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APPLICATIC l FOR CONSTRUCT. )N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> HEATING SYSTEM: U GAS 0 ELECTRIC ❑ <br /> BUILDING DEPARTMENT <br /> 259•8810 <br /> ❑ DEMOLITION f 1 COMBINATION I I BUILDING I I MECHANICAL 1 I PLUMBING I SIGN <br /> OWNEP MAIIAUDRE55 CITY 21P P��E <br /> kA1�qN WDu.�TR'"' Tu utin, nr�FC 11 e6 dEW IT? A IE EVERE]1 9620 l ZS 9 � 31 g 9 <br /> TENNIT <br /> MAIL/�DDRE55 CITY IIP P110qE <br /> � 21P ��E <br /> ARGMITECTOHDESIGNER IM�LADDRESS CITY <br /> S Go ► <br /> GENERALfA��7M�T� M�RAODRE55 CITY 21P PNONE ST�TELICE � <br /> MEVER S(G1J Ga pJr_ Do Re�f 3�7�f3 SER v�W_�Sfl'�� 37�f3 �2��IZy't �ul YFR-S.� 2l9 6� <br /> MECHANIGILCANTPACIOfl 1MRn00RE55 <br /> pITY LIP R10NE 5TIITELILENSE� <br /> PLUNJINGCONTR�CTOl1 M�IL/�DDf1E55 GIIY !IP 1'NONE ST�TELILENSFI <br /> N <br /> cussorwonK (1EP4��E <br /> EW ❑ ADDITION I..I ALTERATION I.I REPAIR I I DEMOLITION I I WOODSTOVEIFRPL INSERT I I BUILDING RELOCATION <br /> ca+ucr renson u�o rHor+e ra. � �{Z-y'J <br /> ., �plTW1pTPRICEOFWORK 2 Ocw �v Zq E P WllrSdf� •�A-µ <br /> DESLPIBE NORK ANO SOUANE FOOTAGE INVOIYED � S t� <br /> � S�F S IL � 6 O l <br /> PppPO5EDU5EOFBURDING 1 HEREBY CERTIFY THAT I HAVE READ AND EJCAMINEO THIS <br /> � APPLICATION AND KNOW TFiE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAW$AND ORDINANCES GOVERNING lNIS 7YPE OF <br /> IEGAlpES�p�pTqNpFpROPEflTY(SHOYMBELOV�011ATTACHFWRCOPIES) y,�ORK WILL BE CAMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �aT o��K pr NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> � rrRE T1 �v�- p'�� df �43� ( �67�5 �THER STATE OR IOCAL LnW REGULATING CONSTHUCTION 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 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW�ND 296200 WAC. <br /> 3�/ (v7�003 0003 <br /> x /,I �37� ./1 .�Z•22. 96 <br /> 5['JlAIU11L -����� �IC <br /> PROJECTADDNE55 �� <br /> O� cnr mis.rtss�r.rwst� <br /> PLUMBIN6 MECMANICAL <br /> FEE <br /> Np, TYPE OF FI%TURE OR ITEM FEE 1 N�' ���NDLG UNFTS—H.p ENT ' <br /> WATER CLOSET(TOILET) � <br /> � FORCED AIR SVSTEMS—D.T.U. M E.A. <br /> BATHTUB ' ; <br /> LAVATORY(WASH BASIN) � UNIT HEATERS—B.T.U. M <br /> � CLOTHES DRVERS � <br /> SHOWER � VENTILATION FAN � <br /> NITCHEN SINK 6 DISP � RANGE HOOD ' <br /> DISHWASHER � � <br /> VIATER HEATER <br /> . LAUNDRYTRAY � WpODSTOVE ' <br /> � CLOTHES WASHER , METAL FIREPUICE 6 CHIMNEY ' <br /> �� I � URINAL ' <br /> DRINKING FOUNTAIN � FIREPLACE INSERT , ' <br /> FLOOR DRAIN � HEAT PUMP ' <br /> BACKFLOW PREVENTERS ; GAS PIPING . ' <br /> � EXHAUSTFAN ' <br /> ROOF DRAINS—RAINLEADERS � <br /> SINK(SERVICE—BAR,ETC.) � --�'-- <br /> � <br /> � <br /> � <br /> � <br /> C�' ' , � � <br /> � <br /> SUB TOTAL S ' SUB TOTAI S ' <br /> � <br /> � PERMIT S � <br /> � <br /> PERMIT � <br /> TOTAIFEE S ' TOTALFEE S <br /> FOR OFFICE USE ONLY: ___ neceivrr+o. <br /> P�NlGIIEGKNUMOER FE <br /> FRONT SETB/�CN REAO SETOACK SIOE SETB/�GK �D S �. /� <br /> L <br /> �• N/^ FEES VALUATION FEE <br /> USE20NE �REA VAWlTSITE n � <br /> C ` � I Z- '���' '��� BUILDING '/ S ' <br /> lYPEOFCON51.�C1UAl oawwcr MoauMui����s � <br /> IYPEDFCON15.�ttOWABIf i� . � <br /> . �A PLUMBING ; <br /> SRE OF BLOG. <br /> NO.OFSTONIES BASEMENT MECHANICAL � <br /> i <br /> � ADDIT�ONAL PLAN CHECK � <br /> OLLUPANCY LOAD FIRE SPPNNLERS REO'D HCIG(y/[�LI_M�ITATION � <br /> FGLi4itN� SPRINKLER � <br /> � <br /> REASON FOR SPRiNKLEns STATE OUILDING SURCHARGE ' <br /> INTMfEBY ��P7NOVEDOY CITY OF EVERETT PUOLIG WORKS �_ <br /> LOCAL SALES Jr � <br /> 3_� ,�� TAX CODE IS 3105 rora� <br />