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APPLICATIC"�I FOR CONSTRUC�� �R� '� <br /> INK—PLEASE PRIAT— 2 �T' <br /> TO BE COMPLETED IN BLACK DEC 8 1994 <br /> .................._......._......_...................__ <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC �E�_� <br /> BUILDING DEPARTMENT ������ePr <br /> 259-8610 <br /> i DEMOLITION i ' COMBINATION i � BUILDING Ci MECHANICAL : i PLUM8ING �SIGN <br /> oe+rveR v,nanooaess cirv z�v rnone <br /> �'-���y «,oN� ans eo�r ���r �fze� Zsz - s�o a <br /> TENMlT MAILAODRESS C�tY ZIP PHONE <br /> � <br /> ARCMITECTORD'eSiGNEB RIRIL/D�RESS LITV 21P PHONE <br /> GENERAL CONTRACTOR MAIL AD�RESS GIiY 21P PMONE STATE LICENSE� <br /> SNo�Eun� .s�bnis r7o3t A�� N S�arrc.E �r�i3'3 SSi2-r?39 �Nv,e�sli��lr� • <br /> MEGHANICFLCONiRAGiOR MA�L/D�FES$ GITV ZIP �HON_ .,T�tELCENSE <br /> � <br /> PLUMBINGCONiRAGTOF MAILADDRE55 CIN 21P PMONE STATELICENSEs <br /> CONiRACT PPIGE OF 1NORN <br /> pESCR18[WORKANOSOIIAREFOpiAGEINVOLVE � // /�� CONiACTPEF50NANDP110NEN0. � ���� ���w <br /> T/Y iN � <br /> EtEc.TLr� W�occ. St�.�v -- - <br /> �//� I HEREBY CERTIFV THAT I HAVE READ Ai:D EXAMINED THIS <br /> PROPOSEDUSEOP9UILDING APPLICATION AND KNOW THE SAME TO BE TRUE Af:D CORRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNIN(i TIiiS TYPE OF <br /> LEGALDESCRIPTIONOFPROPCRTYISMONTJBEL0IYORA7TACHTWOCOPIES� WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ioT etceK oF AUTHOFiITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW FiEGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTAUCTI0�1.THAT I A!v1 AUTHORIZED 8Y THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> raAce�rax i.o.r+uuaea CONTRACTORS LAW 1827 RC AND 2962D0 WAC. <br /> GONSTRUCTION LOAN LEN�ER.AOORESS,TELEPHONE NUMBER � � <br /> PROJECT ADDRESS y '`�c" iO°� OZ��.Q ��� <br /> Z/ Z3 �oc.ey A�• u�vn.rsmasi�cor:cno <br /> PLUMBING MECkANICAI _ <br /> NO. TVPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT _FEE .=�,� <br /> WATER CLOSET(TOILEI� � Ai�A�HNDLG UNITS—H.P. __ __ <br /> EATHTUO ' FORCED AIR SYSTEIdS—�.T.U. M E.A. <br /> LAVATORY(WASH BASIN) i UNIT HEATERS—B.T.U. M _ _ <br /> SHOWER CLOTHESDRVERS <br /> KITCHEN SRJK 8 DISP - VENTILATION FAN _ <br /> DISHWASH[R � RANGE HOOD . <br /> LAUNDRV TRAY ' WATER HEATER _ <br /> CLOTHES WASHER � WOODSTOVE � _ <br /> URINAL METAL FIREPLACE(WUOD DURNIN�) <br /> DRINKING FOUNTAIN I FIREPIACE INSERT <br /> FLOOR DRAIN HEAT PUMP ' <br /> BACKFLOW PREVENTERS ; GAS PIPING � <br /> ROOF DRAINS—RAINLEAOEHS EXHAUST FAN ' <br /> SINK(SERVICE—BAR,ETC.) � — <br />� 1 <br /> � <br /> � <br /> —i— <br /> SUB TOTAL 5 SUB TOTAL S <br /> I PERMIT S —�— PERMIT S � <br /> TOTAL FEE 5 ' TOTAL FEE 5 <br /> FOR OFFICE USE ONLY: <br /> FROHTSETBAGN FEARS,TOACK SIDESETBACK PLANCH'EC/KnN'Gf.R FEE , `� �EC�I�1��O�^ <br /> I �-/ lJ% L / <br /> I. usezoHe �o-naen � V�CANTSRE FEES VALUATION FEE <br />� � ! f] YES Cl NO f/J� <br /> BUILDING L� -�--^•�� <br />� NO.OF STORIES IX:[uc�xd ra IX 0'MUMw��'s y1 <br /> i irPE �cOH51 ceour PLUMBING �7J i�iC.- <br /> r SREOFBLDG. FIRESPRIYKLERSHE00 BASEMENT ' <br />� MECHANICAL <br /> ❑ YES ❑ NO <br />' OCGUPANGYL0�0 FIREALARMRE00 HEICNT�IRUTATION �DDI710NALPLANCHECK <br /> l F���— OTHER <br /> AEASON <br />` STATEBWLOINGSURCHARGE ��) �•� <br /> INTPxE BV PLANS APP EDBV CITY OF EVERETT PUBLIC WOFKS <br />' LOCAL SALES <br /> °q,E � •� �z.�'9 TAX COOE IS 3105 TOTAL <br />