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APPLICATIC� FOR CONISTRUC7'"�N PERMIT � <br />TO BE COMPI.ETED IN BLACK INK—PLEASE PRINT <br />HEATING SYSTEM: ❑ GAS �ELECTRIC ❑ <br />EPARTMENT <br />BUILDING D <br />259-8810 <br />DEMOLITION COMBINATION <br />�wv�� MnanoonEss <br />IS <br />BUILDING MECHANICAL PLUMBING SIGN <br />CITY DP PHONE <br />� a�� �J ��w A. 9�2a �y u z- G G Zc <br />^---�� — --�--�._ <br />iENFNT MFILADDPESS CITY ZiP PIIONE <br />— — <br />aRCHIiECTOPDE5IGNER MRILRDDPE55 CITV ZIP ❑HONE <br />oc.J►,�c2 <br />G[NEPALCONTflACTOP MAILADD9E55 CITY ZIP YNONE Si�TELICENSE• <br />mt..J 1 � �l� <br />IdECMANICAI GCNTRPCTOR MAIL �ODRESS dTY 21P PMONE STATE LICENSE � <br />PLUMBING CONTRA[ WH FIAIL A�DPESS CIiY ZIP PMONE SiATE LICENSE • <br />o i..JhlF- 2- <br />G�L�AS OF WORN . � <br />X NEW � ADDITION ' AITERATION . REPAIR DEMOLITION WOODSTOVE�FRPL INSERT . BUILDING RELOCATION <br />���/). dOd <br />' PRYE OF WORY � /" / <br />WONNFNpSOl1AREF iAGEINVOWEO <br />?,4.� SHo P <br />) USE OF BUILDING � <br />�CRI�TO�O�OPER �SHOWNBELOWOR <br />BLOCN �F _ <br />C <br />� <br />PROJECiADDPESS <br />�S/S Sc? �-{�`' <br />PLUMPING <br />NO. 'I'VPE OF FIXT <br />WATER CLOSET (TOIL <br />BATHTUB <br />LAVATORY(WASH BA� <br />SHOWER <br />KITCHEN SINK 8 DISF <br />DISHWASHER <br />.AUNDRY TRRY <br />CLOTHES WASHER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />FOR OFFICE USE ONLY: <br />FRONiSETB�CN REARSET6AGN <br />ZO A �i �� <br />USE20NE IOTAREA <br />�''L. (o, �U <br />1VPEOfCONiS ALLOWFBIE 7YPEOFLON4.AC' <br />y-�� -n� <br />52E O` BLDG.7QIn NO.OP STOR:ES <br />INIANG �V <br />nRF SPRNKLF.RS RFO'D <br />n(J <br />PLANS APPROVED DY <br />1�4 /�-/-�. <br />CONTFCT PERSON AND PHONE rv0. <br />I HEREBY CERTIFY THAT I HAVE READ ANu tJIAMIIVCV inia <br />APPLICATIVN AND KNOW THE SAME TO BE TFlUE AND CORRECT. ALl <br />PROVISIONS OF LAWS AND ORDINANCES GUVERNING THIS TYPE OF <br />WORK WILL BE COMPIFTED WITH WHETHER SPECIFIED FiEREIN OR <br />NOT. THE GFANTING 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 />PERFORMANC[ OF CONSTRUCTION. THAT I AM AUTHORIZED 6Y THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICIi <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />� � d �.��� !/s��'3 <br />�� $IGNn*URE ���E r� <br />/ <br />�,,. e�s���ss �,�E�s� �o <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT FEE <br />NC—AMNDLG UNITS—H.P. ' <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />� UNIT HEATERS—B.T.U. M <br />� CLOTHES DRYERS ' <br />RANGEHOOD <br />� WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />i FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />� EXHAUSTFAN <br />)TAL 5 <br />f S <br />FEE 5 <br />sioe sE*enc <br />S � <br />VACANT SITE <br />euaor+c (✓�Z ;� ,j'S <br />�opyq NO O�GNEIIIYGONifS <br />�Wv I PLUMBING <br />�- <br />:EMENT/� MECHANICAL <br />N� <br />GHT uMrtnilON ADDITIONAL PLAN GHECK <br />7 � / SPRINKLER <br />i <br />STATE BUILDING SUI7CHARGE <br />CITY OF EVERETT PUBLIC WORKS <br />LOCAL SALES <br />TAX CODE IS 3105 TOTAI <br />TOTALFEE <br />,�175 <br />3.G-� <br />a <br />0 <br />