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APPLICa►TIQ�1 FO�i CONSTRUCT�'-lN PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />BUILDING DEPARTMENT HEAT�NG SY;TEM: i$jfiAS iJ ELECTR�C J <br />259-8610 <br />DEMOLITION C 7 COMBINATION <!' BUILDING Li MECHANICAL r};PLUMBING i I SIGN <br />OWNER MFILAO�FESS CITY 21P PNOIIE <br />'�n=,� �,.? ^-'.SSO'•S 9'i0?. 27*h Ave. S.?. 3��^rett 98208 20E-?'i3-o955 <br />TENANT p'pILA00RES5 CITV ZIP PII01lE <br />�.,r,:S..I\T� !)nA: ?IAIR'f �i�?';5'Q QiUi 27th AvP. S.?. ��roratt 93208 20h-993-n��5 <br />MCHITECTOROESIGNER lA�ILADORE55 32O S. 1�. St.Q'�'�l{ Jf. ZIP PMONc Sp�_P2a_2g5K <br />''TT�T_?A'1 nL"?-A',�NIT-�T Sutt? ?30 T'hA ✓?'P,¢'Oh �1.onee7' ?l�a. Fortl.an�i, Ot' 97204 <br />G[NERALCONTRAC70R IAAIL�DORE55 CITV ZIP PHONE STATEIIGENSEa <br />P�et West Corp. 318 S.E. Everett Mall Way, Suite 101 Everett, WA 290-9696 PUGETWC187KG <br />Id[CNANICALCONTRACTOR MNLADDPESS CITY ZIP PNO"IE STATEUCENSEa <br />�S' �,3AT� n^�?%iIT <br />PWtd�INGCONTRACTOR MPILADDflE55 CI1Y 21P PHONE STATELICENSEa <br />CONpTRACT PRICE OF WORK <br />i2Jo.o��.�o <br />�ESCflIBE WORH AND SOUARE FOOTpGE INVOLVEO <br />ti�Prr �atrv Zueen 25505� <br />ft il'J3� —l�1VJ:��� -—/Y �`�' <br />PROPOSED USE OF 0 W L�ING <br />�P�tnuran*. <br />LEGAL �ESCRIPTION OF PPOPERTV (SHOYlN �ELO W OR ATTACH T\VO COPIES� <br />l0T BLOCK OF — <br />�TTAQHE7. <br />PARCELTAXI.D.NUTABER <br />CONSTPUCTION LOAN LENDER �DDRE55, TEIEPMONE Nl <br />Americqn rtrst, '�T:ztl. nan!t <br />PROJECT ADDRESS <br />/� �2/-��2�)CnP� <br />PLUMBING <br />N0. TYPE OF FIXTUflE OR ITEM <br />� WATER CLOSET(TOILET) <br />�_ BATHTUB _ <br />i LAVATORY(WASH BASIN) <br />— HOWER <br />- K CHEN SINK 8 DISP <br />1 DIS ASHER <br />LAUND TRAY <br />_ ninrucc� cuco <br />URINAL <br />DRINKING F <br />FLOOR DRA <br />BACKFLOW <br />SINK <br />SUB TOTAL $ <br />TOTAL FEE 5 <br />FOR OFFICE USE ONLY: <br />fPONT�C� R�� AC�( <br />/ <br />USEZON[ LOTAPEA <br />�� <br />YPEOFLOqSI NO.OFSI0RIE5 <br />�N � <br />SIZEOFBL�G. PIRESPflWKLERSRE00 <br />•Zr.j � RJO <br />OCCUPAl1CYLOAO fIREPLAR41RE0'D <br />Il)(� Nd <br />INTqKEBY PLANSAPPFOVEDBY <br />DATE ��� l./ii <br />31�3-124 <br />CONi�CT PERSON AND PiIONE N0. <br />�03?3, s^ssoTT.� 205_?98-oq�5 <br />or - . - ,-�. i. <br />I HEREBY CERTIFY THAT I HAVE READ AND FXAMIIJED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND COHRECT. ALL <br />PROVISIOIJS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPEGIFiED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL lAW REGULATING CONSTRUCTION OR THE <br />PERFORh1ANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFOR"�1 THE WORK FOR WHICH <br />APPLICATION IS MADE AND I GOMPLY WI7H THE STATE <br />CONTR9GTOR5 LAW 18.27 RC1V AND 296.200 WAC. <br />—Y— f <br />,�.� <br />MECHANICAL <br />FEE NO. TYPE OF EQUIPMENT <br />� AIC—NHNDLG UNITS—H.P. <br />; FORCED AIR SYSTEMS—B.T.U. M E.A. <br />� UNIT HEATERS—B.T.U. M <br />� CLOTHES DRYERS <br />; VENTILATION FAN <br />RANGEHOOD <br />; WATER HEATER <br />�— WOOD STOVE <br />� METAL FIREPLACE (WOOD BURNING) <br />� FIREPLACE INSERT <br />GAS PIPING <br />EXHAUSTFAN <br />-'` Z1�3. %Y p'� <br />SIDESETOAfJ( PLANGHEC�Uh1BE/ <br />l% �� � <Y <br />VACAM SITE FEES <br />L YE.i : J NO BUILDhlG <br />acuvuzv uo crowauncw;ns — <br />cnouv pLUMEING <br />F�i? .� <br />9ASEMENT <br />❑ YES ?CNO <br />HEIGHT LIM�TATION <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />MECHANICAL <br />ADDITIONAL PLAN CHECK <br />OTHER <br />STATE BUIL�ING SURCHAFiGE <br />PUBLIC WORKS <br />TOTAL <br />FEE <br />SUB TOTAL 5 ; <br />PERMIT 5 <br />�fOTAL FEE 5 � <br />��� . �Lp�� <br />RECEIPT N0. <br />as.i� �o5�y7 <br />VALUATION FEE <br />T <br />r�3. - �a -�+-.� 99 ;� 9 <br />i <br />i � <br />i <br />/G/ �T <br />