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� ._ � <br /> APPL�CA,TIIQ�: FOR CONSTRUCT'1N PERMIT � <br /> TO Dc COMPLETED IN BLACK INK—PLEASE PRINT <br /> HEATING SYSTEM: `J GAS � ELECTRIC `J <br /> BUILDING DF.PARTMENT <br /> 259-8810 <br /> i DEMOLITION I ' COMBINA710N x BUILDING f l MECHANICAL -: PLUMBING SIGN <br /> �OWNER IdAILA�DRE55 CiTY ZIP PN�NE <br /> .,_ �, Czu�ce�,oi2P �9'/7Con+-�zErr�l�K�aSE�lIL REn!-�.� WA9$oS9 (04/-2-J37 <br /> TENANT <br /> ldqILAD�PESS CITV 21P PHONE <br /> ARCHITECTORDESIGNER IAAILADDRE55 <br /> LITY Z�P PHONE � <br /> GENERA ONTRPGTOIi MAiL ADDiiE55 CITY ZIP PMONE D iFTE LICENSB a <br /> �i��+n� G�//-2737 [�E.JcIaGC O 'f7Cs_ <br /> ��T� Z�p PIIONE STATELILENSEk <br /> MECHANICAICONTFACTOR MFILPODRESS <br /> - PLUMBINGCONTR4CTOR MAILAO�RESS <br /> CITY ZIP PHONE STATEUCENSEa <br /> i <br /> ' , GONTRaCTPRICEOFWOFK I ^�� T <br /> [i�%J U <br /> . CO�A`L�^SERSODNCDPN�OIJ�NO. (J S � s� •� <br /> D'coCHi9E WOPK ANO SOUAPE fOOTAGE INYOLVF.O ^J � <br /> �O l �AJ�Gc��/.��n6 � �08 I C �a — �L1 3 <br /> 'Jt��nL �(oZ � K}�2. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PPOPOSED USE OF BLIIIDING APPLICAl ION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> r-/tp PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> �� 'NORK WILL BE COMPLETEO WITH WHETHER SPECIFIEG HEREIN OR <br /> LEGAL�ESGflIPT10N OF PROP[RTY�SMOWN DELOW OR F�TACH T COPIES)• <br /> �IOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �oT� BLOCN oF� AUTHORITY TO VIOLATE OR CANCEL THE PROV!SIONS OF ANY <br /> $���9� OTHER STATE OR LOCAL LAW FEGULATING CONSTRUCTION OR THE <br /> PERFORMANi.E OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF TN:S PROPEFTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARGEI TA%I D.NUM6PR CON'i RACTORS LAVv 18.27 RCW AND 296200 WAC. <br /> CONSTRUCTIONLOANLEN�ER.FDORESS.TELEPHONENUMBER D —e � <br /> S�GN�iunE O��E <br /> PROJECT�D RESS � �i��;��.,nsssuc�r+e��+� <br /> n MECHANICAL <br /> PLUMBING r FEE <br /> FEE NO. TYPE OF E�UIPMENT <br /> NO. TYPE OF FIXTURE OR ITEM q�C—q�HNDLG UNITS—H.P. <br /> 2 WATER CLQSET(TOILET) FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> 2 BATHTUB $ <br /> 3 LAVATORY(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> CLOTHES DRYERS <br /> SHOWER VENTILATION FAN `— <br /> KITCHEN SINK 8 DISP ' �— <br /> DISHWASHER � � RANGE HOOD <br /> LAUNDRY TRAY _�_ WATER H�ATER <br /> WOOD STOVE ' <br /> CLOTHES WASHER METAL FIREPLACE(WOOD BURNING) ' <br /> URINAL FIREPLACE INSERT ' <br /> GRINKING FOUNTAIN HEAT PUMP - <br /> FLOOR DRAIN GAS PIPING <br /> BACKFLOW PREVENTERS 3 EXHAUSTFAN <br /> ROOF DRAINS—RAINLEADERS <br /> SINK(SERVICE—BAR,ETCJ ; <br /> �� � T <br /> I <br /> SUBTOTAL 5 SUBTOTAL S <br /> PERMIT 5 <br /> PERMIT 5 TOTALFEE S <br /> TOTAL FEE S <br /> _�.�,� 17�' <br /> i .... <br /> FOR OFFICE USE ONLY: __ aeeeiPt r+o <br /> REAFSETOACH� SIOESET�ACH PLANCHECKflllldBER �E��� �� � �` <br /> FP.ONTSETBPCN / //rr-���.: - U _ <br /> �o ���._.:J <br /> Z� FEES VALUF.I'ION FEE � <br /> USF ZONE LOT PP.EA VACANT SITE <br /> 1 p j i ves =� No eui�oiNc 70 3510 �O '�37� <br /> —� � <br /> N0. FSTORIES ocL�cfrvLr x00��rvno��ru`:n5 �� n� <br /> tvP[a CON9. �+a� ' PLUMBING <br /> i <br /> BASEMENT �n� <br /> SIZ[OFBLD i1RE5PRINKLEii5RE0'D MECHANICAL <br /> �� � �'f y'� �� � : YES �._, NO � . <br /> `l . G ADD�TIONALPLANCHECK � ,9a <br /> OCGl1PANCYLO D FIREALFRMREOD MEIGNTU��ON i <br /> /. / ^ . ^[�✓ O7HEF � ' �� <br /> \G •7 <br /> RE/SON SiATE BUILDING SURCHARGE <br /> � �:J <br /> I � <br /> ' iNTAKf�Y PLANS�PFRO;EOBY <br /> CITY 6F EVERETT FUBLIC WORkS �' � ' `�', <br /> J 1�� LOCAL SALES rorn� �� 7'�r � ��-� <br /> oATE � '�31�� TRX CODE IS 3105 <br />