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APPLICATIC .J FOR CONSTRUCT�)N PER�VIIT <br /> �I�J TO BE COMPLEI'ED IN BLACK INK—PLEASE PRINT � <br /> L <br /> BUILQING DEPARTMENT HEATING SYSTEM: J GAS .J ELECTRIC J � <br /> 259-d810 <br /> DEMOLITION COMBINATION _I BUILDING 'MECHANICAL �pLUMBING SIGN <br /> ONR�CR� �,��� IAAtLADDRE55 CrtY ZIP PHOHE <br /> .���=/�""11�i�� ,��/f CoG,�°� ,�-L.�/F�f- <br /> TC�lRNt J MAILA�DPE55 Gi1V ZiP aHO11E <br /> c�1C �/I�2 ��../� '` a O D� a �.��il.�/J` <br /> ARCMITEGTOqpES NER MAIIApDRE55 CIiV Zip pHONE <br /> GENEFALCONTRqGTDR MAIIA�DFESS pTV 2iP PHpNE STATELiCENSEe • <br /> MEGMANI�AL CCQJTRACTOR MAIL A�OFES$ CITY ZIP PNONE STAiE LILENSE e <br /> PlU INGCONTRqCTOR IAAILADONESS GI1V ZiP PHOiJE STATEUCENSE• <br /> � <br /> � 9�9-���/eaq n�, cvi7 ow <br /> CONiRRCI PR CE OF WUHK� '7 <br /> r� <br /> OESGRIBE W({RK AND SOUARE fOGTpGE INVOLV[D CONTAGT PERSON ANO PNONE NO <br /> -�ir., ��S_��—� U/�n�/� .�n ni/„- ��9 a 3 3 3 �c�-��cE4�_ <br /> ` �r C i HERE�Y CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> ca �/ use or�o�w/y�iNo q APPLICATION AND KNOW THE SAtdE TO BE TRUE AND COFRECT ALL <br /> �S,� "'��� (J��� PROVISIONS OP LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> �.ecnioeSCA�vnoNOFaaoaeaivisNowNee�owORnimcNrwouwiesi WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �oT e�ceK pF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHOFITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHEF STATE OH LOCAI LAW REGULATING CONSTRUCTION OR THE <br /> PERFOR�IANCE OF CONSTRUCTION.THAT I AM AUTHOR12ED BY THE <br /> �WNER OF THIS PROPERTV 70 PERFORM THE WORK fOF WHICH <br /> PARCELTA%ID NIIMBEF ��PP��CATION IS MADE AND I COMPLY WITH THE STATE <br /> CJNTjIf'CTORS LAW 18.27 RCW AND 296200 WAC. <br /> // �1 <br /> CONSTRUCTIONLOANLENDER.ADDFESS.iCI[PHONENUMBER / jj <br /> PROJECT ADDRESS �1�—��'�L�AG <br /> s�cv.-unr L�f ���3. 9 3 <br /> � � ��/� ) / u <br /> _y2� I/f.L��hY_ 7L�1 �(i rf� oi+nusmessnct�,=a �n <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF PIXTURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET� A'C—A:HNDLG UNITS—H.P. <br /> BATHTUB FORCED AIR SYSTEMS—B,T.U. M E.A. <br /> LAVATORY(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> SHOWER CLOTHES D(7YERS , <br /> KITCHEN SINK 8 DISP ; VENTILATION FAN <br /> DISHWASHER � RANGE HOOD � <br /> LAUNDRY TRAV WATER HEATER <br /> CLOTHES WASHER ' WOOD STOVE <br /> URINAL ; METAL FIPEPLACE(WOOD BURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSEHT <br /> FLOOR DRAIN � HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING � <br /> ROOF ORAINS—RAINLEADERS EXHAUST FAN <br /> SINK(SERVIGE—BAR,ETC.) <br /> :�_S.I/_l/ � rN <br /> SUB TOTAL $ _ SUB TOTAL S ' � <br /> PERMIT $ PCF.MIT 5 <br /> TOTAL FEE 5 TOTAL FEE $ <br /> FOR OFFICE USE ONLY: <br /> FRONTSET3AGK PEARSETBACK SIOESETBRLN P�pNCMECKNUM6ER fEE qECEIATNp <br /> Z�Z <br /> wezoNe LOTAREA VACANTSITE FEES VALUATION FEE <br /> I . YES C NO BUILDING <br /> ivv[OftONST. NO.OFSiORiES eccu�v.ua rmnrew[iuxemu�s <br />' caouv pWMBING <br /> SIZE OF PLDG FlRE SPPINNLERS RE00 BASEMENi ��ECHANICAI � ; <br /> f—. YES �-. NO '— <br /> OCCUPANCY LOAD FlqE ALM1RM RE00 HEICHT I�IdITAT10N AD�ITIONAL P�AN CHECK <br /> OTHER � <br /> REASON � <br /> _�— <br /> STATE�UILDING SU(iCHARGE <br /> MTAKE BY PI.FNS APPROVBDBY CITY OF EVERETT PUBLIC WORKS <br /> LOCAL SALES <br /> onre TA%CODE IS 3105 rarn� <br />