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� <br />APPLICATiO� FOR CONSTRUCT j1N PERf.:�T � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />BUILDING DEPARTMENT <br />259-8810 <br />DEMOUTION <br />OWNER MN <br />� & M Investment <br />HEATINC, SYSTEM: ❑ GAS ❑ EL[CTRIC X] <br />COMBINATIO X B�ILDING MECHANICAL� .. s PLUMBIMG <br />AO�FESS CITV ZIP PHO' E <br />510 P.ainier South, Seattle, !lA 9914•4 (296) 323-5393 <br />���. ��r ����t <br />ARLHITECT OR DESIGNER MAIL ADDFESS / CI7Y ZIP PHONE <br />Charles Morgan & Associates 7301 Deverly Lane, Everett, !Il1 93203 353-2933 <br />GENERALCONTRFCTOR MAILpDOFESS CITV Z�p PHONE STATEUCENSEa <br />MECHANILALCONTRACTOR MAILAODRESS <br />PLUMBINGCONTRACTOR MAILA��RESS <br />CLASS OF WORN <br />X_NEW ' ADDITION <br />PROPOSED USE OF Bt11LDING <br />apartments <br />LEGFL DESCRIPTION Of PROPERTY <br />LOT BLOCK <br />PRQIECTADORESS <br />KITCHEN SINK & DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENT <br />CITV <br />CITY ZIP <br />Sl .�E UCENSF R <br />PNONE STAThLICENSEp <br />J <br />' SIGN <br />I ALTERATIUN i. �� REPAIR .' DEMOLITION �� WOODSTOVBFRPL INSERT I 1 L3UILDING RELOCATION <br />ICONTACT PEFSON AN� PHONE N0. <br />Charies 14organ - 353023�8 <br />: INVOLVED <br />i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />�A �Q � APPLICATION AND KNON! THE SAME TO BE TRUE AND CORRECT. ALL <br />BELOWOf1ATTAGHFOURCOPIES� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />_ oF _ NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CAN�EL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGI.'�ATING CONSTRUCTION OR THE <br />PERGORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNEF OF THIS PROPERTY TU PERFORM THE WORK FOR WHICH <br />- APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 29R.200 WAC. <br />� � x ����Z-- /a/� �'�q3 <br />SIGI�TipflE DATE <br />FOR OFFICE USE ONLY: <br />FRONTSETBACK REAPSETBACK <br />2�o Zc� <br />USEZONE LOTAREA <br />-3 cau�: 3. I � <br />TYPEOFWNiS.ALI ABIE iYPEOFCONSiACTUAL <br />SREOFBLDf,.� O.OFSTORI� <br />OCCUPANGN LOAD PIflE SPflNNLEFS REO'D <br />/V� �r5 <br />flEA50N FOF SPRINKLEFS <br />CDO ES p1 o;•iAr/'C <br />INTAHE9Y PUl APPROVEDOV <br />SIpE <br />VFCANT SITE <br />OLCO�ANCY p0 OfONFLU4G11Ni�5 <br />ao�P i 3 � <br />BASEM NT <br />YFS <br />HEIGHT LIMITpTION <br />�/1 ' 4 <br />CITY OF EV RETT <br />LOCALSALES <br />TAX CODE IS 3105 <br />A1C—A/HNDLG UNITS—H.P. <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />UNIT HEATERS—B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />EXHAUSTFAN <br />ii /z8: 2 <br />:KNUTABER FEE <br />/O/ ��D/. � <br />BUILDING <br />/J' � � I PLUh1BING <br />1—� _L— <br />MECHANICAL <br />AODITIONAL PLAN CHECK <br />SPRINKLER <br />STATE 9UILDING SURCHARGE <br />PUBLIC WOFKS <br />TOTAL <br />'�` !�� ' /� �7"� r�r:: <br />✓?��'Ji(.0 �, <br />FEE <br />� <br />9 <br />. <br />