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� .,:,; • <br /> � <br /> APPLICATIC""'� FOR lCONSTRUC'i``"'�N PERMIT � <br /> TO BE COMPLETED IN BI.ACK INK—PLEASE PRINT <br /> HEATING SYSTEM: kl GAS ❑ELECTRIC �.,7 � <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> DEMOLITION COMBINATION ` BUILDING - MECHANICAL �'' PLUMBING _SIGN °' -; <br /> OWNER n MAI�AppRE55 CITY ZIP PHONE .� <br /> ,�.lJ.l,V'R�Q�I� ��N�'i �O �i0i' I"^'J��i S^lQ�no r�.s'� ,�s/!i `�i�i=-�7! ��J' `1J�Jn _ .. <br /> TENANT � fdAIL ADDRE55 CITY _'IP PNONE <br /> ABCHITECTORDESIGNEF l.IAILAD�FE55 CITY ZIP PHONE <br /> ,� H 1 hom ��aumRNN 11�815- 116t�'s< <S�s�hcrn�� 1, wA 9R�90 .h/�S 'y?��:�' . <br /> x��{I GENERALCONTRACTOF MAILA�DRE55 CITY 21P PHONE STATELICENSE+ <br /> C,�H ('. .IJJ , Q�RyQ`n�� Carisl . �.O. �ox 13s6 $NO�ndM�Sh, W(� 9P.29� '%rf�Sl3F� C(uiiRlG�'ID9C(o <br /> � H IdECHANICILCONTflACTOR IAAILADDRE55 CRV ZIP . PNONE STATEIJCENSE4 <br /> a�y f�55oC�flaNd �-�ea3��rac /5'303 N'143r� P� V�oor��n1J,1\P�w�9Bo7� �350op /�SSon�d38��7 <br /> PLUMB�NGCONTRACTOR MA 06RES5 CIiV 2iP PHONE SiMEIIGENSCa <br /> � o (`�. K 1'L��,b�r�4 P•o.Rax 19oa. (�o�fl,P�i, �a,� 98oy1 7g85io� � CkGL�� ,+�c is�sz„� <br /> I-3.�J GLASSOFWORH <br /> � H� � NEW � '� ADDITION ALTERATION REPAIR DEIdOLITION WOODSTOVE/FRPL INSERT � AU!LGiNG RELOCATION <br /> V7H�-�I '1 CRNi1ACTPERSOIJAN�PHONENO L <br /> pxtj �GONiRACTPRICE0FW0iiK ��y( O)`- L/ �` `+'"UC'� ��1 �Z ���J _��I� <br /> �� �.�. d DESCPIBEWORKANDSOVAFEFOOiAGEiNVO�VED <br /> o H �__ , , � �:� u �;,-, . �C`l `� • <br /> C � r . �..� - <br /> N [s10 �'ROPOSEOUSEOFBWLGiNG n _ I HEREBY CERTIFV THAT I HAVE READ AND EXAMWED THIS <br /> H y � S\N \ FAmti�` ���1 11�✓Js+ ' _ �PPLICATIOP:AND KNOW THE SAh1E TO BE TRUE AND GORFECT.ALL <br /> �ewi oes ivriouoF aaa earv isNowv ee�owoa nrrnce Foua coaiEs PROVISIONS OF LAWS AND OPOINANCES GOVERNING THIS 7YPE OF <br /> y y ^ •�� WORK WILL BE COMPLETED 'NITH WHET4GR SPECIFlED HEREIN OR <br /> t'� H y � �or d-� BLOCN �" oF � � � " '' I�!o y^ �' NOT. THE GRANTING OF A PERh11T DOES NOT PRESUME TO GIVE <br /> �y y ♦ � AUTHOFITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> � r,y y \ M f 'i P�IC �'-h� ��'�'� �-l"`'fN'' Ui i � �> {' � - OTHER STATE OF LOCAL�AW REGULATING CONSTRUCTION OR THE <br /> C PERFORAIANCE OF CONaTRUCTION.THAT I AM AUTHORIZED BY THE <br /> � [rJ� . n r � ,��F �J �.17 OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR NJHICH <br /> - � �" '���-�- APPLICATION IS A1ADE AND I CO'.1PLY WITH TNE STATE <br /> y �y '^ CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> _ _ �, ,�- I�,� ' �_, L�� ,zZ <br /> X ' � ;3o� r gz <br /> PRQIECiA�OP.E55 _--_— r,.r,:at � � -- uqt <br /> 7o sr D -- <br /> PLUMBING MECHANICAL�� <br /> NO TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> I� � �j WATER CLOSET(TOILET) _�'�/N= NC—A'HNDLG UNITS�-H.P. _ <br /> � BATHTUB __ %��� ;' _L FORC[D AIR SYSTEMS—B.T.U. M E.A. <br /> �j LAVATORY(PJASH BASIN� _�/_�- UNIT HEATERS—B.T.U. h1 <br /> '...� _1_ CLOTHES CPYERS _ <br /> SHOWER � <br /> �� � KITCHEN SINK&DISP VENTILATION FAN _ _ <br /> —�� <br /> DISHWhSHER 7 � _� FANGE HOOD <br /> LAUNDRY TR�'. WATER HEATEIi <br /> ---� VlOOD STOVE <br /> r' CLOTHES WASHER ' <br /> URINAL _L_ METAL PIREPLACE 8 CHIMNEY _ ?'7' !i �- <br /> GRINKING FOUNTAM �IREPLACE INSERT � � <br /> —r- <br /> '� � FLOOR DRAIN � ��[AT PUMP <br /> �w BACKFLOW PREVENTERS � GAS PIPING _ <br /> ROOF DRAINS—RAINLEADERS --r EXHAUST FAN <br /> SINK(SERVICE—BAR,ETC.� � <br /> ' �,,,,�' -_ ---r ��7�I r - ,.�i !t iU ;' ,i.,-7 /0 0 � G`.? <br /> ' —r -i"—�- <br /> �' <br /> ` I`� --r SUB TOTAL S U ' D <br /> � SUB TOTAL 5 J�� �- <br /> PERMIT 5 --�- PERMIT S -�� <br /> TOTAL FEE S -7"% ;- TOTAL FEE S Y:'-'' c'� ' <br /> � FOR OFFICE USE ONLY: � � I C. 2 / -'�`'> �✓ <br /> FPONTSETBACK R[ARSETOr1CK 51�[iETO/C PLANCHEGHry�II,;P'/ F�, � / /j R[CE�iN l,� / <br /> w 2 /- � � <br /> ''7.� 3s <br /> UsezoNe �oranEny vnCn rsiF r[ FEES VALUATION FE£ <br /> I�� "I �L� � BUILDING �� '77�i �T � ' �U <br /> lYPEOfWptS.AIIOW�BLE IYPE�FCON4.FCIUAI xcunn•in x0a�o'.vuu'a�sns — � i <br /> �J�� / ��vou3 � I PLUh1BING �J i/s�) <br /> _�1%�_`/ " — . <br /> S�ZEOFBLDG NO.OfSTORIES OAS[MENt �AECHANIGAL ��� '/- -` <br /> 1635 SS �GAn 2 � <br /> OCCUPANCY 10�� FinE SrqNrc�eas neov NeicNi�n.�nnrion ADDITIONAL PLAN CHECK I �� <br /> P 7 � / <br /> _:�'f7iNKLFR� �iC1!d>�- (I 'Ov <br /> RE�SON FOR SPRINNLEpS <br /> STATE BUILDING SURCHARGE � - i <br /> .]i � <br /> INTANEBY PLANSAPPROVED9Y CITY OF EVERETT PUDLIC WORK$ ,j�U ��� <br /> LOCAL SALES , � i /� <br /> J !� �v/�,, •),L TAX CODE IS 3105 TaTA� <br />