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APPLICATIC- 1 FOR CONSTRUCT �N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT HEATING SYSTEM: U GAS ❑ELECTRIC f.] <br /> 259•8810 <br /> DEMOLITION COMBINATION BUILDING MECHANICAL �PLUMBING SIdN <br /> OYR/ER M�II�DORE55 pTY IIP PIqNE <br /> l . �. F . /�. v�. � �na �//..[ ,2f �'�e�' �PZ�/ ?. 6/-6 �ni <br /> TEN�NT MMI�DDRE55 �ITy z�p p1pryE ' <br /> �NCNITECTOHDESIONER M�ILA�DRE55 GTY 21P PHONE <br /> OENER�L CONTPACTOR MI11L�ODRE55 CItY ZIP PIIONE STATE LICENSE� <br /> _ /-�Er2iT�AC�� C'�.dsT. 12oi4- Zo� 5.�. F_�/ErCE1T 33f-7o�4 <br /> MECN�NICQ CONiP�CiOR M�II ADDRE55 GTY 21P PHONE STATE LICENSE I <br /> PLUMBINO CONTRICTON M�II�DDRESS CITV ZIP PIqNE 6TATE LICENSE� <br /> � <br /> cuss or wonK <br /> I NEW '. I� ADDITION � ' ALTERATION REPAIR ' DEMOUTION WOODStOVE/FRPL INSERT '�. �� BUILDINO RELOCATION <br /> CONT�CT PERSON AN�rPNONE NO. <br /> CONTRACT PRICE OF WJ11N hI }' E 33 - <br /> DESCPIBE WORK�ND BOU�RE FOOT�DE INVOLVEO <br /> �1�..�...a--CC. .6�rz.c_ L_�-/�+-4-� <br /> PROPOSEOUSEOFBUILDINCi I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> E6AL DESCRIPT , OF PqOPER1V�51qWN BELO on� �LM FdIR COPIES� PROVISIONS OF LAWS AND ORDINANCES 60VERNINO THIS TVPE OF <br /> WORK WILL BE COMPLETED WITH WHETHEH SPECIFIED HEREIN OR <br /> 1OT �OCN °P NOT. THE 6HANTINO OF A PERMIT DOES NOT PRESUME TO a1VE <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REOULATINO CONSTRUCTION OR THE <br /> PERFORMA4CE OF CONSTRUCTION.THA7 I AM AUTHORIZED BV TME <br /> OWNER OF THIS PROPERTV TO PERFORM THE WOHK FOR WHICH <br /> — APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 286200 WAC. <br /> _ X [_e�V��T '� �Z—ZI �Z <br /> � PROJECTADORE6!8 , / 610NAIME MiE <br /> ZO S�^U R �v`I��+� CRYpU5NlE6lL��LENSF1q <br /> � PLUMBINO MECMANICAL <br /> . NO. TYPE OF FlXTURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATER ClOS6T(TOILET) � /VC—A/FiNDl6 UNITS--H.P. � <br /> BATHTUB ; FOfiCEO AIR SVSTEMS—B.T.U. M E.A. � <br /> UVATORY(WASH BASIN) UNIT HEATERS—B.T.U. M ; <br /> SHOWER CLOTHES ORVERS � <br /> KITCHEN SINK 6 DISP ; VENTILATION FAN ; <br /> DISHWASHER � RANOE HOOD <br /> LAUNORYTRAV ; WATER HEATER ' <br /> CLOTHES WASHER WOOD STOVE � <br /> --; <br /> URINAI METAL FIREPLACE 8 CHIMNEY 1_ <br /> DRINKINQ FOUNTAIN � FIqEPLACE INSERT ; <br /> FLOOR DRAIN � HEAT PUMP � <br /> BACKFLOW PREVENTEPS ; GAS PIPINCa ' <br /> ROOF DRAINS—RAINLEADERS � EXHAUST FAN � � <br /> SINK(SERVICE—BAR,ETC.) ; ' <br /> � <br /> � <br /> � � <br /> — � <br /> � � <br /> SUB TOTAL S ; ' SUB TOTAL S <br /> PERMIT S � PERMIT S � <br /> TOiAL FEE S — TOTAL FEE S ' <br /> FOR OFFICE USE ONLY: <br /> FRONT6ETB�CN RE�PSETB�CN SIDESf.TB�GH PLANCHECNNUMBER FEE RECEIPTNO. <br /> _ 3ryrr <br /> p5E ZONE LOT AFEA v�c�rrt srte FEES VALUATION FEE <br /> BUILDING <br /> /YPF Of LONLS �IIOWMIE 1YYE Of GONSi�L71U1 accw�xcv �q a oMuixcuuin — i <br /> �"°J° PLUMBING �/ '_ <br /> fiIZE OF BLDO. NO OF STIXilES BASEMENT MECNANIC�\L � � <br /> OCGUPNICY LO\0 FIRE SPRNNlERS REQD HEIONT I�MIT�TION ADDITIONAL PLAN CNECK � <br /> SPRINKLER ' <br /> 11EASON FOP SPRINRLERS T— <br /> STATE BUILDING SURCHAROE i <br /> INi�NE BY PUNS IIPFROVEO BY CITY OF EVERETT PUBLIC WCRNS <br /> LOCAL SALFS —T <br /> TAX CODE IS 3105 rot�� �/ �_ <br />