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APPLICATIO��: FOR CONSTRUCT; )N PER�lI11T � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />BUILDING DEPARTMENT HEATING SYSTEM: U GAS ❑ ELECTRIC U <br />259•8810 <br />� DEMOLITION � I COMBINATION I l BUILDING C 1 MECHANICAL I 1 PLUMBING ( 1 SIGN <br />OWNER IAI11L AODRE55 CITY ZIP PHONE <br />R.R_r u n t t�,�4�o n .t v +r n oa�} 258-1414 <br />T[NANT MRILADDRE55 CI1V ZIP PMONE <br />Vacant _ _ <br />AFCNITECTORDESIGNER MRILAJURESS CI1V ZIP PHONE <br />G[HEA�LCO�I7qACiOR IdAIL�DORES$ CITY ZIP �ypJJE336-9S785TATELICENSE� <br />Vb 1�9z <br />j��t h F rarnri £, T P 0 Box 366 115 Lind St Mt Vernon (da �R273 <br />MEf.1/AHIC�LCONTRAGTOF �AAILADURE55 CITY IIP PHOI.r STRTELICENSEt . <br />P WMBING CON7RAGTOR <br />CONiRACT PRICE Of W0(iK <br />M�IL <br />�ESCR�BE YfORN �ND SOUARE F001AGE INVOLVEO <br />RuildinQs to be controlled burtied <br />F.verett Fire Department and then <br />PROPOSEO USE OF BUILDING <br />the <br />GITV 21P <br />LEGAI DESCFIP110N Of PROPERTY ISNOWN BELOW OP ATTACH TWO COalES� <br />LOi BLOCN OF <br />Aeg NE cor NF.�, NE'�, NW'�„ Th W 94.71.' to Sely <br />u.l cr u.l 7a 1 't7+ c..�l �al n �.1 Rri3+ 1 S(1 � tn <br />TPTS, etc. (Sec. 17, 'Ltap 29, R 5) <br />PARGEL7A%ID.NUMBEF <br />1729�5-2-005-0004 <br />GONSi(iUCT10N LOAN LENDEP. ADDRESS, TEIEPNONE NUMBER <br />PROJECT ADDRESS <br />nic ,u n.-„a,t�,a.,_ irntrs ll & 12. Everett <br />N0. � TYPE OF FIX7URE OR ITEM <br />�WATER CLOSET ITOILET) <br />LAVA?ORY�WASH BA: <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DFAIN <br />BACKFLOW PREVEN� <br />ROOF DRAINS—RAI� <br />FOR OFFICE USE ONLY: <br />FRONTSETBACK flE��i5ET8ACK <br />USE20NE <br />IYfE Of CONSi. <br />SRE OF BLDG. <br />OCWPANCY L <br />RE�SON <br />INTANE BV <br />PHONE Sil1TE LICENSE � <br />CONiACT PERSON AND PIIONE NO. <br />I HEREBY CERiIFY 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 TVPE OF <br />WOFK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PEfiM1T 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 CONSTPUCTION. THAT I AM AUTHORIZED BY 1�HE <br />OWNER OF THIS PROPERTY TO PERFORM TNE WOFiK fOR WHICH <br />APPLICATION IS MAOE AND I COMPLY WITfi THE STATE <br />CONTRACTORS LAW 1B.27 FCW AND 296.200 WAC. <br />MECHANICAL <br />TYPE OF EOUIPMENT <br />lDLG UNITS—H.P. <br />FORCED AIR SYSTEMS—B. <br />UNITHEATERS—B.T.U. M <br />VENTILATION FAN <br />RANGEHOOD <br />VlATER HEATER <br />WOOD 5TOVE <br />iv1ETAL FIREPLACE ( <br />FIHEPLACE INSEiiT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />E.A. <br />SUB TOTAL $ ; SUB TOTAI. $ <br />PERMIT $ � PERMIT S <br />TOTAL FEE $ ' TOTAI FEE $ <br />SIDE SETBACN PLANI C/HECN NUMBER�J FEE RE <br />V � �. � J / <br />l0* nREA <br />NO OF SiORIES <br />FlRF SPRINNlERS REO'D <br />FIRE P! J.RM REOD <br />PLANS APPPOVED OV <br />❑ ves n No <br />occur�scr rwaowcuixeuxns <br />GR�JUP <br />BASEMENT <br />❑ YES ❑ NO <br />CITY OF EVERETT <br />euaoiNc <br />PLUMBING <br />MECHANICAL <br />y <br />AD�ITION�L PLAN CHECK <br />OTHER <br />STATE BUILDING SUF7CIIARGE <br />PUBUC WOfiKS <br />i <br />LOCALSALES I I <br />I onie I TAX COOE IS 3105 TOTAL 1 _ <br />" <br />_� <br />