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APPLICATIC� 1 FOR CONSTRUCT�N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> ��� <br /> BUILDING DEF'ARTMENT EATING SYSTEM: �GAS O ELECTRIC ❑ <br /> 259-8810 � <br /> ❑ DEMOLITIOK f; COMBINATION �G BUILDING X MECHANICAL 6G PLUMBING DZ SIGN <br /> OYlNER MARADDRE55 CITY ZIP PHONE <br /> � l.��v.-�\t�a�.K�v'�- 7(��(2_ l.I2 (92��� 3�N..et1 LJ4 SS?cll <br /> TENANT MAILADOFE55 CITV IP PMW�E <br /> \nl �c � ,-o �sy�� �4�Q�� w cZD ��z� "7�lS"-2�9I ��os-r�c9 <br /> ARGMITEC70N�ES�GNER MAIUDDRE55 GITY ZIP PHONE <br /> ���1 �11�;.k-.- �5 9os t�s� r�c� �� C1� 9�ozc; � vs" z�91 — <br /> GENEHALCONTRFCTOP MAILADDRE55 CITY 21P PHONE SiFiELIGENSE� <br /> �h�L-C_.--�D 7e y,.v. �'� <br /> MEGHRNILAICONTRnGTOR MAILADDRESS CITV ZiP PHCNE STATEUGENSEa <br /> �Lcr — � <br /> PLUMBINGGONTflAGTOR MRILADDFESS GTY ZIP PHONE STFTELICENSE• <br /> \ J <br /> CONi(qp GT FRIGF.OF WORK <br /> �/ 1 (i — ( ~Q70 S <br /> DESCRIBE WORR qND SOU RE FOOTRGE INVOLVE� CON7ACT PERSON ANO PMONE NO <br /> _ 1�s�,-411 K�-Ec�,xv �- .nr��-,i 't'� <br /> ',-f-;� .� ' �� l 'l l„-F-�.. 7 v�` zs 91 <br /> ZS -+c-��2.r-�wi`T 1 HEREBY CERTIFY THAT I HAVE FEAD AND EXAMINED THIS <br /> PROPOSED USE OF 6UIlDING APPLICATION AND KNOW THE S4ME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> IEuALDESCRIPTIONCiPROPERTYISNOWNBELCWOPATTALNTWOCAPIES� WqRK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> tor ^ 2c 6LOCN� OF 2��k�2'�S � t� NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE , <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV � <br /> (�l 4-E v��- ��(c3�-IG�77� VOI' Z OrZ(�1 a�fS OTHEfl 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 /> \ Q �cl Su� �hCciri-�'� APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PRRGEL TRx 1 D NUMBER CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> CONSTRIICTIONLOANLENDER,ADDRESS.TELEPHONE NUMOEfl <br /> x L.����/'� ���93 <br /> PROJECT ADDRESS siannuac wt[ . <br /> cirr aus�H[ss ikrwsr rro <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlKTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE � <br /> WATER CLOSET(TOILET) � !UC—AiHNDLG UNITS—H.P. <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> � LAVATCRY(WASH BASIN) � UNIT HEATERS—B.T.U. M <br /> SHOWER ' CLOTHES DFYERS � <br /> CHEN SINK 8 DISP � VENTILATION FAN <br /> DIS ASHER � R GE HOOD <br /> LAUND TRAY ; WAT HEATER <br /> CLOTHES HER WOODS VE � <br /> URINAL ' METAL FIRE CE(WOOD BURNING) <br /> DRINKING FOUNTA FIREPLACE INS ; <br /> �_ FLOOR DRA�N � HEAT PUMP <br /> BACKFLOW PREVENTERS I � GAS PIPING ; <br /> ROOF DRAINS—RP.INLEADERS � EXHAUST FAN <br /> SINK(SERVICE—BAR,ETC.) ; ' <br /> � � <br /> ; � <br /> SUB TOTAL $ ; SUB TOTAL $ _ <br /> PERMIT $ PERMIT $ � <br /> TOTALFEE $ ' TOTALFEE $ ' <br /> FOR OFFICE USE ONLV: /4� �v <br /> FRONT SETBACN RFAR SETBALN SIDE SETBRCK PUN LHECK NUM9ER FEE C� FEG T NO "� <br /> 7 7(o Z.��y <br /> GSE ZONE LOi PREA vncnnr sTe FEES VALUATION FEE , <br /> (� YES I� NO BUILDING '� Q � ��� � <br /> 7YVEOFCONSi. NO.OFSTORIES otavurev xarnPMLLixGuxrts � i Ov <br /> � I 2 A.�° � PLUMBING i <br /> �bi v i ----�— <br /> SIZE OF BLDG. FIPE SPRINKLEqS REO'U BASEMENT MECHANICAL � <br /> 51�°� T,I . Na �YYES ❑ No ; <br />' OGCl1PAN/CV�LOAD FIRE AURM REOD MEIGHT LIMITATION ADDITIONAL PLAN CHECK � <br /> 2`�`T Y�� O7HER ' <br /> REASON 1 <br /> ��v2���ly�A�/�. STATE BUILDING SURCHARGE L �JT[� � <br /> �•/"iw 61v_.� - <br /> INTANG�Y VLANS APPROVED BV CITY OF EVEflETT PUOLIC WORKS -� <br /> �I1� LOCAL SALE3 <br /> oq,F q �(p �s� TAX CODE IS 3105 TOTRL (o ; � <br />