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* <br /> , APPLICATIE"� FOFi CONSTRUCT�IN PERMIT <br /> TO BE COMPLETED IN BLACK INK—pLEASE PRINT � <br /> BUILDING DEPARTMENT HEATING SYSTEM: GAS ❑E�ECTRIC ❑ <br /> 259-8810 <br /> DEMOUTION i ! COMBINATION �( BUILDING ! I MECHANICAL i PLUMBING f 1 SIGN <br /> �1`//✓ F, SZLNq9' ��gess �/ y <br /> 7g���.C.�IN(lJdOJ7 /�✓E.ZIP PHONE <br /> e�zGL[Ft r i,e-Sl�N1�N1� EV�.tavT 9tuva .�ZoE,d?5:z3oG�y <br /> TENANi h1AllAppRCSS CITY ZIP <br /> PMONE <br /> AqCHRECTORDESIGNER AINLADDPESS CITV ZIP <br /> ��J//� PH�N� <br /> GENER�LCONTR4CTOR h141�AJ]DRE55 CI7Y ZIP PHONE STATEI.IGENSEb <br /> SUN�Ay CoNSTk'M.[Ti�n% yP,2'J �,(�NWv�R�E Er�rr 9�03 �zoa,lzs.�:3ncy SUA►oAGt/ooJB <br /> MECHqNIC�LCONTRACTOR MqILA0DRE55 CRY 21P P;IONE <br /> SiATE LICEN$E a / — <br /> PLUMBINGCONTR�CTOR hAILADDRESS �l a `7'S" <br /> CITV 21P PHONE STATELICE SE� <br /> CONTR4pT PPICE OP WO — <br /> as���L � 'Z ��yre si�,6.�u,e�°�'.r,� <br /> DESCRIBE WORK AND SOUARE F007AGE INVO VED <br /> f „ C �IACT�ER50NANDPHONE O. <br /> Co sr acrie usE �� su ��s�Er.� r. .�i,e s...vo <br /> /11/tiN F�an,p /, /9�o sf+F . '¢y <br /> ' " o2v6 as:2-3oGy �+G S"53-s�s&� <br /> AQN� ��7�� „ , <br /> PROPOSEO,USEOFBUILOING i HEREBY CERTIFY THAT 1 HAVE READ AND E%AMINED THIS <br /> �R/NG�l PRL. �ES�D�NG�E s- .��_ APPIICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEG�L�ESCRIPTIONOFPROPERTY�SHOWNBELOWORATTACNTlYOCOPIE5�71 WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �or � BLp�g oF J�G�' S'' d�d NOT. THE GRANTING OF A PERMIT OOES NOT ,^^'";UME TO GIVE <br /> S"EE AT/�'HE.0 (,�) ,C6GAL ,L�SC�iPT/DNS OTHER STATE OR LOCAL L W REGULATING CONSOTRIUCOT ON OR THE <br /> — PERFOR�IANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH '' <br /> PARCELTnXIDNUMOER APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> $ FUCYON A 0 E T L •�(J <br /> ���a `��',�'-�R'�°$2�s���'�"�'�3.`R .r <br /> r� 6✓E�eE7TA�q�7�,,E„E7r_ 7)N VE CAS,rEy � S <br /> PBOJEQT�9�oAess 5l733 GLEN4�ca.D ff V6, s:a r n o.�_ <br /> _ E✓ERE7T • A ,�ao3 ��, :�M1�ss�����,sE�o <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FIXTURE OR ITEM �':E NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET) II O , <br /> � BATHTUB ( A/C-A�HNDLGUNITS-H.P. <br /> FORCED AIR SYSTEMS-B.T.U. M E.A. <br /> LAVNTORY(WASH BASIN) I�1 UNIT HEATERS-B.T.U. M <br /> SHOWER I � CLOTHES URYERS <br /> KITCHEN SINK 8 DISP /� VENTILATION FAN � <br /> � DISHWASHER ' <br /> D LAUNDRY TRAI' RANGE HOOD <br /> � WATER HEATER <br /> CLOTHES WASHER WOODSTOVE <br /> URINAL � METAL FIREPLACE�WCOO BURNING) <br /> DRINKING FOUNTAIN __� FIREPLACE INSEHT 'a� <br /> FLOOR DRAIN HEAT PUMP , <br /> BACKFLOW PREVENTERS ; GAS PIPING � <br /> ROOF DRAINS-flAINLEADERS � 3 EXHAUST FAN ' <br /> SINK(SERVICE-BAR,ETC.) � � <br /> � � <br /> ' <br /> � <br /> SUB TOTAL $ ; SUB TOTAL 5 ,r� � <br /> PERMIT S PERMIT $ J— <br /> TOTAL FEE � TOTAL FEE 5 [r0 � <br /> FOR OFFICE USE ONLY: j�7 �S <br /> FRONTSETBACN PEARSETBACN SIDESLTDACK PIANLMECNNUMBER FEE RECEIPTNO. <br /> I / �� <br /> � /_S 33G>. �c� �,�;� <br /> uSezoNe �ornaen VACANTSITE FEES VALUATION FEE <br /> - � i� YES :-i NO BUILDING � 9 �(] /1 � ��� <br /> iYPFOFCONSi. NO.O SiORIES orr��rn•;�� r;oOrmtFlUHGu'ats J 7 % <br /> -IJ <br /> 2 9��3 I PLUMBING � I �v <br /> S12GOF LOG FIRESPRINKIERSRE00 BASEMENT <br /> I�v...�� SF� "� � � MECHANICAL <br /> �� sF Gar E ❑ YES VfJO ' Oc� <br /> oCCtlPANCv�onD FinCn�nnh�n oo HEIGMTLIMIiATI�OtN ADDITIONALPLANCHECK la ��j <br /> REn50N � �u �v 1 OTHER /�,(n.� �� �O ' �� <br /> 1 <br /> -T <br /> STATEBUILDINGSURCHARGE �/� �`� <br /> INT�NE EtY PLANSAP['R�ED�Y CITY OF EVERETT PU�UC WOI7KS i <br /> J LOCAL SALES ��J , D,> <br /> _ o",� 5�/q/qcf- TAX CODE IS 3105 TOTAL � � � � ��-- <br /> , ; i <br />