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MTK -7 FOR LCONSTRUCT' 1N PERMIT <br />TO BE COMPLETED IN BLACK INK -PLEASE PR;NT �T <br />BUILDING DEPARTMENT HEATING SYSTEM: IAGAS ❑ ELECTRIC ❑ <br />259-8810 <br />❑ DEMOLITION '_I COMBINATION 1-1 BUILDING 1.1MECHANICAL PLUMBING 11 SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />s ?1lq M�»,r to bvF lxQtr `/J,a C32s» 2S� 6tgo <br />TENANT MAIL ADDRESS CITY ZIP PHONE <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY ZIP PHONE <br />E ME <br />0022 3-7 ABC <br />W Lj mNN)j-l_n wz q'&13-K7 <br />702 • I b4.8 <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP PHONE <br />STATE LICENSE A <br />MECHANICAL CONTRACTOR <br />GIY PHONE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE A <br />CONTRACT PRICE OF WORK <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />CONTA T PERSON AND ONE NO. <br />S <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />t, NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTHUCTION.1THAT I AM AUT14ORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS P11AW 76.27 R P. 0 296.200 WAC, <br />// ) <br />slcNAr ,G u»L— <br />PROPO�D USEPUILDING <br />i1�"' 11 <br />LEGAL DESCRIPTION OFPROPERTY(SHOWN BELOW OR ATTACH TWO COPIES) <br />LOT —JQ 10 BLOCK !dil OF 0,G OI jC2j HI l&JjL Tt <br />PAP EL TA ID. NUMBER <br />�`01 - / jy1 _ C)OQ _ OQ� <br />CONSTRUCTION LOAN LENDER. AD <br />PRESS TELEPHONE NUMBER <br />PROJECT ADDRESS if <br />Crtv •ip$S pf F NSF NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A:C-AHNDLG UNITS-H.P. <br />BATHTUB <br />FORCED AIR SYSTEMS-B.T.U. M E.A. <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS-B.T.U. M <br />i— <br />SHOWER <br />CLOTHES DRYERS <br />'- <br />KITCHEN SINK 8 DISP <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />I <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />_ <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAD PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS-RAINLEADERS <br />I <br />EXHAUST FAN <br />SINK (SERVICE -BAR. ETC.) <br />I <br />I <br />I <br />I <br />� <br />SUB TOTAL $ <br />; <br />SUB TOTAL $ <br />PERMIT S <br />1 <br />PERMIT $ <br />TOTAL FEE $ <br />TOTAL FEE $ <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />❑ YES ❑ NO <br />BUILDING <br />7 <br />-- <br />TYPE OF CONST <br />NO. OF STORIES <br />OCtuPAKr <br />NO.ffMLUNGUNITS <br />(f%/nG <br />PLUMBING <br />SIZE OF BLDG. <br />FIRE SPRINKLERS REO'D <br />BASER T <br />�— <br />151'4 <br />YES El NO <br />MECHANICAL <br />I <br />X <br />O <br />ADDITIONAL PLAN CHECK <br />_ <br />OCCUPANCY OAD <br />FIRE ALARM RED <br />HEIGHT LIMITATION <br />A <br />m %1' <br />P <br />OTHER <br />REASON <br />STATE BUILDING SURCHARGE <br />INTAKE BY <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />PUBLIC WORKS+— <br />LOCAL SALES <br />TOTAL <br />7 I <br />DATE A) /tL/93 <br />TAX CODE IS 3105 <br />7 <br />