MECIIANICQLON1f1ACTOR M�ILRODRE55 CI7Y ZIP PIIONE STATEUCENSEI , <br />fjJC11� l-f r= � 0 �� 9 lJ i� � l7- 9 <br />_._.. ..., nurwc Ri�IELICENSE� <br />CON1f1ACTOR <br />cor+Tn�cr rAwe ov worm <br />DE <br />MnR �UDiiESC <br />MVplVEO <br />Everett Fire Department and then debris <br />Jf <br />PROI'OSEO USE OF BUILDINJ <br />IE��L DB`3CRIPIqN OF PIIOPERi v ISIIONRI BELOW OR ATUCN T WO COPIES) <br />�or e�oac � <br />Beg. NE cor NE�, NE�L NW�4, th W 94.71 ft to <br />Sely Bdy St. Rd No. 1, Th Swly alg ed Bdy 1 <br />to TPB. etc (Sec 17 'L�o 29 R 5) <br />PMCEL TA% 1 D. NUMBER <br />S15 N Sroadwav Units 22,'13,24,2 <br />PLUMBINO <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLQSET (iOILET) <br />BATHTUB <br />LAV�TORY(NASFIBASIN) <br />SNOWEH <br />KITCHEN SINK 8 UISP _ <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNlAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF ORAINS-RAINLEADERS <br />SINK (SERVICE-BAR, ETC.) <br />SUB TOTAL E <br />PERMIT S <br />TOTAL FEE E <br />FOR OFFICE USE ONLV: <br />iAONTSETB�CN OEMSETB�CN SIDI <br />USEZONE <br />trtt a Carst. <br />SI2E OF BLDG. <br />INIANE BY <br />ARE� <br />FIfiE SPHRMLERS REOD <br />PAIE <br />❑ YES Cl NO <br />oa�mr�.r �roaownin�oums <br />cnaw <br />❑ YES ❑ No <br />CITY OF EVEREn <br />LOCAL SALES <br />TIU( CODE IS 3105 <br />cont�cr <br />�Pfon 258-1414 <br />I HEREBY CERTtFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AN� ORDINANCES OOVERNINO THIS TVPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEhEIN OR <br />NOT. THE GRANTINO OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW REOULATINO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AN� I COMPLY WITH TNE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />UNIT HEATERS—B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANOEHOOD <br />WATER HEATER <br />WpOQSTOVE <br />METAL FIREPLACE (WOOD BURNING) <br />FIREPLACE INSERT <br />NEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUB TOTAL S <br />PERMIT S <br />TOTAL FEE S <br />�reuuuaow. FEE p� <br />BUILDIN� <br />PLUMBING <br />MECHANICAL ,� <br />ADDITIONAL PLAN CHECK <br />OTHER <br />SiATE BUIIDING SURCHARGE <br />PUBLIC WORNS <br />iUiIIL <br />H <br />