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APPLICATII� FOR CONSTRUC�N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> BUILDING DEPARTMENT <br /> 259-8810 SpL/NCC�J? <br /> I I DEMOLITION COMBINATION BUILDING �MECHANICAL PLUMBING SIGN <br /> OWNER MAILAUDRE55 CIiY 21P P110NE <br /> Bill Bourland 8818 3rd Ave S.E. Everett 98208 353-8522 <br /> TENRNT MRILADDRESS CITY ZIP PMONE <br /> ARCHITECTOPDES�GNER MAILFDDRE55 CITv 21P PNONE <br /> GENER�LCONTfl�CfOR M�ILADDRE55 CITY 21P PNONE ST�TE�IGENSE� <br /> same as above <br /> MECH�NIC�L CdiTRACTOR MAIL pODRESS GITY ZIP PMONE STPTE LICENSE• <br /> PLUMBING CONTRIICTOR MAIL ADORE55 dTY 21P PHONE STATE LICENSE� <br /> Robinson Plb4 607 SE Ev Mall Wav #26 Everett 98208 355-6171 ROBItdP*272C2 _ <br /> GUSS OF WORK <br /> '�9 NEW I I ADDIT!ON . � ALTERATION REPAIR �. DEMOLITION WOODSTOVBFRPL INSERT BUILDW(i RELOCATION <br /> CONTFLiPER50NANDPHONE NO <br /> CONTR�GT PRICE OF WORK <br /> �ESGRIBE WORk�ND SOUFRE FOOTAGE INVOlVEO <br /> PROPOSEDUSEOFBU�LDING I HEREBY CERTIFY THAT I HAVE READ AND E%AMIN[D THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALI. <br /> LEGALDESGRIPTIONOF PROPERtt(SNOWN BELOW ORATIACNFOURCOPIES� PROVISIONS OF LAWS AND ORDINANCES GOVERNING TH{S TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �or e�ocK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS '�F ��NY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION C�R THE <br /> PER=ORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV T,HE <br /> OWNER OF THIS Pf10PERTY TO PERFOFM THE WORK FOR WHIC�� <br /> _ APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> x �1'!�=V'�-`�'_-����-f�= <br /> PR0.IEGTADDRESS <br /> s�N,r� o.,� <br /> 8812 S.E. 3rd Street ��..P�s���ss,�«Ns��o <br /> � PLUMBINQ MECHANICAL � <br /> � NO. TVPE OP fl1(TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) � WC—AiHNDLG UNITS—H,P. <br /> BATHTUB FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> LAVATOrIY(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> SHOWER CLOTHES DRYERS <br /> KITCHEN SINK&DISP VENTILATION FAN <br /> DISHWASHER RANCE HOOD <br /> LAUNDRV TRAY WATER HEATER <br /> CLOTHES WASNER � WOOD STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEY ' <br /> URINKING FOUNTAIN i FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIF 3 � <br /> ROOF DRAINS—RAINLEADERS EXIIAUST F.4N <br /> SINK(SERVICE—BAR,ETC.) <br /> --� <br /> SUB TOTAL $ SUB TOTAL $ <br /> PERMIT 5 PEFMIT $ <br /> TOTALFEE S TOTALFEE S <br /> FOR OfFICE USE ONLY: <br /> FRONTSET9ACK PEARSETBFLK SIDESETBACN PLANLHECNNUMBER FEE���{� �E��,�°27 <br /> usEzone LOT�REA vncnNrsirc FEES VALUATION FEE <br /> BUILDING ' <br /> iYPEOFGONiS.AIIOWRBIF 7YPEOFLON9.ACfUPI n-LqOUr[r NawCwttuxGu�+ss <br /> �. � '.� �N W t���,�,(�() ' � PLUMBING <br /> L Si�EpFg;�rnL NOAFSTORi[S BASEMENT MECHANICAL _ <br /> 4W..� ,�r�p� '7 AJD <br /> � 1 ADDITIONAL PLAN CHECK <br /> OCCUPANCY LOAO FIPE SPRNKLERS RW'D HEIGHT LIMI7ATION �� <br /> IUPt� Y� �1+�n�' SPRINKLER Pldll Check 20 he d � <br /> . <br /> REASUN fOR SPRINKlERS .� <br /> ,i,y�y2;� � �Ja. �,�'U'�', ��nJf}�J� S7A7E BUILDING SURCHARGE � <br /> vf l �1� <br /> INTANEBV PL4NSpPPROVEDBY CITYOFEVERETT PUBLICWORKS <br /> LOCALSALES � <br /> 1 D$ �fZ TAX CODE IS 3105 TOTAL � �r,-.:.—._.-._ <br />