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• '• APPLICATIf ] FOR CONSTRUCT�'!N PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />BUILDING DEPARTMEyT HEATING SYSTEM: 29 GAS ❑ ELECTRIC O_ <br />259•8810 <br />I_I DEMOLITION ❑ COMBINATION �Q BUILDING jCMECHANICAL p(PLUMBING ❑ SIGN <br />OH'NER MAILADORE55 CITV 21P PHCNE <br />�i �a�i k-tow.a�.�� Zwoz-3e,�Mvew r3�as,. aeoa� '35��43'� <br />TENANT AILPDDRESS GIiY 2iP PHONE <br />��LL��'�— �c 2.�9ot-3G"Ey' h✓S W j3�a..,c� 4�'3G �i5c.-24'SS" <br />APCNITECTOfl�ESIGNER �AILAO�RESS CITY 21? PHONE <br />�ss�c,a t-��s-g �'�+r 353-05�� <br />GENERnLf.047NACTOR MAILFO�RESS Gltt ZIP P110NE STATEUCENSE• <br />� �ta,a�w c.. �L° -219a2-36� 14�lE.wy�� �tBo3v 354-�+�5 ��Ai�cu�a►{s'o��SL <br />MELNnNICALLONTRACTOR MRI ADORESS CITY P P; �NE STATELICENSEt <br />��Cf'B-T' rES.wn"'ti N 6— SN 0. �j"�i �1— �kl l 1 <br />P1N:91NGCONTflPGTOR MRILAODPE55 CITV 21P P�HyO�NG C.^ STATELICENSE� <br />�i 1/L W L'� 1 Aw �� r.L1 . 'l�fS � G l�M1l <br />CONTRRCT PRICE OF WO� <br />�— <br />\VORK AND SOUARE FOOTAGE INVOLVEO <br />USE <br />IGGn� oEscn�P noN or vNorrn i r �anuwn new� <br />LOT�a 1 ��` <br />BLOCK --{-�— OF <br />PqRCELTR%ID.NUMBER <br />��nA'Z � <br />CONSTPUCTION LORN IEN�ER. AODPE55, TI <br />PROJECTADDRESS /J `, <br />J ��d _ <br />PLUMBING <br />NO. TYPE OF FIXTURI <br />—�WATER CLOSET (TOILET) <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DFINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />FOOF DR�INS—RAINLEAO <br />SINK (SERVICE—BAR, ETC <br />FOR OFFICE USE ONLY: <br />FFONT SETOA^K � RERR! <br />llSf: ZONE <br />.�Z <br />fYPf �Of CONf57. <br />Y'v <br />512E OF OLOG. <br />�— <br />OCCUPANCY�OAD <br />�� <br />FIRE SPRINRIERS REOD <br />Yly� <br />FIRE ALARM REO'D <br />Y�-� <br />1�1"C�Ly/'�� vi <br />PLANSAPPROVE�BY <br />oAr� i% z/�•� <br />GONTACT PERSON AND PHONE N0. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />coraesi WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />n� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />�AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORA1ANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNEF OF THIS PROPERTY' TO PERFORM THE WORK FOR WHICH <br />APPLICATION I MADE '��D I COMPLY WITH THE STATE <br />CONTF�CTORS 18.27 P � �96200 WAC. <br />FEE <br />5� <br />SIDE SETOACK <br />S� <br />VACnNT SITE <br />rJ'VES I 1 NO <br />otture�a rva o�ow[wxci <br />BASEMENT <br />❑ YES J�NO <br />HEIGHT UM1'JTATION <br />Z8` <br />Dil� I v <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX COOE IS 3105 <br />N0. TVPE OF E�UiPMENT <br />A/C—AIHNDLG UNITS—H�P. <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />UNIT HEATERS—B.T.U. M <br />CLOTHES DRYERS <br />JST FAN <br />SUB TOTAL 5 <br />PERMIT S <br />TOTALFEE S <br />BER FEE AECEiPiNO. <br />7 L. <br />BUIL�ING .�'�1��G <br />PLUMBING <br />MECHANICAL <br />ADDITIONAL PLAN CHECK <br />OTHER <br />STFTE BUILU�NG SURCHAHGE <br />PUBLIC'.NONKS <br />TOTAL <br />