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APPLICATI!l.�.d FOR CO�NSTRUCI.ON <br />TO Bc COMPLETED IN BLACK INK—PLEASE PRINT <br />P�[�MCT � <br />�� <br />,�� <br />BUILDING DEPARTMENT HEATING SVSTEM: J GAS !, ELECTRIC J _� <br />259-8810 <br />DEMOLITION COMBINATION BUILOING MECHANICAL PLUMBING S�SIGN <br />GWt�ER MAILADDRE55 ��1y <br />ZIP FNONE <br />i�v.��-..�C r��w, ,�a1f Yv)- A2 /.�.:�un�__/'1.Lo.Ji `i�7�� .,� �'-Cti77 <br />T[I�nl�i MAILADDRESS CITV ZIP FHONE <br />SA �K r 2 Sfr -6v > 7 <br />MCHIiECTOROESIGNEP MAILADUPE55 ��7v Zip p�pqE <br />GCN[RAL GONTqACTON MFIL ADDPESS CITY 21P P� ONE SiATE UGENSE • <br />—�C6 �.�✓ s'.,y /�-3ai Y.��Y'j /:'r�li S F'�=-4 i�_,r�7 <br />MCr,HANICALfANTRALTOR � MAILADDRE55 LITY ZIP PHONl1 ST4TElICENSE• <br />'' ELECTRIC Lioense �ACC-NESI 147QL 1 <br />PWIdBINGCONTRACTOR 1AAILAOD�ESS ��7y Ti�„�,_ '� �{�--E]f��/Q��T-- <br />GLn55 OF WORK <br />�'-NEW � ADDITION AI.iERATION , REPAIR <br />CO!1iR�CTPRIGEOFI'/OPN rI(iaC �L <br />D!::;CFIBE WOf?K �4D SOUARE �OOiAGE INVOLVEO <br />�% / �/� <br />=.C"-C�' / fd�?� oa�n-..�� <br />PROPOSEOUSEOFBVILDIN-u " O � <br />,'�p Tti1L <br />LEGAL DESf FIP710N OF PROPERTY �SHOIYN BCLOW OR A7TACH FOUR COPIES� <br />LOi BLOCK OF <br />rrvaec* nooa[55 <br />�f6a � ��n�w,�y <br />PLUMDING <br />N0. TYPE OF fll(TURE OR ITEM <br />WATER CLOSET (TOILET) <br />f3ATH1 U� <br />_ LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHFfi <br />LAUNDRY TflAY <br />CLOTHESIVASHER <br />URINA� <br />_ DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTEflS <br />ROOF DRAINS—RAINLEADERS <br />SINK (SERVICE—BAR, ETC.1 <br />FOR OFFICE USE ONLY: <br />FRONTS[TBhCK REARSF.TpACK <br />USE20NE ) ,19TAREA <br />�� `. �ti <br />iYPEOFCONiS.ALIOWABtE iYPEUfLONSi. <br />OCGUPANCYLOAD <br />RF.ASON FOR SPRII <br />i4i�kE BV <br />N0. OF $TORIES <br />�IRE SPRNKLERS RE( <br />ru a�raoveoev <br />)TAL $ <br />i 5 <br />FEE $ <br />DEMOLITION � WOODSTOVE/FRPL INSERT <br />CONTA�T PEFiON AND PHONL N0. <br />_ Te�..n.{ s_ Tncs.�z.t <br />BUILDING F ELOCATION <br />4� —,��J <br />i HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br />A�PLICATION AND 'nNOW THE SAME TO BE TRUE AN[1 CORRECT. ALL <br />PROVISIONS OF LAWS ljplb ORDINANCES GOVERNING THIS NPE OF <br />WORK WILL GE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THF GRANTING OF A PERMIT DOES NOT PHESlIIr1E TO GIVE <br />AUTHqH�TY TO VIOLATE OR CANCEL THE PflOVISiONS OP AIJV ` <br />OTNER STATE OR LOCAL LAW REGU� jTING CONSTRUC?!�N OR THE <br />FERFORMANCE OF CONSTRUCTI�N"THAT I AM AUTNORIZED �Y THE � <br />OWN�R OF THIS PROP[FTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COIdPLV WITH TH[ STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />x � f'� �n�i.w y vl/r� <br />.'ii�lll:�i UIiC� <br />� <br />,,,�..,.. �., , — <br />FEE N0. TYPE OF EQUIPMENT � <br />T <br />A/C—A-HNDLG UNITS—H.P. <br />FORCE� NR SYSTEMS—B.T.U. M E.A. <br />UNITH[ATERS—B.T.U. M <br />. CLOTHES DRYEFS <br />VAGANT SITE <br />� �) <br />oxuvexcr xoamvcuixeu:�*s <br />[XOu> � <br />BTSEMEtiT <br />HEIGNT LIMITA� <br />�U �I-if 41,� <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER � - � <br />WOODSTOVE � <br />METAL FIPEFLACE 8 CHIMNEY <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN , <br />PL4N CHECK NC1d�CR <br />-? � ryz <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />ADDITIONAL PLAN CHECK <br />SPRINKLER <br />SiATE BUILDING SURCHAflGE <br />PUBLIC WORNS <br />TOTAL <br />F[[ <br />SUB TOTAI. $ <br />I'ERMIT $ <br />TOTALF[E S � <br />