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APPLICATII.�I FOR CONSTRUC7 DN PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> HEATING SYSTEM: ❑:iAS ❑ELECTRIC U —� <br /> BUILDING DEPARTMENT — <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING MECHANICAL ��PLUMBING SIGN <br /> OWNER MAILAD�RE55 CITV Z6` PNONE <br /> Bill Bourland 8818 3rd Ave. SE Everett 98208 353-8522 <br /> TENANT MAILADDRESS CITY 2iP PNONE <br /> ARCHITECTORDESIGNEB MAIL4DDRE55 CITV 2iP PHOHE <br /> GENERAL CONTBACTOR MRIL ADDRE55 QTY :IP PNONE STATE LICENSE k <br /> same as �bove <br /> MECHANILAL CONTRACTON MAIL AD�RE55 C�tY ZIP PMONE STATE UGENSE/ <br /> PWMBINGCONTRAf,iOR MAILADDRESS CITV ZIP PHONE STRiELICENS[+ <br /> Robinson Plbg 607 SG Ev Mall Wy Everett 98208 355-6171 ROBINP*272C2 <br /> . CLASSOFIVORK <br /> NEW . ADDITION ALTERATION REPAIR DEMOLITION WOODSTOVE/FRPL INSERT �UILDING RELGCATION <br /> . CONTPCT PCRSON�NU PHON[NO <br /> CONTRACT PRICE OF WORN 713 9. 0 0 <br /> OESCNIBE WORN AND SOUARE FOOTAGE INVOW EO <br /> rqoPoseouseoFeuamr+c I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TNIS <br /> 4-Plex APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> �eca�oescaivnoNOF vRoreqtv�sNowNee�owoa atrncH Founcowesi PROVISIONS OF LAWS AND ORDINANCES GOVERNING TNIS TYPE OF <br /> WOPK WILL 8E COMPLET[D WITH WHETHEF SPECIFIED HEREIN OR <br /> �or eiocK oF NOT. THE GRANTING OF A PERMIT DOES NOT PqESUME TO GIVE <br /> �UTHORITY TO VIOLATE OR CANCEL THE PRCIVISIONS C�F ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSfRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. THAT I A41 AU7HORIZED BV THE <br /> OWNER OF THIS PqOPERTY TO PERFORM THE WORK FOR WHICH • <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> x��l1�f��z�� - 9�7��Rz <br /> PROJ QFDORESS sm�un.uu o�i[ <br /> �3TC3 AV2RUB .S.E. nrveusr�i�.��.�cr�iscuo <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> 6 WATER CLOSET(TOILET) a 0.�C—A:'HNDLG UNITS—H.P. <br /> 4 9ATHTUB a FORCED AIR SY` (EMS—B.T.U. M E.A. <br /> 6 �_AVATORV(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> SHOWER CLOTHESDRYERS <br /> —�— <br /> 4 KITCHEN SINK 6 DISP VENTILA�ION FAN <br /> 4 DISHWASHER � RANGt HOOD <br /> LAUNDRVTRAY S WATERHEATER 32' SO <br /> 5 CLOTHESWASHER .� ZS OO WOODS70VE <br /> URINAL A9ETAL FIREPLACE 8 CHIMNEY <br /> DRINKING FOUNTAIN FIREPLACE INSERT i <br /> T <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING ; <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> SINK(SERVICE—BAR,ETC.) <br /> � <br /> -- �— <br /> SUB TOTAL $ 3}�rJ'�� SUB iOTAL $ 3 2� 5 0 <br /> PERMIT $ �'Q PERiv11T $ 15 00 <br /> TOTALFEE 5 �� 14S—OO TOTALFEE S 4�� SO <br /> FOR OFFICE USE ONLY: <br /> FRONTSFTBACK PEARSETBACH SIDES[TBACK PIANCHECFN MBER FEE AECEIPiNO. <br /> 3�/� <br /> USEZONE LOTAREA VRCANTSRE FEES ' VALUATION FEE <br /> BUILDING <br /> iVPEO�C�NiS.ALLOWABIE IYPFOFWNSi.ACTVAL occuPer¢v NOOrownuxGux.tS <br /> seour � PLUM�ING � ;�;'� <br /> SIZEOFBLOG. NOOFSTORIES BaSEMENT MECHANICAL <br /> �� <br /> OCCUPANCYlOAD FIRESPFIJNIERSREO'0 NEIGHTLIMITATION ADDITIONALPLANCHECK <br /> SPRINKLER <br /> liEASONPoRSPRINKLERS -- — —�— <br /> STATE BUILDING Sl1RCHARGE <br /> INiFKE BY PLANS APPROVEO BV f.ITY OF EVERETT PUBLIC WORK$ � <br /> LOCAL SALES — <br /> TAX CODE IS 3105 TOTAL a7� �� ,� <br /> �J <br />