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APPLICATIC"7 FOR CONSTRIJCT�)N PERMIT <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT �� <br /> BUILDING DEPARTMENT HEATING SYSTEM: �(j GAS ]ELECTRIC ;� � ' ~V <br /> 259-85310 .- ._� <br /> ! DEINOLITION ' I COMBINATION X,BUILDING"(. I. ; I MECHANICAL iJ PLUMBING ; i SIG'N � <br /> `_� ..•.. <br /> o�Niea raa��nooaess :4k�: <br /> GiY ZIP PHONE � <br /> �nr�4�cov� 273� W�THo,�AuF.S.soo �v��r, c� 9szo� 388-8�x � ,� .�. <br /> 1EYANi MAII.AppRE55 C�TY ZIP PHONE � <br /> No�� ��crouar� qa�,r�ccsr.Pcrx.. �v�Err w� � °;, � <br /> , 9a2o1 252- 9704 '�;� <br /> ARGHITECTOR�ESIGNER IARILAODRE55 QTY 21P PHONE <br /> �IO�t1EST�KANi1K� �8 m�,��• ��ornE,w� ya�� a92-9aa3 ' ;, <br /> GENERFLG7'ITRnCTOR IdpILAODRESS CITV DP PHONE STATELICENSE� � <br /> htx GoRP 3isc ,erUlAar�Rn.�E. P�1tivuE,�? 98cbs 65�9-9� �,-��l.;°�' <br /> IdCCMAIUCAL :ONiRACiOfl MAI�ADDRE55 GTY 2iP Pr�01JE SiATEUGENSE� � - �r�+.�7i: <br /> PLUIdBINGCONTqq�TOR MqILADDNE55 CiTY IIP PNJNE STATELICENSEa -�. C��r' <br /> CO iRACTPFICEO RK � �� �•=`�� <br /> 27�9��•oo '�� <br /> Jf2�ZRNA OSOUAFETOOTO/ / IlV(� ��/TFJT I� �F• WNTACTPERSONANDPHONEND. ��-��-'� <br /> � .�� <br /> H�T GJ FGc»K /�F, P�¢ti�x. � <br /> x <br /> wJo�'h,,Jv�sT5vb4k�kr 2�2-�287 �`��' '' ;: �., <br /> I HEREBV CERTIFY THAT � HAV[ READ AND EXAMINED THIS "�,��� <br /> PRO�F jS,EDUSEOPBUILDING y� r APPLICATION AND I(NOW THE SAME TO BE TRUE AND COqRECT.ALL <br /> / �/RT��� OF /�+�Z O/ ��GE �,,,�f„L�. PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF ' _; <br /> LE3ALDESCRIPiIONOFAqOPER7V�5HOY:NBELOWORATTACNTIYOCOPIESI \70RK WILL BE COMPLETED WITH WHETHER SPEGFIED HEREIN OR � <br /> �oT � �� e�ocrc �ZS oF Pc�r of Ev6RE7T, NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE �� :y,,_ :�-'� <br /> U�L• � � PLAT�✓" AUTHORITY TO VIOLATE OR CANCEL THE PROVISIOIJS OF ANY �� <br /> _ OTHER STATe Ofl LOCAL LAW REGULATING CONSTRUCTION OR THE ..� �: <br /> PERFORAIANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE ' <br /> OWNER Of "HIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> anACE�tnxioN nn ea APFLICATION IS MADE AND 1 COMPLY WITH THE STATE �I,•� <br /> !�-E� �]��VC�r ���� WNTRACTORS LA 18.27 RCW AND 296200 WAC. , <br /> CONSTRtr:i:C.':lOANLENOER.A0�RE55 iEIEPHONENUTABER <br /> f.... <br /> 5�=� Arr�cNKEur •A � 0•26• � <br /> PROJECT DDRESS s,;•;.iu��c ont� I <br /> 2�0� ca�sY�9v�. tooa i4 P�¢er;,� <br /> mrv m�srEss ucu;;r��o <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A;C—AMNDLG UNITS—H.P. <br /> BATHTUB ; F09CED AIR SYSTEMS—B.T.U. M E.A. <br /> LAVATORY(WASH BASIN) � UNiT HEATEAS—B.T.U. M <br /> SHOWER CLOTHES�RYERS <br /> KITCHEN SINK 8 DISP ; VENTILATION FAN � <br /> DISHWASHER � RANGE HOOD <br /> LAUNDRY TRAY ; WATEft HEATER � <br /> CLOTHES WASHER � WOODSTOVE <br /> UFINAL ; METAL FIREPLACE(WOUD BURNING� <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP , <br /> BACKFLOW PREVENTERS ; GAS PIPING � <br /> ROOF GRAINS—RAINLEADERS � EXHAUST FAN , <br /> SINK(SERVICE—BAR.ETC.) � � <br /> � <br /> _ ' <br /> � <br /> SUB TOTAL $ ; SUO TOTAL 5 <br /> PERMIT 5 � PERMIT 5 <br /> TOTAL FEE S TOTAL FEE $ <br /> FOR OFFICE USE ONLY: �— 2 „ _ <br /> FPONTSETBACN HEARSEiDACN SIDESGIOACK PLANCMEC NUMfiEF F[E 'CHPiNO. <br /> ��� �C �7U� �7 G� ' <br /> 3�• � <br /> USE20NE LOTAPEA VACANTSITE FEES VALUATION FEE I <br /> � C YES ❑ NO BUILDING 21 G� C _ 7 I <br /> iYPEOFCONSi NO.GFSTORIES o:tu�ntCr xoWmYRirvccMuS <br /> �"'� PLUMBING <br /> l�i. F� 1 I�rz T I . 6Z <br /> SIZEOFBLDG. FIRESPFINKLERSREOD BASEMENT M@CHANIGAL <br /> C y�Li XYES ] NO _ <br /> occuanNcv�ono Fl�ep�nnraaeoo HEIGHTLIMiTATION ADDITIONALPLANCHECK � — <br /> /1 h � <br /> 4tJ � J OTHER � <br /> NEASON /!X�/�1�,�/ �G <br /> _� ��j�j /GIW/'LTlh�(iT� STATE BUILDING SURCNARGE ' /�n <br /> / ' <br /> INiAEE dY PLANS A�pDY[DBV CITY OF EVERETT PUBIJC WORK$ <br /> M LOCAL SALES <br /> onre �( � !�. TAX CODE IS 3105 TOTAL / q; 2 , <br />