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APPLICATIQ�`� FOR COPJSTRUCT�"`N PERMI� <br />TO BE COFAPLETE� If! BLACK INK—PL'tASE PRINT �,^r�� <br />BUILDICJG DEPARTM�NT L <br />259-8810 <br />DEMOUTiGN COMBINATION <br />OVrt1ER I.IAILADDRE55 <br />'Y1�.r�K�1-�.1 � � 3� I I �Q� <br />iEN0.NT,^ ^ IdFILApORE55 <br />• `��\ _ <br />GENERPLCONiH/.GTOR IdAILA0DFE55 <br />IdECHqNICALC �:iRACiOfl IdAI�ADOR�E/5�5 <br />�1m1—� .t �k`� �iL <br />P UffBiNGCObiN4CiOR � lApRADOFE55 <br />� 1��7�- <br />CONi1-qCI PR:CE OF V/OFH _ <br />r- �� .�� ri .-. � <br />HEATING SYSTEM: �j GAS J ELECTRIC J <br />PROPOSED USF OF CWLDINO <br />LF.GAL OESCflIPiION OF PROPERTV �SMOWN BELO'.4 OF FiTACN TWO LOPIESI <br />LO7 BLOCN . OF <br />PARCEIiA%ID NUM�ER <br />NO. TYPE OF FI%TURE OR ITEM <br />_ WATER CLOSET (TOILET) <br />_ _ BATHTUB <br />iPVATORY(WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 U!SP <br />DISHWASHER <br />LHUNDRVTRAY � <br />CLOTHES WASHER <br />UFIN,4L <br />DRINKIMr FOUNTAiN <br />FLOOR DRAIN <br />BACKFLOW PREV! 'RS <br />ROOF DRPINS—RAIn�EADERS <br />SUB <br />FUR OFFfCE USE ONLY: <br />FROhTSETpFCK AEAh SETO�GK <br />USEZDNE LOTAREA <br />lYPEOiCONSI NO OFSTORIES <br />SIZEOFBLOG FlRESPHINNLERSPE00 <br />CCGUPANCV I.OAD Flq[ ALr1RM Ff:['D <br />INTAKcOV PLANSAPPCOVF.DBY <br />onr� <br />5 <br />S <br />S <br />BUILDING <br />�,r,- <br />J( MECHANICAL PLUMBING <br />ZIP phpryc <br />�� �, 3 9 - �Q�-/ <br />PHON[ <br />SIGN <br />���Y ZIP PHONE <br />GITY 2iP PHONE ST�iE LiCENSE � <br />2�'' PHONE STATE uCEl15E • <br />�� �i�'��� �5���� No���1�J+�to�� <br />CiTY ZiP PHOLE STATE UCENSE a <br />i <br />Nn <br />E <br />d <br />IId <br />I HEREBV C�RTIFY THAT I HAVE flEAD AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TFUE AND CORRECT ALL <br />PROVISIONS GF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERtIN OR <br />NOT. THE GRANTING UF A PERMIT DOtS NOT PRESUME TO GIV[ <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHEF STATE OR LOCAI. lAW REGULATING CONSTRUCTION OR THE <br />PERFORAIANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PFlOPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS IAADE AND I COMPLY WITH THE STATE <br />CONTRACT . S LAW � 27 RCW 4ND 296200 WAC. <br />' � • , ��5�9�� <br />�.,., n,,,,�,�-,,.� <br />,;ilVlll•ti'1.[SSlitl':c� I:C) <br />MECHANICAL <br />k0. TYPE OF EOUIPMENT <br />A�C—A�HNDLG UNITS—H.P. <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />UNIT HEATEFS—B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />WATER H[ATER <br />WOOD STOVE <br />METAL FiREPLACE (WOOD BURNiNG) <br />FIREPLACE INSERT <br />HEAT PUMP <br />� GAS PIPING <br />EXHAUSTfAN <br />SIpESET�ACK PLM1NCH_f,H UIdE3fR PEE <br />�/���J� <br />VACANTSITE FEES � <br />-' VES � �. NO <br />BUILDING <br />[t[uvsq[v r.� C� n.s[u •:.c. �s <br />eAou+ <br />PLUhI�ING <br />BASEMENT IdECHANIGAL <br />YES .. NO __— <br />NEIGNT LIMIiAil01! �DDITIONAL PIAN CHECK <br />OTHEH <br />STATE HUILDING SURCHARGE <br />CITY OF EVERETT PU�LIC WOFNS <br />LOCAI SALES <br />i TAX CODE IS 3105 rorn� <br />5 <br />5 <br />5 <br />aeceirr No <br />i <br />M <br />e <br />0 <br />