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APPLICATIC'7 FOR CONSTRUCT�y'9N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT HEATING SYSTEM: ❑GAS p ELECI'RIC U <br /> 259-8810 <br /> Ll DEMOLITION L 1 COMBINATION I� BUILDING Cl MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER M�ILAODRESS CIiV ZIP PHONE <br /> Snohomish County l <br /> TENANT MAI�AODRESS CRV ZIP PNONE J <br /> �A <br /> ARCHITECTORDESIGNER lAAILADDPE55 CITY ZIP PHONE <br /> _(Samc as Ownerl <br /> GENEPRLCONTRACTOR MAILAODRE55 CITY ZIP PMONE STATELICENSEM <br /> _(SamP aa nwnnr� � <br /> MECHANICALCONTRACTOR MAILADDRESS CITY ZIP PHONE STATELICENSE• <br /> PLUM9INGCONTRACTOR MAI�ADORE55 GTV ZIP PMDNE STATEUCENSE• <br /> CONTFAC�PRICEOP WORK <br /> Estimated costs <br /> DESCRIOE WORK RND SOUARE FOOTPGE INVOLVEO CONTACT PERSON AND PNONE NO <br /> _Cnncrri�rt frn�nA�r;r.n� F.�,� .. �,eGt��631 .IlII1 Slm SOII� P,E. 206�347_-431' <br /> , switching station also known as "Delta <br /> SW1tCil�tl �' I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSEDUSEOFBUILDING APPLICATION AND KNOW THE SAME TO BE TRUF AND CORRECT.ALL <br /> N�A PROVISIONS 0�LAWS AND ORDINANCES GOVF.RNING THIS TYPE OF <br /> LEGALOESCRIPTIONOFPROPERTY�SHOWNDELOWORATTACMT4pCOPIES� WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �or BLOCK pF NOT. THE GRANTING OF A PERM1IIT DOES NOT PRESUME TO GIVE <br /> �'; Q p AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> _[SCC Att0CI18d) L1- l�� �` `/J OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTFUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION �S MADE AND I COMPLV WITH THE STATE <br /> PARCEL TA%I.D.NUM�ER CONTRACT RS LAW 1827 RCW AND 296.200 WAC. <br /> 082905-4-003-0003 <br /> CONSTRUCTION IOAN LENDER,�DOFE55,TELEPMONE NUMOER <br /> vnnn / 2�/ � <br /> PROJECT ADDRESS s�c u e o„� <br /> 201 East Marine View Drive Everet 1VA ����A�S�v�ss���E�seNo <br /> PLUMBING MECHANICAL <br /> N0. TVPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) A�C—AiHNDLG UNITS—H.P. <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. � <br /> LAVATOP.Y(WASH BASIN) � UNIT HEATERS—B.T.U. M ; <br /> SHOWER � CLOTHES DRYERS � <br /> KITCHEN SINK 8 DISP � ; VENTILATION FAN � <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY ' WATEA HEATER <br /> � <br /> CLOTHES WASHER WO00 STOVE ' <br /> � <br /> URINAL ; METAL FIREPLACE(WOOD BURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT ' <br /> FLOOR DFlAIi: HEAT PUMP i <br /> BACKFLOW PREVENTERS ; GAS PIPING � <br /> ROOF DRAINS—RAINLEADERS � EXHAUST FAN <br /> SINK(SERVICE—BAR,ETC.) � , <br /> _ ; <br /> � <br /> � � <br /> � <br /> SUB1"OTAI S ' SUBTOTAL 5 � <br /> _ PERPdIT 5 PERMIT 5 <br /> TOTAL FEE 5 ' TOTAL FEE S <br /> FOR OFFICE USE ONLY: <br /> FqONTSETBALK REAflSETBAGK SIOESETBACK PLqNCN CKNUAIBER FEE RECEIPTNO, <br /> �33?� 3?u �J ��9-�,�� <br /> � <br /> use zoNe �or anen VACANT SITE FEES VALUATION FEE <br /> - / :_i YES ❑ NO BUILDING r_:-�_,9:-. <br /> iVPEOFCON, � NO.OFST RIES / atur�Vtt r:po�C�c[w�Gul�rs �'���j�f <br /> ` � PLUMBING �J-/�i <br /> i <br /> SIZE OF B� � FIRE SPRIN LERS PEO'D 8 SEh1ENT � <br /> MECHANICAL � <br /> iu'C ❑ YES �(NO <br /> � <br /> oCcurnNcv oqo FIPE AI FR qeo�o HEIGHT LIMITATION ADDITIONAL PLAN CHECK -���-. <br /> L IJO OTHER i <br /> flEASON <br /> STATE BUILDING SURCHARGE �\��J <br /> INTpNE BV PLANS APPROYEO OY ` i <br /> CITY OF�VERETf Puoucwor�Ks � <br /> � • LOCAL SALES ' <br /> DAT[ � pj TAX COOE IS 3105 rorn� 1�J � <br /> �=7�' <br /> �.1 , JU <br />