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FROM:EVERETT BUILDING DEPT <br />TO: 713 667 5904 JUN 21 <br />1992 2:13PM 4151 P.02 <br />APPLICATION <br />FOR CONSTRUCTION <br />PERMIT <br />TO BE COMPLETED IN BLACK INK —PLEASE PRINT <br />CrA1 <br />HEATING SYSTEM: U GAS CJ ELECTRIC ❑ ,_._ _ <br />j x <br />BUILDING DEPARTMENT <br />-' <br />9 y <br />2511-6810 <br />H <br />DEMOLITION I I COMBINATION <br />L 1 BUILDING I I MECHANICAL <br />I I PLUMBING I I SIGN <br />H <br />H H <br />DVMFR MAIL ADDRESS <br />CITY ZIP PHONE <br />C] <br />1-3".0 <br />f-anaral Huhrinn CERtEr 071 <br />P A Pihhchnrnh.F,p,g 15777 <br />ld17T7AR,,,4Fi7d <br />H� <br />TENANT MAIL ADDRESS <br />CITY 21P PHONE <br />fAH <br />c.p�p 1 N1 hr'hi r h 07T <br />DeRA-..Almwp#9-Pi ttch11r9hFPa 1572 <br />(d17p_B.B df.7d-_�_ <br />H <br />x <br />AHCIINECIONDESIONEO MAILADDnESS <br />CRY ZIP PIIONC <br />Cif O <br />O H <br />CIE Ni: p 1 1 UHESS <br />AV.enlle-...P • ht h �-F nn 1 5?7 <br />CITY ZIP PHONE <br />f 4.1 ]AA_4624 <br />STATE LICENSEe <br />HMO <br />U.S. Design Construction Corp <br />n <br />(D711 5,dshw..Qn HoctnnFTx 77081, <br />,.(71RF6F'i-h50� <br />MFCIIANICAI CONTRACTOR MAII ADDRFSS <br />CITY TIP PHONE <br />STIIGEN6Ee <br />G <br />ZH3 <br />mirk .Tnhncnn 711n rr Avanua <br />WQat Lynny+noC]..FWA 9R�"i F+ t7n F.J,776-nSOD <br />,. <br />H Ct��1 <br />$ <br />PLUMDIIIG COYTOACTOR MAIL ADOnE55 <br />CITY ZIP PHONE <br />STATE LICCNSEA <br />H <br />El ertr • [• Dirk Tnhncnn <br />711 0 FF A . Wa�t,,,LynnwoodF WARBD3L <br />_(.20-6-7760R00 <br />C rA <br />C] coCLASSOFWORK <br />`4Ssnr <br />I NEW.__ I I ADDITION IA ALTERATION 1 1 REPAIR I I DEMOLITION I I WOODSTOVE/FRPL INSERT I I BUILDING RELOCATION <br />0 <br />CONTACT PERSON AND PHO14E NO <br />co <br />I �. <br />HO(tn n <br />CONTRACT PRICE OF WORK �2'2F 9AQ. -.___ <br />- . _ _._ . 2........,...,... <br />4M�-Ds <br />� <br />.. <br />Tenant Tmorn TPmant 1840 cn-ft.,., <br />PnoroSED USE OF BUILDING <br />Retail <br />LLOAL UESCHIPI ION OE PHOPEHI Y ISHUWN BELOW OH ATTACH FOUR COPIER) <br />LOT. .. . . CLOCK ........ or <br />PFKIIrl•.T AnDRF65 -.A <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR 1 HE <br />PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE I COMPLY WITH THE STA1E <br />CONTRACTORS LAW 10.27 RC%X AND 296.20D WAC. <br />`(-9Z <br />//./01, S, Z�_j f//�// •— <br />J <br />I:nYeuiNl9e MEN. MN. <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT FEE <br />_ <br />WATER CLOSET (TOILET) <br />BATHTUO <br />A/C-AMNDLG UNITS-H.P. <br />' <br />FORCED AIR SYSTEMS-B.T.U. M E.A. <br />' <br />_ <br />LAVATORY (WASH BASIN) <br />.. ....._.. ......._..._ SHOWER <br />UNIT HEATERS-B.T.U. M <br />�— <br />I <br />CLOTHES DRYERS <br />' <br />-' <br />KITCHEN SINK B DISP <br />I <br />______ <br />....._, <br />VENTILATION FAN <br />- -. -- <br />DISHWASHER <br />_ - <br />RANGE HOOD <br />LAUNDRYTRAY <br />NDR <br />-.. � <br />_ <br />WATER HEATER _„ <br />I <br />I <br />_ <br />CLOTHES WASHER <br />_ <br />I <br />WOOD STOVE <br />-- <br />—` <br />'----- <br />URINAL - � • - <br />'15 "----"- <br />DRINKING FOUNTAIN <br />METAL FIREPLACE & CHIMNEY <br />' <br />..... �._...... <br />__..._ <br />._____ <br />FIREPLACE INSERT <br />---r --" <br />' <br />_.... ........... <br />-- <br />FLOOR DRAIN <br />HEAT PUMP _ <br />- <br />BACKFLOW PREVENTERS <br />i <br />GAS PIPING <br />EXHAUST <br />ROOF DRAINS-RAINLEADERS <br />I <br />_._ _ <br />SINK (SEflVICE-BAR. ETC.) <br />i <br />------ <br />— <br />— <br />—- <br />SUBTOTAL $ <br />--- ....... ERMIT $ <br />P <br />TOTAL FEE $ <br />I <br />SUBTOTAL - $ <br />_-- <br />; <br />� <br />_ <br />PERMIT $ <br />i <br />_ <br />_._-__ <br />TOTAL FEE $ <br />' <br />FOR OFFICE USE ONLY: <br />FRONT 6E1bACK REAR! <br />TYrr <br />NO. UP <br />M '� _ BUILDING <br />Kp1FNICY !IO.OMmIWIri YVns <br />Ong' I/ PLUMBING <br />ysa <br />MECHANICAL <br />RECEIPT No. <br />1 <br />f'/.vh I <br />HEIGHT <br />BEASONrnRAPAWKIFA9 <br />oww <br />INTWI; BY PLANS APP110YEDBY <br />fn%7 h 1 1M _ <br />ADDITIONAL PLAN CHECK <br />SPRINKLER <br />SIAlE DUILDING SURCHARGE <br />PUBLIC WORKS <br />