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APPLICATIL��1 FOR CONSTRUC'�N PERMIT <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT �T <br /> BUILDING DEPARTMENT HEATING oYSTEM: U GAS ❑ELECTRIC ❑ � <br /> 259-8810 <br /> i DEMOLITION COMBINATION BUILDING MECHANICAL �PLUMBING SIGN <br /> OWNER AI�ILAD�PE55 QTY 21P PMONE <br /> Bill Bourland 8818 3rd Ave SE �verett 98208 353-8522 <br /> TENANT MRIL A�DRESS CITY ZIP PMONE <br /> ARGMITECTORDESIGNER MAILA�ORE55 dTY ZIP PHONE <br /> GENER�LGONTRACTOR MAILAODRESS CITY ZIP PIIONE STqTEUGENSE� <br /> MELN�NICQCONTRRCTON MAIL ADDRESS pliY 21P PHOkE STqTE UGENSE� <br /> PLUMBINGCONiR�CTOP MAILApORE55 CIiY ZIP PNON[ STFTELIC[NS[� <br /> Robinson Plbg 607 SE Ev Mall Way #26 Everett 98208 355-6171 ROBINP*272C2 <br /> GUSS OF WORN <br /> NEW '�, ADDITION � � ALTERATION � REPAIR DEMOL�TION WOODSTOVEiFRPL INSERT BUILDING RELOCATION <br /> LONTACT PERSON AND PNONE NO <br /> GONTR�GiPRICEOFWORK $3452.00 <br /> DESCRIBE WORK AND SOWRE FOOTAGE MVOLVED <br /> PROPOSE�USEOFBU�LDING i HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> IdAR DUPLEX APPLICATION AND KNOW?HE SAME TO BE TqUE AND CORRECT.ALL <br /> LEGALDESCRIPTIONOF^ROPERTY�SHOWN BELOW OR ATTACNfOMGOPIES� PROVISIONS OF LAWS AND ORDINANCES GOVERMNG THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �or eiocK oF NOT. THE GRANTING OF A PERMIT DOES NOT PHESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PPOVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING COtJSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM 'fHE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> - 7� �{L�L�3�7G��-�1 �/�/`T I� <br /> PR0.IECT RDDRESS sicv+*unc o�tE <br /> 8812 3rd Avenue S.E. ��..o�s�H�ss���E�,s��o <br /> PLUMBING MECHANICAL � <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> Z WATER CLOSET(TOILET) lO� OO A/C—A/HNDLG UNITS—H.P. <br /> 2 BATHTUB 10; OO FORCEDAIRSYSTEMS—B.T.U. M E.A. <br /> Z LAVATORY(INASH BASIN) 1 O� O O UNIT HEATERS—B.T.U. M i <br /> SHOWER � CLOTHES DRYERS � <br /> Z KITCHEN SINK 8 DISP LO� OO VENTILATION FAN <br /> 2 DISHWASHER LO' OO RANGEHOOD <br /> LAUNDRYTRAY Z WATERHEATER 13' OO <br /> Z CLOTHES WASHER LO� 00 WOOD STOVE <br /> URINAL METAL FIREPLACE B CHIMNEV � <br /> DRINKING FOUNTAIN FIREPLACE INSERT � <br /> FLOOR DRA�N HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING ; <br /> ROOF DRAINS—RAINI.EADERS E%HAUST FAN <br /> SINK(SERVICE—BAR,ETC.) <br /> � <br /> SUBTOTAL $ 6O� OO SUBTOTAL 5 1 OO <br /> PEflMIT S PERMIT $ LS �OO <br /> TO7AlFEE S 60' 00 TOTALFEE S 28 �O <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBACH REr1R SETBACN SIDE SETBICH PLAN CY.ECK NUMBER FEE RELEiPT NO. <br /> 9 <br /> USEIONE l0TAR6R VALANTSIiE FEES VALUATION FEE <br /> BUILDING <br /> ivP[Of GONiS.ALIOWRBIE tYPf Of CONSt ACIDPI aN>�xc xo a owEuivcur�ts <br /> GPOp° � PLUMBING <br /> SIZEOFBLDG. NOAFSiORIES BASEMENT MECHANICAL <br /> OCCUPANCV LO�D FIRE SPPNKLEP$RE00 HEIGNT LIMITATION AD�ITIONAL PLAN CHECN <br /> SPRINKLER <br /> REASON fOP SPPINKLERS <br /> STATE BUILOING SURCHARGE <br /> INT�REBY PUNSAPPROVEDBY CITYOFEYEREIT PUBLICWORKS <br /> LOCAL SALES <br /> TAX COOE IS 3105 TaTA� � <br />