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._..__. <br /> ;� �. <br /> APPLICATIC�1 FOR CON�TRUCT'`1N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT � <br /> J�N -. ,, ` , <br /> ., <br /> , � . _ : <br /> HEATING SYSTEM: �GAS ❑ELECTRIC ❑ ' <br /> __........ <br /> BUILDING DEPARTMENT ,.,, <br /> 259-8810 P�61ic 11, eVcR�rT..... <br /> ❑ DEMOLITION f 1 COMBINATION CI BUILDING X1 MECHANICAL Ij{PL�I�f��4¢, � SIGN <br /> OWNER MaILADDRE55 CITY ZIP PHONC <br /> Jim Duffey 1531 Colby Everett 98201 (206) 258-3037 <br /> TENANT MAIL AUORE55 QiV ZIP PHONE <br /> None <br /> ARCkIR[CT OR OESIGNER MAIL pDDNESS CITY 21P PHONE <br /> None <br /> GENERAL CONTRNCTOR MRIL ADDRESS QiV IIP PMONE S7ATE UCENSE I <br /> A#1 Quality Heating, Inc. 12395 Lake City Way NE SEattle WA 98125 AIQUAHI076J2 <br /> MECHAt1iCALCONiRACTOF MAILAOOREES CITV ZIP PMONE STATELICENSEs <br /> PLUMBINGCONTRAGTOR MAILADDRE55 CITY ZIP PNONE ST�TEUCENSE� <br /> CONTRACT PRICE OF WOHN <br /> 2 055.8� <br /> �ESCRIBE WORK ANJ SOUFFE POOiAGE INVOIVED CONiACi PERSON f+N�PNONE NO <br /> Install heat & Hot water tank 1400 s f . ua�air.� �P t �n�l �Fa_a��s <br /> I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSED USE OF BUII�INC APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> SFR PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEGALDESCFIPTIONOFPqOPER7V�SNOWNBELOWORATTACHTWOCOPiES) WORK WIIL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> ior BLOCK pF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHOFITY TO VIOLATE OR CANCEL THE PROVISIUNS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPIICATIO� IS MADE AND I COMPLY WITH THE STATE <br /> PARCEI TAX I D.NUMBEN CONTRACTORS LAW 78.27 RC W AND 296.200 WAC. <br /> GONSTRUCTION LOAN LENDEFI.ADDRE55,TELEPHONE NllldBER <br /> ' ��� S4 <br /> � o.�Q�c.;�e, <br /> PROJECTADDRESS sicuen� • � I � w¢ �-- <br /> 1531 Colb Ave. Everett, WA 98201 ��r.o�,z�NEss��=��sE�o <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) � FVC—ArHNDLG UNITS—H.P. � <br /> BATHTUB � 1 FORCED AIR SVSTEMS—B.T.U. M E.A. <br /> LAVATORY(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> SHOWER � CLOTHES DRYERS <br /> KITCHEN SINK 8 DISP VENTILATION FAN <br /> DISHWASHER � RANGE HOOD � <br /> LAUNDRY TRAY 1 WATER IIEATER <br /> CLOTHES WASHER WOODSTOVE � <br /> URINAL �v1ETAL FIREPLACE(WOOD BURNING) � <br /> �RINKING FOUNTAIN � FIREPLACE INSERT ; <br /> FLOOR DRAIN HEAT PUMP � . <br /> BACKFLOW PREVENTERS Z GAS PIPING ; <br /> ROOF DRAINS—RAINLEADEflS � EXHAUST FAN <br /> SINK(SERVICE—BAR.ETC.) ; ; <br /> � <br /> � <br /> —r— <br /> i i <br /> SUB TOTAL S SUB TOTAL 5 '� <br /> PERMIT 5 � PERMIT 5 <br /> TOTALFEE S ; TOTALFEE S ' � <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBAGK REAR SFTBACK SIDE SETd�GK PLAN CNECK NUMB[R FEE RECEIPT NO <br /> � �� <br /> usezor+e �orneen vncnNrsrte FEES VALUATION FEE <br /> Cl YES ❑ NO pUILDING � <br /> IVPEOFGONS7. NO.OFSTORIES otcUP+Ncv No Wb44LLMGurn¢ � <br /> ceouv pLUM81NG ' <br /> i _ <br /> SREOFBL�O. fIRESPRINKlER5RE0'D BASEMENT MECHANICAL � <br /> ❑ YES �; NO <br /> OCGUPANCYLOr1D fIRE ALARM REO'� HEIGNi�IMIIATiON �DDITIONAL PLAN CHECK � <br /> � <br /> OTHER i <br /> REASOY <br />� STATE BUILDING SURCHARGE ; <br /> INTANEBY PLANSAPPROVE�DY CITYOFEVERETT PUBLICWORKS � <br /> LOCAL SALES <br /> onre TAX CODE IS 3105 TOTAL <br />