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APPLICATIG.! FOR CONSTRUCTY_ �N PERMIT <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT � <br />�� <br />BUILDING DEPARTMENT HEATING SYSTEM: U GAS ❑ ELECTRIC ❑ <br />259•8810 <br />! DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br />OWNER MAILpDDRESS CITY ZIP PHONE <br />B& L Properties P.O. Box 254 Everett 98201 742-1717 <br />TENP`IT MpILA0DRE55 CRY ZIP PHONE <br />ARCHRE('l OR OESIGNER <br />GENERALCONTFACiOR <br />B & L ProF <br />MAIL <br />MAIL ADDq�55 <br />es P.O. Box 254 <br />CITY ZIP <br />GTV :;IP PHONE STqTE LICENSE 4 <br />Everett 98201 742-1717 <br />^'^'�^����coo cliv ZIP PHONE ST�TELICENSEt <br />PLUMBING CONTRACTOR MAIL ADDRE55 q7Y ZIP PNONE STATE LICENSL I <br />Robinson Plbg 607 SB Ev Mall wy Everett 98208 355-6171 ROBINP*272C2 <br />C1A550F WORK <br />� � NEW � I ADDITION i' ALTERATION REPAIR DEMOLITION � WOODSTOVE/FRPL INSERT . BUILDING RELOCATION <br />I CONTACTPERSONANDPHONENO <br />CONTRACTPRICEOFWORK �.S%I�I.00 <br />DESLHIBE WORK ANO SOUARE FOOTAGE INVOLVFO <br />Sprinkler Svstem <br />PROPOSEO USE OF BUILDING <br />7 Unit <br />�SMOWN BELO� / UR Ai7ACH FOUR COPIES� <br />LOT 9LOCK pF <br />3231 Rockefeller <br />PLUMBING <br />NO. TYPE OF FIXTURE OR <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORV (WASH BASIN', <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNORYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS-RAINLEAC <br />SINK (SERVICE-BAR. FTf <br />SUB TOTAL S <br />PERMIT $ <br />TOTAL FEE 5 <br />FEE <br />FOR OFFICE USE ONLY: <br />FRGNTSETBACK REARSETBACK SIDESETOACK <br />IISFZONE LOTAREA VACAN7SITE <br />TVPEOFCONiS.ALLOWABLC iYPEOFCOtlSi.ACNAL ot[u.^�v[r HOo�mVRunGunns <br />,�- I/-if� Yu u.' �M'RlN�1.�� �j °,� 7 <br />SIZE OF�/BLDG NO.OF STORIES BASEMENT <br />�� TJ%�� �� �j Al0 <br />OCCUPANC LOF[l FIRESPRNNLERSREO'D HEIGHTLIMIiATION <br />�'I� Yzs <br />i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APP�ICATION AND KNOW THE SAME TO BE TRUE AND i3ORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW REGULATING 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 COMPLY WITH THE STATE <br />CONTRACTORS lAW 18.27 RCW AND 296.200 WAC. <br />SXiCN41U11 �����^ <br />NO. TVPE OF EOUIPMENT <br />!VC-A�HNDLG UNITS-H.P. <br />FORCED AIR SYSTEMS-B.T.U. M E.A. <br />UNITHEATERS-B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />PLAN CHEGK NUMBEP <br />'3 7 ci'f� c� <br />BUILDING <br />PLUMDING <br />MECHANICAI <br />ADDITIONAL PLAN CNECK <br />MTANEBV PLAHSRPPROVEDBV CITYOFFVERETT PUBLICWORHS <br />LOCAI SALES <br />�����y J�n TAX CODE IS 3105 rora� <br />FEE <br />i <br />SUB TOTAL $ <br />PERMIT S <br />TOTAL FEE S --� <br />F[E <br />ao. �/ <br />