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� APPLICATIOr" FOR CONSTRUCT['"N PEFiMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />BUILDING DEPARTMENT <br />259•8810 FI�E SIitINKI,�- <br />17 DE�70LITION Cl COMBINATION I-1 BUILDING I�MECHANICAL f"I PLUMBING I� SIGN <br />ONRlER MAllA0DRE55 CITY 21P PIIONE <br />TENANT �—�j (M�AIL�ODrRE55 CIiY /��— ZIP PHIN�IE <br />^R�NOG�I IG� Ci� �F.�n� ✓�� S. ��� �� CITY�VFiFG \ l P PIIONE <br />GENENAICW�TR�CTOR MARADOAE55 CIIY ZIP PHONE S7RiELICEN^aE� <br />Geia�ln►.rf r.Kx1E5 Il�IC. 2�`i�2 3�3tu �iVE w. �lc�...UJA 98D�s�t 3�-2435 <br />MECdANICALCONTRRCTOH MAILRDDRESS CITY ZIP PHONE SiA7EUCENSEt <br />�2�) Z7l-6Ei8 <br />f�,��I(�i��ZOI�) ISb'l3EMf�`{�/A1.1..�1'P-�• ccAQU441 I�rr�F'F��l(oNP <br />PLUMBINOCONTFiACTOB MRILAUOPESS CITY ZIP PIIONE SUIELIGEHSE� <br />C_�j'�SOFWOFK <br />l�l NEW ❑ ADDITION f I ALTERATION I�I REPAIR I� I DEMOLITION I� I WOO�STOVE'FRPL INSERT I I BUILDING RELOCATION <br />— CONIACT PERSON AND PHONE NO. <br />cdJTMCT PRICE OF WO�e 5200—, t RAG`i M�k-E C21.��i2� I—�5`� 8 <br />PROPOSED <br />IEGAL UESCP�FTION OF PROPENTY �SIIOWN OELO\Y CR <br />LO7 BLOCN UF __ <br />S.v.�, �/.a . SFG .32. T.Z8q' <br />rnaect <br />ROOF <br />SINK ( <br />S, 2N <br />TYPE OF <br />CLOSET <br />lY TRAY <br />:S WASHER <br />JG FOUNTAIN <br />DRAIN <br />FOR OFFICE USE ONLY: <br />USEZONE <br />TYPE Of C01 <br />� <br />S12E OF BI <br />PE�SON <br />SUB <br />iotnnen <br />IYVE Uf CON57. ACI <br />� <br />NO.OF SiORIES <br />2 <br />fI11E SPRNKLER! <br />NK.�.E�Sti5c2-�� <br />E <br />SIOE SETORGN <br />N� <br />TAX <br />i HEREBY CERTIFY THAT 1 HAVE READ AND E%AMINFD lHIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILI BE COMPLETED WITH WHETHC-R SPECIFIED HEREIN OR <br />NOT. THE GR�NTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OH LOCAL LAW REGULATING CONSTFUCTION OR TH[ <br />PERFORM�NCE O� CONSTRUCTION. TNAT I AM AUTHORIZED BY THE <br />OWNER OP TH�S PROPERTY TO PERPOfiM TH[ WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THG STATE <br />CONTRACTORS LAW 18.27 RCW ANU 296200 WAC. <br />Y � i <br />5�� Z��IOb ���,�E <br />CI�Y OUSiNE55 LRENSC NO <br />MECHANICAL <br />JO. TYPE OF E�IIIPMENT <br />AIC—NFINDLG UNITS—H.P. <br />FORCED AIR SYSTEMS—B.T.U. Id E.A. <br />UNIT IIEATERS—B.T.U. M <br />CLOTHES ORVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />MEiAL FIREPLACE 8 CHIMNEY <br />SUBTOTAL $ <br />PEFlMIT $ <br />/ I ree� <br />'b <br />BUILUING <br />xv am+'[uixcuNns <br />� � PLUM�ING <br />MECHANICAL <br />fA710N AUDITION�I PLAN CHECK <br />SPRINKLER <br />i� �0 STAT[ BUILDING SURCHARGE <br />iF EVERETT PUBUC WORKS <br />AL SALES <br />)DE IS 3105 rora� <br />� <br />� <br />