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APPLICATIQ^1 FOR CONSTRUCT''`1N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> HEATING SYSTEM: �GAS ❑ELECTRIC ❑ <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> ❑ DEMOLITION C� COMBINATION �1 BUILDING ❑MECHANICAL ❑PLUMBING ❑ SIGN <br /> OWNER MAIIADDRE55 CITV 21P PHONE <br /> Anderson & Weed 2805 Broadwav Everett WA 98201 <br /> iENANT MAILADORESS CIN :1P PHONE <br /> Triumphant Inc 318 SE Everett Mall Wav Suite 101 Everett WA 98208 <br /> AFCHITECT OP OESIGNER MpIL ADDRE55 C�TV ZIP PHONE <br /> Warren Laion 123 Fourth Ave N. Edmonds WA 98020 <br /> GENERALCONTRACTOR MAILA�URE55 CITV ZIP PMONE STATELICENSEt <br /> PuAet West Corporation 318 SE Everett Mall Wav Suite 101 Everett, WA 98208 PUGETWC187KG <br /> MECHANICAL CONiFACTOR MAIL A�DRESS CITY 21P PHONE STATE LICENSE� <br /> N/A <br /> PLUI.IBINGCONTRACTOR MAI. ADDFESS CITV ZIP PHONE STATELICENSE� <br /> LONTRRCT PPICE OP WORN . <br /> �'.6.000 <br /> DESCRIBE WORK AND SOURRE FOOif.;E INVOIAED CONTACT PERSON AN�PMONE NO. <br /> Modifv ofiice for Pfeineke Muffler in existin Mike Krautkremer P� et West Cor . 290-9696 <br /> auto shon. Clean-u and aint for new tenant <br /> SF • I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSED USE OF BUILDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> Auto Sho PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEGALDESCRIPTIONOFPROPERTV�SHCWNBELOWORATfAC11TWOCOPIES� WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ior e�ocrc oF AUTHOR�TY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> � PERFORMANCE OF CONSTRUCTION.TNAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPEFTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY W�TH THE STATE <br /> PARCEI TAX I.D.NUMBER CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> CONSTRUCTIONLOANLENDER,ADDRESS.TELEPHONENUMBER <br /> • • <br /> PROJECT AD ES A'lV�w s�cHe, ,e o�re <br /> CILY BUSMESS IICENSE NO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) � NC—IVHNDLG UNITS—H.P. � <br /> BATHTUB FORCED AIR SYSTEDAS—B.T.U. M E.A. ' <br /> LAVATORY(WASH BASIN) � UNIT HEATERS—B.T.U. M � <br /> SHOWER ' CLOTHES DRYERS . ' <br /> ' VENTILATION FAN � <br /> KITCHEN SINK&DISP � <br /> DISHWASHER � RANGE;100D ' <br /> LAUNDRYTRAY ; WATER HEATER <br /> CLOTHES WASHER � WOOD STOVE � <br /> URINAL ' METAL FIREPLACE(WOOD BURNING) ' <br /> ORINKING FOI�NTAIN � FIREPLACE INSERT � <br /> FLOOR DRAIN HEAT PUMP ' <br /> BACKFLOW PREVENTERS ; GAS PIPING � . <br /> ROOF DRAINS—RAINLEADERS � EXHAUST FAN ' <br /> SINK(SERVICE—BAR,ETC.) 1 <br /> � <br /> — , <br /> � — <br /> 1 ' <br /> _ � <br /> SUB TOTAL $ ' SUB TOTAL $ ' <br /> — PERMIT $ � PERMIT $ � <br /> TOTALFEE $ ' TOTALFEE $ ' <br /> FOR OFFICE USE ONLY: <br /> FPONT SETBACK PF.AR S@TBACK S��E SETBACN PLAN CMECK NUMBER FEE� �� RECE�FT NO. D� <br /> %!J <br /> usezor+e LOTAREA VACANTSITE FEES VALUATION FEE <br /> ❑ YES ❑ NO yUILDING ,�Il 258 'JC/ <br /> 7VPEOFLONST. NO.OFSTORIES OCCuo/.N NOe�oWEuiHCUYns � <br /> cAc�v pLUMBING � <br /> V - ti I N•Y B- , <br /> SIZEOFBLDG. FIR=6PPINNLERSREO'D BAS MENT MECHANICAL � <br /> 3iq8 ,�u i" YES �O ' <br /> OCLUPANCVLOAD FIFEALARMREOD NEIGHiLIR11TAilON ADDITIONALPLANCHECK ; <br /> YG S OTHER � <br /> eEnso� , __. <br /> GRO����N�f I`l�t -St STATEBUILDINGSURCHARGE <br /> INTAKE BY PLANSA ROVED BY CITY Of EVERETT PUBLIC WORKS � <br /> Jh LOCAL SALES ��� � <br /> OATE � �_L_ q.� TAX CODE IS 3105 rora� � <br />