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/APPLICATIC 7 FOR CONSTRUCT`1N PERMIT ��� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT a T <br /> � HEATING SYSTEM� �GAS �I ELECTRIC U I <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> ❑ DEMOLITION' ❑ COMBINATION fYl BUILDING IX�MECHANICAL fX PLUMBING U SIGN <br /> OWNER MAILAODRESS CITY ZIP PHONE <br /> �C. IZ� �I�M� i�(1 I,k.zi ini�is.K i�U1� R�IGHMO�)fl 'dG 111 II Z7 �— 555� <br /> TF.NANT MAIL AD�RESS LITY ZIP PHONE <br /> -�121F('RA FT I D11.1 ��"c�lU�f u.`�'-'0°�'T ,���� �� `�' n9�� SurT C. <br /> ARCHITECTOROESIGNER MAILADOREJS <br /> CITY ZIP PHONE <br /> GENERALCONTRACTOR MAILADOR[55 <br /> CITY ZIP PHONE STATE LICENSE a <br /> ��T� Z�p PHONE STATELICENSEA <br /> MECHANICAL CONTFiACTOR MAIL ADDRE55 <br /> PyjIM91NGCONTRACTOR MAILADDRESS <br /> CITY :IP PMONE STATE LICENSE M <br /> /f <br /> CO TRACT,PFICEOFWOFK <br /> OES.:RIBE WORK AND SOUANE FOOTAGE�NVOLVED <br /> CONTACT PERSON AND PHONE NO. <br /> �EF i �oP sv� G�fFF � �.I .�Zi � � Z83 <br /> 35Oo I HEREBY CERTIFY THAT I HAVt READ AND EXAMINED THIS <br /> PFOPOSED USE OF BUILDIN APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEGALDESCFiIPTIONOFPROPERNISNOWNBELOWOflATTACHTWOCOPIES� WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �oT o�aN oF AUTHORITY TO VIOLATE OF CANCEL THE PROVISIONS OF ANY <br /> OTHER 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 /> APPLICATION IS MADE AND I COMPIY WITH THE STATE <br /> a�l.LAX I.D.NUMBEIi CONTRACTORS LAW 1827 RC D 296200 WAC. <br /> C NSTPUCTIONLOANLENDER.ADDRESS.TEIFPHONENUMBER �X'�� <br /> V /�� <br /> sicr+n.0 onrE <br /> PROJECTADDRESS -- <br /> �j CITV MESSIICEN5EN0 <br /> � HANICAL .— <br /> PLUMBING FEE <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TVPE OF EQUIPMENT <br /> WATER CLOSET(TOILET) � AIC—NHNDLG UNITS—H.P. ' <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> LAVATORY(WASH BASIN) � UN�T HEATERS—B.T.U. M � <br /> SHOWER ' CLOTHES DRYERS � <br /> � KITCHEN SINK&D�SP � VENTILATION FAN � <br /> DISHWASHER � RANGE HOOD ' <br /> LAUNDRYTRAY ; WATER HEATER � <br /> , WOODSTOVE ' <br /> CLOTHES WASHER i <br /> URINAL ' METAL FIREPLACE(WOOD BURNING) <br /> DRINKING FOUNTAIN � FIREPLACE INSERT � � <br /> FLOOR DRAIN � HEAT PUMP � <br /> BACKFLOW PREVENTERS ; GAS PIPING � <br /> ROOF DRAINS—RAINLEADERS � EXHAUST FAN ' <br /> SINK(SERVICE—BAR,ETCJ � �r'7�T �hT (L� <br /> � <br /> � L � <br /> � <br /> 1� SUB TOTAL $ ' <br /> SUB TOTAL $ � PERMIT � 8 <br /> — PERMIT S ' - TOTAL FEE $ ' <br /> TOTALFEE $ <br /> FOR OFFICE USE ONLY: AeceiaT No.� <br /> FRONT SETBACK REAP SETBACK SIDE SETBACK <br /> PLANCNE KNUM9ER FEE <br /> i <br /> VACANTSITE FEES VALUATION FEE <br /> USEZONE LOTAREA y�� i <br /> ❑ YES � N� BUILDING 3,4a(/ <br /> ttPEOFCONSi NO.OFSTORI[5 aCU>ANtr Noa��NFIUNGUNi�S i <br /> � I �° ° � PLUMBING ' <br /> S2E OF BLDG. 'FIRE SPRINKLERS REO'D B SEMENT MECHANICAL � <br /> �� /.I. YY�J + ❑ YES ?C` NO I <br /> ADDI710NAL PLAN CHECK ' <br /> OCCIIPANCV LOAD FIRE ALARM REQD HEIGNT LIMITATION _ � <br /> i <br /> I� ,JC OTHEP �/(/`, <br /> REASON 1 L,J �/ . . <br /> �`m/� �`� Ay�� �Ja STATE BUILDING SUFCHARGE <br /> -�v �I � <br /> � <br /> INTAKE BY PLANS PPROVED BY CITY OF EVERETT PUBLIC WORKS � 'Q <br /> m� LOCAL SALES , ' <br /> (Z fD 9y� TAX COOE IS 3105 TOTAL � , <br /> DAiE ���, <br />