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APPLICATIC .J FOR CONSTRUC7 _ JN PERMIT <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT � <br /> BUILDING DEPARTMENT HEATING SYSTEM: fJ GAS U ELECTRIC I,] _ _ � <br /> 259•8810 <br /> OEMOLITION COMBINATION BUILDING MECHANICAL PLUMBIN(i SIGN <br /> OWNER MI11L npORFSg CILV 21P PNONE <br /> Gayle McDowell 10924 Avondale Rd NE Redmond 98052 881-2004 <br /> TEN�bf MAII��DRE55 Cliv ZIP PNONE <br /> ARCMRECTORDESIGNER pAILAppRE55 dTV ZIP PNONE <br /> OENERAL CONTR�LTOR M�IL�DORESS CITY ZIP PNONE STATE LICENSE� <br /> Glen Olin 3622 97th P1 SE Everett 98208 337-3451 <br /> MECM�NIC�L CONTRAGTOR M�IL�DDRESS CITY ZIP PNONE STATE LICENSE� <br /> PUIMBINOCONiRACWH M�IL��DRESS �ITY 2iP PHONE STAIELICENSE• <br /> Robinson Plbg 607 SE Gv Mall Way k26 Everett 9Q208 355-6171 ROSINP*272C2 <br /> CUSS OF WORN <br /> XNEW ADDITION ALTERATION REPAIR DEMOLITION WOODSTOVEiFRPL INSEqT BU!LOING RELOCATION <br /> GONTRC�PEPSON RND PHONE NO <br /> CONiR�LTPRICEOFWORIt �LZOO�OO <br /> DESCNIBE WORK�ND SOU�RE FOOteGE INVOIVED <br /> PROPOSEOUSEOFBUILUING i HEREBY CEPTIFV THAT I HAVE READ AND E%AMINED THIS <br /> SFR APPLICATION AND KNOW THE SAME TO BE TRUE AND COPRECT.ALL <br /> lEOAL DESCPIPTIONOF PqOPERTY�SNOWNBELOW OR RTT�CM FWR COPIESI PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> . WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEFEIN OR <br /> io. e�ocK oF NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO iIVE <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR I.00AL LAW REGULATING CONSTRUCTION OR THE <br /> PEPFORM,.NCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br /> OWNER Or THIS PROPEPTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATF <br /> CONTRAC�{ORS LAW iB.27 RCW AND 296200 WAC. , <br /> / <br /> X� l�1ti l ��tl�� �l��i rJ7i <br /> PR0.IECT��DNESS sx:v r `� o��p <br /> 6616 Cad Road �A�s,��ss„��� ,� <br /> PIUMBINU MECHANICAL <br /> N0. 1 YPE OF FII(TURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> _ KATER CLOSE7 (TOILET) AiG--A�HNDLG UNITS—H P <br /> BATHTUB FORCED AIR S'fSTEMS—B.TU. M E.A. � <br /> IAVATORV(WASH BASIN) UNIT HEATERS—B.TU. M ; � <br /> SHOWER CLOTHES DRVERS <br /> KITCHEN SINK 8 DISF VENTILATION FAN <br /> DISHWASHER RANGE HOOD T— <br /> LAUNDRV��,9qy WATER HEATER <br /> CLOTHE9 WASlIER WOOD STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEV �— <br /> ORINKING FOUNTAIN � FIREPLACE INSERT � <br /> FLOOR DRAIN HEAT PUMP <br /> _ BACKFLOW PREVENTERS ; GAS PIPING <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN —'— <br /> SINK(SERVICE—BAR,ETC.) <br /> — —_r_ <br /> SUB TOTAL 5 SUB TOTAL $ <br /> PERMIT S PERMIT y <br /> TOTAL FEE S TOTAL FEE $ <br /> FOR OFFICE USE ONL�: <br /> FqON1SETB�CN RE�RSETB�CI( SIDESEiB�CN PI�NCHEnCMNUMO[R FEE RECFIPiNO <br /> Y�� � � <br /> USE20NE lOT1RE� veceNTsre FEES VALUATION FEE <br /> BUILO�NG �,� � <br /> tYP[OfGONISALIOW�BLF tYPF01LONSI�CIUAL M'uou�r ry0novrfuixr,oxas <br /> i�ao p�UM81NG <br /> i <br /> 5¢EOFe�oa NOOFSTONIES BeSEMENi MECHANICAL ' <br /> i <br /> � <br /> OCCUP�NCV lOAD FIPE SPRNKLERS REO'0 NEIGNT IIMIi�110N ADDITIONAL PLAN CHECN � <br /> SPHINKLER PLd71 check ( 12 head ) PD 20 �00 <br /> HE�SON FOR SPRINNlERS <br /> STATE BUIL�ING SU!;CHARGE � <br /> INTANE BY P�ANS�PPROVED BY CITY OF EVERETT PUBLIC WORNS � <br /> LOCAL SALES <br /> II� TAI(CODE IS 3105 Tor�� �e. <br />