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� • APPLIC� ;I�N �OR C�NSTRUCt�ON PERM�4 � <br /> TO BE WMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDINC� DEPAR7MENT HEATING SYSTEM: ❑3AS ❑ELECTRIC ❑_ <br /> 259•8810 <br /> � DEMOLITION ❑ COMBINATION CI DUILDING ❑MECHANICAL ❑ PLUMBING � SIGN <br /> WNER /IAA�IL�A/DO�flta(S� �/y� � ��( C/IT�V ,�(�/� �ZI/P �y� /PNO.�N/E 1 fj��// ry� y� <br /> /TENAN�! IMAII�L�Ll�I`tC rV�/�([S l�l�.�� CI�t�`V fM`IU 1�/✓� " \ NN�'/ ✓�C ` /�V <br /> ARCHITECTORDESIGNER MAILADDRESS CIT° ZIP PNONE � <br /> GENEFALCONTRACTOR MAILADDRESS CIiV 21P PHONE STATELICENSEII <br /> MECIIANICALCONTRACTOR MAILADGR[SS CITY ZIP PHONE SiATELICENSEY <br /> FLU6fUINGCONTRACTOR MFILAODRE55 LITV ZIP PMONE STATELICENSEM <br /> CONTRACT P(iILE OF WORK <br /> OESCRIBE WOFK AND SOUARE FOOTAGE INVOLVED CONTACT PERSON AND PHONE NO. <br /> ��v ����� � ���� <br /> � i HEREBY CERTIFY THAT I HAVE FEAD AND EXAMINED THIS <br /> PROPOSED USEOF OUIL�ING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEGALDESCRIPTIONOFPPOPERTY�SIi�'YNBELOWORnTTnCH7WOCOPIES� WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTIIVG OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �or a�ocK y�o/F AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> X � �? �E7 'Lr-� �'T�`"� OTHFR STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PEHFORMANCE OF CONSTRUCTIUN.THAT I AM AUTHORIZED BY THE <br /> .s J� � rL � �Of 13 OWNER F THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLIC TION S MADE AND I COMPLY WITH THE STATE <br /> PARCE i�r/'o,�NWa9eFG^ /1/Z �O'�/y� CONTR TORS AW 1 .27 RCW AND 296200 WAC. <br /> .�7/ (Jc.q 'U! �v <br /> i . <br /> CONSTRUCTION LOAN IENDEfl,ADDRE55,TELEPHONE Nl1MBEfl ^ � <br /> �� C <br /> i ,PROJECT E S sm vae o"iE <br /> X � c� usiu sucsr�scNn. <br /> PLUMBING C ICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE O. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET) � A/C—A/HNDLG UNITS—H.P. � _ <br /> BATHTUB ' FORCED Alfl SYSTEMS—B.T.U. M t.A. ' <br /> LAVATORY(WASH BASIN) � UNIT HEATERS—B.T.U. M � <br /> SHOWER ' CLOTHES DRYERS ' <br /> KIYCHEN SINK 8 DISP ; VENTILATION FAN �_ <br /> DISHWASHER � RANGE HOOD � _ <br /> LAUNDRYTRAY ' ; WATER HEATER � <br /> CLOTHES WASHER 4JOOD STOVE �_ <br /> URINAL ; METAL FIREPLACE(WO00 BURNING) ' <br /> DRINKING FOUNTAIN � FIREPLACE INSERT � <br /> FLOOR DRAIN � HEAT PUMP ' <br /> BACKfLOW PREVENTERS ; GAS PIPING � <br /> ROOF DRAINS—RAINLEADERS � EXHAUST FAN � <br /> SINK(SERVICE—BAR,ETC.) � <br /> � <br /> � ' <br /> i ' <br /> � <br /> — � <br /> - � <br /> SUB TOTAL $ ; SUB TOTAL $ ; <br /> PEFiMIT $ PERMIT $ �_ <br /> TOTAL FcE $ _ TOTAL FEE 3 ' <br /> FOR OPFICE USE ONLY: <br /> PPJNT SETBACH REAR SETBACK SIDE SETBACN PIAN CH LR NUAI�FR�� FF.E REGEIPT NO. <br /> � 3 7 <br /> USE ZONE LOT AREA VACANT SITP 1 EES VALUATION FEE <br /> �i "�S I I NO BUILDING ' <br /> lYFEOFCONSi. NO.OFSTORIES OCLP-u¢v Noo�OWUUHuuNuS � <br /> c�WP PLUMBING i <br /> SIZEOFBLOG. PIflESPRINNIERSflEO'D BASEMENi MECHANICAL � <br /> ❑ ves n No � <br /> OCWPANCYLOAD FIRE4LARMREOD HEIGMTLIMITATION ADDITIONALPLANCHECK � _ <br /> OTHER � <br /> �— <br /> REASON <br /> STATE�UILDING SU(iCHARGE <br /> INTANEBY PLANSAPPROVE�B\' CITY OF EVERE�T PU6LIC WORKS i <br /> LOCAL SALES � <br /> onTE TAX COOE IS 3105 TOTAL ; <br />