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� APPLICATIO►� FOR CONSTRUCTI N PERMIT � <br /> i TO BE COMPLETED IN BLACK INK—PLEASE PRINT �� <br /> I -- -- — — — ---i <br /> IHEATING SYSTEM: �GAS J ELECTRIC J _. — — I <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING I MECHANICAL PLUMBING SIGN <br />� owr�[�� r.�ni�noon[ss urr ziv �non[ <br /> �'T f,(-oTo.4 c_ �c, ��X.��7 C�'. ��'� <br /> i[Nnni knItADDRESS C�rv /1P rMor1[ <br />� � .,,, -� �/ 2829 �c� C C-'J. <br />� ARGHIiECTOROESIGNER tAMLA�DRF55 CRY ZIP PNONE <br /> G[NLRN.CONTR�GiOR MAILh�ORE55 CiTY Z:P PMONE S7ATEIlCENSE• <br /> IVEC11/.IJICALCONTRNLTOR MARPOD�ESS CiTV 2i� PHONE ST/TEULENSE• <br /> C-�i�J'�JSi ,rsr��-r/���- /ti�� r. d��'r���=a��z� nOt �J� / 7Sz 3iry C-7�r� s��ci�t-� <br /> PI.111.1�INGCONTP�CTOR MAILADDRE55 GITv DP PHONE ST4TELIGCIISEY <br /> LONiRACT PRILE OF WORK <br /> r ¢,��7.O tJ <br /> p[SCRIO[WORK FNU SOUARE POOTAGE INVOLVED GONTACT PERSON RtJO P��ONE N�� 1/ <br /> _Z��Ii�-TiAGL /�is if1�i l��i��'= 7Y • _ �r�n �5��.�//f <br />' fa�:J L.� �' �AS �/J�i�v!- �5:�� o%Yll_5' <br /> i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />� aao❑oseo usE oF ouaoiNc APPLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT.ALL <br /> �Q/� �a��,�y� PROVISIONS OF LAWS AND OI�DINANCES GOVERNING THIS TVPE OF <br />� iecnioescnirtioNOFPaoPERivisNow�+BE�owoRnitncHnvowaiesl NOT THELGRANT�ING OF AD ERMITJDOES NOT PRIESUME TO GWE <br /> �pi e�ocK ov qUTHORITY TO VIOLATE OR GANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORA7ANGE OF CONSTRUCTION. iHAT I AM AUTHORIZED BV THE <br /> I <br /> OWNE(7 OF THIS PROPERTY TO PERfORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COIdPLY WITH THE S?ATE <br />�/ arnce�tax i o.NUMeea CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> I CONSiRUCTION LOAN IENDER.ADDfiE55.TELEPHONE NUMBER ^ <br /> —.-�.d./ � ��.�j�z 4!� <br /> Sar:n�i.�t na� <br /> PROJECT DDRESS <br /> �[�Z c� �Qi L' ,� L. cnvoc�ats n-�•,.; , <br />� PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br />� WATER CIOSET(TOILET) � A�C—A�HNDLG UNITS—H.P. <br /> BATHiUB i fORGED AIR SYSTEMS—B.T.U. M E.A. <br /> LAVATORY�WASH BASIN) i UNIT HEATC-RS—B.T.U. M __� <br /> � CLOTHES DRVEfiS <br /> SHOWER � � <br /> KITCHEN SINK 8 DISP ; VENTILATION FAN _� <br /> DISIiWASHER RANGE HOOD ' <br /> LAUNDRY TRAY WATER HEATER � <br /> CLOTHES WASHER � WOOD STOVE � <br /> i � IdETAL FIREPLACE(WOOD BURNING) <br /> URINAL � <br />! ORINKING FOUNTAIN FIREPLACE INSERT <br />� FLOOR DRAIN HEAT PUIdP <br /> ' GAS PIPING <br /> BACKfLOW PREVEIJTERS � �--T-� <br /> ROOF DRAINS—NAINLEADERS --� EXfiAUST FAN ' <br /> I <br /> SINK(SERVICE—BAR,ETC.) � _ <br /> —�— <br /> SUBTOTAL 5 SUBTOTAL 5 <br /> PERMIT S PERMIT 5 <br /> TOTALFEE $ ' TOTALFEE 5 <br /> FOR OFFICE USE ONLY: neceirT iao <br /> PL/+NGHE NNUMBER� FFE <br /> FROHT SF.TE3�CN REAR SETBACN SIOE SETBACK !,� <br /> � L, <br /> USE ZONE <br /> ioTna[r. vncnNrsrte FE S VAIUATION FEE <br /> '. -' YES '��' NO BUILDING . <br /> 7YPE OF CONST NO.OF STOPIES otmru:tr �+c m mrcwu;'.:N is 1 ,I <br /> �°��'" PLUMOING <br /> SREOFBLOG. FIRESPRMKLERSflEO'D BASEMEHi MECHANICAL __ � I <br /> �-�. 1'ES ❑ NO � ' i <br /> I AD�IT�ONAL PLAN CHECK ' I <br /> OGCUPANCV LOAU PiRE ALARM REOD HEiGHT LIMITATION <br /> i <br /> OTHER _�— <br />� REASON — STATE OUILDING SURCHARGE _ _ ' <br /> uJ1AK[�v PLANS A�PROVED fl� CITY OF EVERETT Nuuuc woAKs <br /> LOCRL SALES <br /> onre <br /> TAX CODE IS 3105 TO7AL <br /> �� <br />