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APPLICATIC -1 FOR CONSTRUCT" lN PERMIT �� <br />TO BE COMPLETED IN BLACK fNK—PLEASE PRINT <br />BUILDING DEPARTMENT �-- <br />259-8810 <br />i:: DEMOUTION r� COMBINATION <br />HEAlING SYSTEM:�/..I GAS J ELECTRIC ❑ <br />_ BUILDING <br />PLUMBING iJ SIGN <br />OWNER MAiLADDFE55 CITY Z'? PMONE <br />%eor-, (�o��� ZR3o f4c�E. Eve�t( ��32cx-I 337- 9c'x�� <br />iENANT MAILAO�FESS GiV ZiP PHONE <br />AqCNITECiOflGESIGNER MAILAOORE55 CITY 21P GHONE <br />GENERALLONTRFCTOF IAAILAOORE55 CITV ZIP PHONE SiATEUCENSE� <br />MECHANiCAL CONTRACTOF MAIL AOpRESS qTV Zi° PNONE STATE UCENSE � <br />Seav�e� i-ka-ttna 12U2�f�tnut-� �!���r t�iFS2AI 353�33y�1 S� U1��q <br />PWM9INGCONTRAGiOR AAA�AD�RESS CITV ZIP PHONE STqTELICENSE/ <br />PqICE OF WORN <br />1/Yl b7 <br />PROPOSEO USE OF BUIL�IIJG <br />LEGAI DES[.RIPTION OF PppPERTY ISNOWN 6ELOW OR AtTACHTYIO GOPIES� <br />�or e��r. oF <br />PAPCELTA%I.O.NUMBEF <br />CONSTRUCTION LOAN IENDER. <br />N0. <br />TYPE OF FIYTURE O:i I' <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORV �'.NASH OASIN) <br />SHOVlER <br />KITCHEN SINK 8 DISP <br />OISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINFL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVEIJTERS <br />ROOF DRAINS—RAINLEADERS <br />SINK (SERVICE—BAR, ETC.) <br />TOTAL 5 <br />AIT 5 <br />FOR OFFICE USE ONLV: <br />FPONTSETBACK FEAFSETBACN <br />❑SEZONE LOTAREF <br />TYPE OF GONST. NO. UF STORIES <br />SREOFBLDG. FIRESPRINKLERSFE00 <br />OCWPANCYLOAD I FIREA�ARh1RE0'D <br />PLANSAPPFOVEDBV <br />on�c <br />0 <br />0 <br />CONiACT PERSpN AN� PHONE N0. <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 GCVERNING 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 />OTHEF STA"fE OR LOCAL LAW REGULATING CONSTRUCTIOY OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY Tli PERFORM THE 'NORK FOR VJHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTOFS LAW 1827 RCW AND 296.200 WAC. <br />�'0/^/�.�n�.r �rn2 //////�i�j <br />VffJ" � — <br />p9v n�:iy1551 Qr:g� 40 <br />MECHANICAL <br />VG. TYPE OF E�UIPMENT FEE <br />AiC—A�HNDLG UNITS—H.P. i <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />� UNITHC-ATERS—B.T.U. M <br />CLOTHES ORYERS <br />VENTILATION FAN <br />RANGE fi00D <br />WATER HEATER <br />WOODSTOVE <br />METAL FIRF.PLACE (WOOD BURNING) <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING ' <br />T <br />EXHAUSTFAN � <br />SIDE SETBACK PLAN LMEGK YU H <br />y�,o <br />vncnrvr siTe FEES <br />❑ YE-S il NO BUILDING <br />WCII�RNtY NOUiONtLLiq60Hi15 <br />�FOUP PLUh1BING <br />BASEMENi MECHANICAL <br />��.-1 YES ❑ tJ0 <br />MEIGHiuMiTAiiON ADDITIONALPLANCHECK <br />OTHER <br />STA7E BUILDING SURCHARGE <br />CITY OF EVERE7T PUBLIC WORKS <br />LOCP.L SALES — <br />TAX COOE IS 3105 Tora� <br />SUBTOTAL S <br />PERMIT 5 <br />TOTALfEE $ <br />fEE � RECEIPTND <br />