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.�_ <br />APPLICATIO�. FOR CONSTRUCT� N PERMIT � <br />TO BE COMPLETED IN BLACK I�dK—PLFASE PRINT <br />HEATING SYSTEM: .J GAS J ELECTAIC J_ _� <br />BUILDING DEPARTMENT <br />259-8E?0 <br />DEMOLITION COMBINATION I I BUILDING .JMECHANICAL �_ PLUMBING SIGN <br />OIYNER/S�L MNIIFWMGJS �-��� <br />�AH.CG��� ���o sa.��yf��.� ,�: <br />tENANT IdAILAD�PES� CiT� <br />ARCi�RcCTOFOESIGNER MAILAOORE55 QTY <br />OENERALCOIITRA^.TOR MMLAODPE55 ��TY <br />IdECN1NICALCONTRALTOR MAILA�DRE55 ��t� <br />PLUMBINGCONTRACTOR GAILA�DRE55 CIiV <br />-_� <br />CONTRACTPRiCEOFW��'x 1��dU y�;F <br />a St.c <br />OESCRiBE WORN PNO SQt1AAE F�TA(',Sl vOW[D <br />n ✓� �9 <br />.�(�I�fi.�/in5 �.�»aI}._�LS�.ic l���.Q'i�• <br />�f ��..C< 1��'i d"��Jr�:.� nY( PF..A-.�' L✓al�i <br />PaOPOSED USE OF UUILDING <br />LEdAL OESCRIPTION OF PROPEPTY (SHOWN OELOW OR ATiPCN iW0 COPIES) <br />LOT dLOCK OF <br />PARL[LTAXID.MUMPER <br />CONSTRUGTIONLOANIENDER.ADUFE55.TELEPHONE <br />PROJECTADDRESS <br />: d i n_ c_., di� lL... <br />NO. I TYPE (1F FI%TURE OR ITEM � FEE <br />WATER CLOSET(TOILET) <br />BATHTUB <br />LAVATORV�WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDFYTRAY <br />CLOTHES WASHER <br />--� <br />UHINAL ' <br />DRINKING FOUNTAIN <br />FLOOR DR�IN <br />BACKFLOW PREVENTERS i <br />ROOF DRAINS—RAINLEADERS <br />SINK ISERVICE—BAR. ETC.) , <br />FOR OFFICE USE ONLY: <br />fROtJTSEtB�CK AEAFSET�RCN <br />USE20NE LOTPPEA <br />iYPE OF WN57. NO OF STONIES <br />��REOFOIDG FIRESPRMKLERSRE�O <br />OCCUPANJY LUAD FIPE ALARM REO�❑ <br />A[ASON <br />iNiArc[0� � PLANSAPPROVEOBv <br />DA1 <br />)TAL 5 <br />T S <br />FEE S <br />��� �����r <br />P.�cr �✓r� rszoz �s�- 3 03 G <br />21P PNiNE <br />Z�P PHONE <br />IiP PHONE STATElICE1lSE� <br />21P PHONE STATE LICENSE • <br />Z�P PHONE STqTE LICENSE • <br />CONTACT PERSON AND PHONE N0. <br />� HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICAT!ON AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF �AWS AND ORDINANCES GOVERNING THIS TYI'E OF <br />VJORK V�ILL BE COIdPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AU?HORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TNE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS Pf�OPERTV 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 />��+- /.2 — r7 <</ <br />_�•�.� � w�c — <br />��:w ����_.� �s ����,,� �:,� <br />MECHAWICAI <br />V0. TYPE OF EQUIPMENT FEE <br />A� C—A: HNDLG UNITS—H.P. <br />FORC[D AIF SYSTEIdS—B.T.U. M E.A. <br />UNIT HEATE9S-9.T.U. M <br />CLOTHES DRVERS <br />VENTILATION FAN <br />T <br />RANGEHOO� <br />WAiEfl HEATER <br />WOOD STOVE <br />METAL FIREPLACE (WOOD BURNING) � <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN � <br />SIpESEiIJACN PLAYCn[CK 161BER FEL <br />���)/� <br />vncnNr site FEES <br />—I YES : NO OUILDIIvG <br />oaunu�n xonrms;u�,-,.rr --- <br />°"PJP pLUM��NG <br />oASEMENT �,�ECHANICAL <br />�. �. YES . � NO � <br />IIEiGHT uMrtnnON FDDITIONAL PLAN CHECK <br />OTHER <br />STATE �UILDING SURCHAPG@ <br />CITY OF EVERETT ruuuc wo�aKs <br />LOCALSALES <br />TAX CODE IS 3105 TOTAL <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />tl <br />