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APPLICATIC _J FOR CONSTRUC7 _ JN PERMIT /;��� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT � <br /> BUILDING DEPARTMENT HEATING SYSTEM: J GAS I_j ELECTRIC ❑ —� <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> OWNER MAILAppPESS pTV IIP PNONE <br /> Bill Bourlancl 8818 3rd Ava SE Everett 98208 353-8522 <br /> TENANT MAILqDD/iE55 qtt IIP PMDNE <br /> ARCHITECTORpESIGNER MhRA0DRE55 CIT� ZIP PMONE <br /> GENERALCONTRACTOR MAILADDRE55 CITY 21P PNONE STRTEUCENSEM <br /> Same as above <br /> MECNANICRL CONTRACtOF MRIL qODRE55 CITY ZiP PNONE STATE IICENS[• <br /> PWM�INGCONTRAGiOR MFILqDDRE55 CITV ZiP PNONE STATELICENS[1 <br /> Robinson Plba 607 SE Everett Mall Wav #26 Everett 98208 355-6171 ROBINP*272C2 <br /> CLA55 OF WORN <br /> ' XNEW ADDITION ALTERATION REPAIR DEMOLITION WOODSTOVE�FRPL INSERT BUILDING RELOCATION <br /> ' CONTACT PERSON ANO PNONE NO <br /> CONiRACiPRICEOFWORN $3950.00 <br /> UESCRIBE WONX AND SOUAR[FOOTAGE INVOIVED <br /> vnoaoseouseoFeuaorv� I HEREBY CERTIFY THAT I HAVE qEAD AND EXAMINED THIS <br /> 9-Plex APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> teca�oescaivnoNOF aqoreqiv isHowN oe�owoa ni7ncH FountoriEs� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WOPK WILL OE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �o� B�aK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITV TO VIOLATE OR CANCEL TNE PROVISIONS OF ANY <br /> OTHEH STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOflIZED BV ThE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH � <br /> APPLICATION IS MADE AND I COMPLV WITH iHE ST�TE <br /> CONTR6tCTORS LAW 1827 RCW AND 296200 WAC <br /> /� <br /> � �� r�L'�(� ��- � � � <br /> X � l �(,- 14 n /✓ <br /> PROJECTh00RES5 s�cv ��q� � I �, ti��� <br /> 8822 3rd Avenue 5.�. � <br /> ,.���s.,,�s„� .ro - <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TUF 'OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) ArC—A�HNDLG UNITS—H.P. <br /> _ BATHTUB FORC[D AIR SYSTEMS—B.T.U. M E.A. <br /> LAVATORY(WASH BASIN) UNIT HEATERS—B.T.U. M � <br /> SHOWER CLOTHES DFiVEHS <br /> KITCHEN SINK 8 DISP VENTILATION FAN <br /> DISHWASHER RANGE HOOD <br /> LAUNDRYTRAY � WATER HEATER <br /> CLOTNES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE&CHIMNEY i <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP ---'— <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DF�INS—RAINLEADERS EXHAUST FAN <br /> SINK(SERVICE—BAR,ETC.) <br /> � <br /> SUB T07AL 5 SUB TOTAL 5 <br /> PERMIT $ PERMIT $ <br /> _ TOTAL FEE $ TOTAL FEE 5 �— <br /> FOR OFFICE USE ONLY: <br /> FRONTSETBACK qEARSETpACK SIDESETBACK P�ANUI[CKNUTAB[R FEE PECE�PTNO <br /> 38[o ss � � � <br /> use zone tor aaea vqcnNr sire FEES VALUATION FEE <br /> �— <br /> BUILDING <br /> TYPEOFLONiS.ALLOWABLE iYPCpfCONSiPLiIIPL O[cu>extr xOD�OwfluxGurv�L <br /> r.PouP <br /> 3� �I�J PLUMBING <br /> SREOFBLDG NOOFSTORIES BASEMENT <br /> '.ti00�X"��''���r MECHANICAL <br /> hI.' 1'Ri10 'Z � <br /> OJCUPANGVLOAD FIRESPRNKLERSREOD HEIGNTLIMITqT10N ADDITIONALPLANCHECK - C�� � i— <br /> wh � � saaiNK�Plan Check (37 Heads ) � 20� 00 <br /> RFASON FOR SPRIhKLERS <br /> STATE BUILDING SURCHARGE <br /> MTAKEBV PLqNSAPPqOVEDBV CIiYOFEVERETT pU�LICWORKS <br /> LOCAL SALES <br /> II �� �?� J/l� TAX CODE IS 3105 TOTAL ��;roD <br /> . <br /> z eo <br />