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APPLICAT�"�N FOR CONSTRUC"10N PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />BUILDING DEPARTMEN i I HEATING SYSTEM: U GAS ❑ ELECTRIC IJ � <br />259-8810 � <br />17 DEMOLITION I I COMBINATION �1 BUILDING I I MECHANICAL I I PLUMBING 6(I SIGN <br />OYMEfl MAI��DDf1E55 CIIY ZIP PNONE <br />Yu-Jen Ldang 1529 63rd St. SE Everett, WA 98203 353-6734 <br />IEN�NT MAIL�OUPE55 CItV I ZIP PHONE J <br />ln,r�� � ��n n �.. � _ . V �K.-KJ��� �>> • �%%�G <br />ARCHITECTORDESIONEB M41LpODilE55 � 1 �'^ •"' """" <br />Gary Parkinson, Architect 2812 Co y Ave Everett, WA 98201 252-2153 <br />GENERALCONTflAC10R MNL AOUPESS CITY 21P P110NE STAIE LICENSE I <br />Gaffney Construction 1715 100th P1. SE r.verett, WA 98208 335-2114 <br />MECNANIC�ICONiRAC10� MAI�p0�RE55 CIIY ZIP PHONE STRIELICENSEI <br />PLUMBINOCONTRI1CiOR MnIL�ODRE55 C17Y ZIP PHONE STAIEUCENSEI <br />CONTHACT PflICE OF WOI1N <br />$25,000 <br />PROPOSED USE OF <br />Estimated) <br />IEG�I OESGRIP710N OF Pf10PEFiY �SNDN;N OGL01 <br />lOT BIOCK — OF <br />PARCELiA%I.D.NUMOER <br />LO�NIENDER.A0DNE5S, <br />PLUMBING <br />WATER CLOSET (TOIL <br />BATHTUB <br />LAVATORY(WASH BA; <br />SHOWER <br />KIiCHEN SINK 8 DISP <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKIN� FOUN7AIN <br />FLOOR ORAIN <br />BACKFLOW PREVENTEFS <br />ROOF DRAINS—RAINLEAC <br />SINK (SERVICE—BAR, ETC <br />and <br />ATTr1G11 T WO COPIE51 <br />0; 4'302-006-006-1 <br />CONIACT <br />I HEFIEBY CEPTIFY THAT I HAVE FiEAO AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PHOVISIONS OF LAWS AND ORDINANCES GOYERNINO THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER iPEGFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PHESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOHI2E0 BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1027 RCW AND 296.200 WAC. <br />MECHANICAL <br />OR ITEM FEE NO. TYPE OF EOUIPMEN <br />� A!C—NHNDLG UNITS—H.P. <br />; FORCEDAIRSYSfEMS—B.T.U. <br />� UNIT HEATERS—B.T.U. M <br />SUB TOTAL S <br />PERMIT 3 <br />TOIAL FEE $ <br />FOR OFFICE USE ONLY: <br />FPONTSEiB�CK HEAfI5ET6r1CK <br />U¢EZONE <br />��. <br />ttPE O�F cONS�t. <br />-i+�/ <br />��.]� <br />�1b Gt1A+U(9� <br />LOTAREA <br />FIRE SPflI�NN�LERS f1E0'D <br />FIRE r1LAi'iM neo�o <br />Yt'v <br />cinr+s nrPnoveo ur <br />nnie J�il1�9G. <br />n ves ❑ No <br />acureatr rro.orow[mx,uviis <br />GM � <br />[] YES ,f� NO <br />FEVERETT <br />�L SALES <br />oe is aios <br />VENTILATION I <br />RANGEHOOD <br />WOOD STOVE <br />METAL FIREPLACE i <br />FIREPLACE INSERT <br />HEATPUMP <br />GAS PIPING <br />euaoiwc <br />PLUMUING <br />MECHANICAL <br />AODITIONAL PLAN CHECK <br />OTHEft <br />SiATE OUILOING SURCHARGE <br />runi ic wonKs <br />TOTAL <br />FEE <br />M E.A. <br />SUB TOTAL $ __ J <br />PEfiDdlT S � <br />—� <br />TOTALFEE $ ' <br />�j/ /� FECEIPI NO. <br />0 <br />VALUATION FEE <br />26,1L0 � 7 � O� <br />� <br />�—r� <br />i <br />i <br />i <br />i <br />i <br />� <br />� <br />i <br />� <br />a� ; ;� <br />