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APpLICATIOI _ FOR CONSTRUCTI.,N P�RMIT %-�'_, <br />TO BE COMPLETED Ita BLACK INK—PLEASE PRINT ��,j�r <br />BUILDING DEPARTMENT <br />259-8810 <br />HEATING SYSTEP.1: fJ GAS J ELECTRIC ijj S� S� <br />DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING KSIGN <br />OKRIER MqiLAUDRE55 CITY Z�P <br />,z� � PHOCE <br />—/ A.� n,:,o a�i i As�,:.r 9a:- N jjP.�no4�Y F�'.�a. 1% i,f�f �.2y ,S-c.y�7 <br />TENANT MAIL ADDP,ESS G V ZIP PMONE <br />ARCMRECT OR DESIGNEq MRIL ADDqE55 ��ry Z�P — <br />PHONr <br />GENERAL CONTRACTOR MqIL AOORE55 CITY 21P <br />PMONE STATELICENSEI <br />�C� ti� ^u S y,�� /2.3z� N..�� Fi h�i,t:arli 9d',�cY �19c -du�3 ncF.k s, ��� � t <br />MECHANIGLCONTRRCTON MAILADDflELS ��ry - <br />GLIIMBINGCONiRACTOP MRIIADDRE55 rrtv <br />X NEW ' �. ADDITION ALTERATION <br />CONTqqCTPRICEOfYI.rRN ���� ^'� <br />DESCRIBE WORK AND sOIIpRE fppTAGL INYOLVED <br />i � Ol �C s/F S: <br />t'ROPOSED USE OF BqUIIDING <br />1/�l� % /� I L <br />LEGRL DESCRIPTION OF PROPERTV �SHOWN BELOW OR <br />LOT BIOGN pp _ <br />noo„i;; <br />`y o % /!% ��n.�.,o:..�� <br />N0. TYPE OF FIXTURE <br />WATER CLOSET (TOILET) <br />BATIiTUD <br />LAVATORV (WAS�i OASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDFV T(lAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOP DRAIN <br />9ACKFLOW PREVENTERS <br />ROOF DRAINS—RAINLEAD <br />SINK BERVICE—BAR. FTC <br />SUB TOTAL $ <br />PERMIT S <br />TOTA! FEE $ <br />FOR O�FICE USE ONLY: <br />fR01JT5F.T8AGR � REAPSETBACs <br />US[ 2pNE� � REA <br />�� (@� � <br />iVPEO�CONiS.ALLOWACIf iYPFOFLON57.ALT0AL <br />SIZE OF BLDG. <br />OCCUPANCYLOAO <br />RFASpN FOR SPRiNKLERS <br />INTANE OV <br />NO.OF STORIES <br />FIRE SPRNKLERS HEI <br />PyNS APPROV[0 �V <br />REPAIR <br />ZIP <br />DEMOLITION . WOODSTOVE/FRPI.INSER'i <br />I CONT�f,T PEFSpN AND PNONE N0. <br />SiaiE LIGENSE C <br />STATE LICENS[ • <br />. BUILDING RELOCATION <br />?n�sq.a a 5•� e k i <br />i HEREBY CERTIFY THAT 1 t1AVE READ AND EXAMINED THIS <br />APPLICA710N AND KNUW THF SAME TO BE TRUE AND CORRECi ALL <br />COPIES) PROVIS'ONS OF IAWS AND ORDINANCES GOVERNWG THIS TYPE OF <br />WOR:� WILL 8E COMPLETED WITH WHETHER SPECIFlED HEREIN OR <br />NO�f. THE GRANTING OF A PERMI7 DOES NOT PRESUME TO GIVF <br />AUTHORITY TO VIOLATE OR CANCLL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAV✓ REGULATING CONSTFUCTION OR THE <br />PERFORMANCE OF CONSTFUCTION. THAT I A1.1 AUTHORIZEU Bv THE <br />OWNER OF THIS PROPERTV TO PEFFORM THE WORK FOR WHICH <br />— APPLICATION IS MADE AND I COP.IPLV WITH THE STATE <br />:.ONTRACTORS LAW 18.27 RCW AND 296200 WA('. <br />'`, .,.-��� r� . �,-.,..._. .i IJ. � � � _ <br />� s-� v Q �.,.� <br />�,��:, . ..�� .,.� „, — <br />SIDE SETBACN <br />VACANT <br />FEE I �d-. <br />A'C—A�HNDLG UNITS—H.P. <br />FORCED AIR SYS7EM5—B.T.LL Id E.A. � <br />UNITHEATERS—B.TU. M L� <br />CLOTHES DRYEFS — -� <br />VENTILATION FAN � - <br />RANGE HOOD � - � - <br />n��n <br />WOOD STOVE - --- <br />METAL PIFEPLACE 8 CHIMNEV --' -� <br />FIREPLACF INSERT — � <br />HEAT PUMP — - <br />GAS PIPING --- - <br />EXHAUST FAN -- - <br />SUB TOTAL 5 <br />PERMIT j <br />TOTAL FEE S � <br />PV.N(.�n.vNWAFIj:R I PEE RECEIPTNG <br />ouaoiNc <br />occu^Avn xn a urwxc u��ns <br />�eouv - pLUMBWG <br />BASEMENt MECHANICAL <br />NEQicH,�r��iM�iTAn�O�N ADDITIONtiLPLANf,HECK <br />J—��`"t—!N�- SPRINKLER <br />STA7E BUILDING SURCHARGE <br />CI7Y OF EVERETf pUOLIC WORKS <br />LOCALSALES <br />TAX CODE IS 3105 roTn� <br />