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_ '� @ <br /> APPLICATItrrd FOR CONSTRUC7.bN PERMIT � _ -�; � <br /> � � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT � <br /> HEATING SYSTEM: AS ❑ELECTRIC lJ_ � <br /> BUI�DING DEPARTMENT <br /> 259-8810 SIGN <br /> DEMOUTION COMBINATION BUILDING MECHANICAL PLUMBING <br /> MAILAD�RESS �J CITY ZIP PHONE -fO <br /> � OWNE //inT✓ICN/ /�/✓D EF'/T 3S7-L//O <br /> � p !S /1.✓6Fn/ 3a3 cirr zir rHONe <br /> � T[N4NT MAILADDRE55 <br /> ��� �RCNITECT OR DESIGN[R MAIL RDDRESS CITV 2iP PMONE <br /> ao �$ GEHERPLCONTRACTOF MRILADORE55 GITY 21P PHONE SiRTEIICEN5E1 <br /> ��� MECHANICAL f.ON1RRCTOR MAIL ADOR[SS CIN ZIP PNONE ST4TE LICENSE M � <br /> ;� o �✓�� , io�/o(� s�d �.•� I�Id� /�fl2�.s� 3s333Yf/ �`~✓r,Yoss�� L � <br /> y� ��N Z�p PMON[ STATE UCGNSB• <br /> R��[ PWMOIAGGONTRACTOR MAILAD�NE55 _ <br /> 7 L��YS �o.vs,�,� r J z ,��v-�x.kcc_.� <br /> ��� G1�550F WOFK � <br /> I NEW I ' ADDITION �RATION REPAIR . DEMOLITION . WOODS?OVFIFRPL INSERT �, BUILDING RELOCATION <br /> CONTAGTPERSONANDPHONFNO <br /> �C� LOMflACT PRICE OF WOPN �U Q� � <br /> QA DESCRIOEW�OH/KANDSOUAREFOOT4GEII:VOWED <br /> �� –¢y-�. �� I HEREBV CERTIFY THAT I HAVE READ AN� EXAMINED THIS <br /> PROPOSED USE OF B WLOING <br /> �4 APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> fl� LEGALDESCRIPTIONOFPROPERtt�5N01VNBElOWORATTACHFOURCOPIES� FROVISIONSOFLAWSANDORDINANCESdOVERN!NGTHISTYPEOF <br /> � WORK WIIL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> � �oT etaN oF MOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> MM AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> �� OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I�M AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERF6RM THE WORK FOR WHICH <br /> " "'�' APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> `��-���l� 3-37-9Z- <br /> s... w�e onie <br /> PR0.IECTAODFE55 2^ ��� I �•'D <br /> �/!3 'r'— ' v o�.nus.�irss�i :Hse�w <br /> ��'" <br /> • MECHANICAL <br /> PLUMBING <br /> �-' -��� N0. TVPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATEF CLOSET(101LET) A�C—NHNDLG UNITS—H.P. <br /> I C��. BATHTUB FORCEDAIRSYSTEMS—B.T.U. M E.A. <br /> iLAVATORV(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> � SHOWER CLOTHES DRYERS <br /> ._� � KITCHEN SINK 8 DISP VENTILATION FAN _T <br /> �� DISHWASHER RANGE HOCD I <br /> WATER HEATER <br /> LAUNDRV TRAY WOOD STOVE <br /> � CLOTHES WASHER <br /> i -_� URINAL ' METAL FIREPLACE 8 CHIMNEV — <br /> I L�I _ DFINKING FOUNTAIN i Z FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> , BACKFLOW PFEVENTERS GAS PIPING �— � <br /> � � <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN � <br /> �t— SINK(SERVICE—BAR,ETC.) ' <br /> � <br /> � � <br /> i —� <br /> � ��I SUB TOTAL S ' "— <br /> SUBTOTAL 5 <br /> PERMIT $ PERMIT S 'J � <br /> TOTALFEE 5 TOTALFEE 5 S <br /> � <br /> ���� FOR OFFICE USE ONLY: <br /> RECEIPT N0. <br /> FRONTSET�ACK REARSETBACK SIDESETBAf.N PLRNCNECR�N{y1.10ER FEt <br /> 3u: o <br /> vncnNrstte FEES VALUATION FEE <br /> USE20NE LOTAREA i <br /> �UILDING �I <br /> 1YPEOFL01li5.PLlOWPBLE TYPEOfCONST.AGi6Rl o[Lpa�+ nOorvMuis,urm5 P�UMBING � <br /> �–^X�J -- <br /> SIZE OF BLOG. NOAF STOFIES OTSEMENT MECHANICAL (JS� —_ <br /> i <br /> OCCUPANLV LOAD FIRE SPRNNLEPS REO'D MEIGH7 UMR4I�ON ADDITION�L PLAN CH[CK � <br /> � <br /> SPRINKIER � � <br /> —--i— <br /> REASON FOR SPRINKLERS � <br /> STATE BUILDING SURCHARGE �I <br /> INTAKEBY PLANSAPPROV[DOY CITY OF EVERETT PUBLIC WOfiNS 1 I <br /> LOCALSALES <br /> TAX CODEIS 3105 TOTAL <br />