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APPLICATI�i.I FOR CONSTi�UCT i�N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> ��� BUILDING DEPARTMENT HEATING SYSTEM: ❑GAS ❑ELECTRIC U <br /> 259•8810 <br /> ; � : ! I DEMOLITION i COMBINATIOV BUILDING ' MECHANICAL I PLUMBING SIGN <br /> � 1 OWNEN MRIU�ORESS CIiY 2iP PMONE <br /> �"1 <br /> ��7� -�� �� ��� <br /> ('� TEN�NT MAILA�DRE55 CITY 2�P PNONE <br /> �^�� �RGHRELiOR0E51GNER MAILTDDRE55 dTY ZIP PNONE <br /> ��� GENERRLCONiHqCTOR AUILADDPE55 CITV 2�P PNONE STATEUCENSE• � <br /> Q��J MEGNNIIC�L CONTR�CTOR M�IL�DORESS CITY ZIP PMONE STATE UCENSE� <br /> Y O <br /> �� p�pyµ/n9/y�9�pHT�p�pT �/ AlqilADDflESS CITY ZIP PHONE STr1TElILENS[� <br /> y Y/h� / J/� <br /> C SOF NI( <br /> ���H I '� NEW '. ADDITION � '�. ALTERATION �. �� REPAIR . '� DEMOLITION � �� WOODSTOVE/FRPL INSERT �� . BUILDING RELOCATION � <br /> QQQ�(A CONTRCT PERSON RNp PMONE NO. — . � <br /> � r CONTPACTPPICEOF'.::ti�K � <br /> �� DFJCRIBE WONK�N�SOUARE FOOTACE INVOlVEO <br /> PHOPOJEOUSEOFBUIL�iNG i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEGAL�ESCRIPTIONOFPROPERtt�SNOWNBELOWORATiRCHFOUHCWIES� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF . <br /> WORK WILI BE COMPLETED WITH WHETHER SPEGFIED HEREIN OR � <br /> �or B�aK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO G�VE <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHEH STATE OR LOCAL LAW i7EGULATING CONSTRUCTION OR THE , <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COh1PLY WITH THE STATE <br /> CONTRA LAW 18.27 RCW AND 296200 WAC. <br /> d 2v /20� 120 8' CS� �t� ���o/S z � <br /> srcn+run[ o��E <br /> PpQIECTpDDRE55 1 I_ I <br /> Z.rU QM OGc cnrn�si�vcssi�crxsc�.o <br /> I I PLUMBING MECHANICAL i <br /> 1_' N . TVPE OF FIXTURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) !vC—A�HNDLG UNITS—H.P. <br /> '�1 BATHTUB FORCED AIR SYSTEMS—B.T.U. M E.A. i_ <br /> LAVATORY�WASHBASIN) UNITHEATERS—R.T.U. M <br /> ' ' � CLOTHES DRYERS `_ � <br /> SHOWER � <br /> KITCHEN SINK 8 DISP VENTILATION FAN ' <br /> � <br /> 1 DISHWASHER RANGEHOOD _ �_ <br /> LAUN�FYTRAY WATER HEATER L_ <br /> ' CLOTHES WASHER WOOD STOVE r_ : �- " <br /> URINAL M1!ETAL FIREPLACE&CNIMNEV i_ - �r L�,4�'� � ,, <br /> � FIREPLACC!�l�ERT I - -.'*�- <br /> DRINKING FOUNTAIN � <br /> �1 FLOOR DRAIN ' HEAT PUMP ' 2j " �--1 3 '„ <br /> I� BACKFLOW PREVENTERS ; GAS PIPING � ,�,�� • � <br /> ROOF DRAINS-7AMLEADERS � EXHAUST FAN � r �-o- � • -. <br /> � � `��. 1 <br /> ' SINK(SC1VICc--EAR,ETC.) F��;'�`.`�� <br /> �' � �.r.,;; � <br /> � . - , ;."19"G� <br /> �� 4 �C vG.�l� <br /> } : <br /> ' ' 2 SUBTOTAL $ 1 SUBTOTAL 5 ��"f��sr � <br /> '�' PERMIT $ PERMIT 5 � �.;yi,L� �.� <br /> TOTALFEE 5 � � �'��� =� <br /> �.__.. TOTAL FEE $ �_��.�.:.ij�� ��t �i. <br /> FOR OFFICE USE ONLY: � �"+.,�� �i <br /> FRONTSEtBACK REARSETORCH SIDESEfBRCH PLANCNEGKNlIMOER FEE PECEIPTNO. iQ',�1r.� '� <br /> J� L` y)„ � <br /> l P'4 ' <br /> usezoe�e LOTAREA VACANi51TE FEES VALUATION FEE � �r.� <br /> �,,?.�'.,•`�+'f <br /> BUIL�ING � <br /> :�P;�'•,§,% . <br /> tYPEOiCONIS.AILOWABIE IYPEO(CONSt.pLiUAI a[[uw.x[v xaqmvRurvGuhns — � •' -`".��^._f °' _ .. , <br /> ceav PLUNBING i ' <br /> 512EOFBlDG. NO.OFSTORi[5 BASEMENi MECHANICAL <br /> OCGUPANCVLOAO FIRESPRNKLERSREO'D HEIGNTLIMITATION ADDIiIONALPLANCHECK i <br /> SPRINKLER <br /> RERSONFOHSPRINNLEPS i <br /> STATE BUILDING Sl1RCHARGE � <br /> INTANE BY PLANSAPPROVED BY g�Ty OF EVERE7T PUBLIC WC9NS <br /> LOC11L SRLES <br />� TAX CO�E IS 3105 Tor�� <br />