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d H <br />jH In <br />y 'L' <br />K A <br />co <br />H z <br />py <br />O I-4 <br />0.8 <br />yHZH <br />rHH <br />Qy FH <br />C! y <br />[H'+� <br />DC <br />1IJ I <br />l1 <br />APPLIICATIGA FOR CONSTRUCT mON PERMIT <br />TO BE COMPLETED IN BLACK IN LEASE PRINT <br />HEATING SYSTEM U GAS ❑ ELECTRIC ❑ <br />BUILDING DEPARTMENT - ------ <br />259-8810 <br />DEMOLITION COMBINATION BUILDING lMECHANICAL PLUMBING I SIGN <br />ARCHITECTORD K.NER <br />MAILADDRESS <br />CITY <br />ZIP <br />PHONE <br />GENERALCONTRACTOR <br />MAILADDRESS <br />CITY <br />LP <br />PHONE <br />STATE LICENSt E IT <br />ME�CH)AM�CAI.CONTflACT <br />MAIL ADDRES <br />j CITY <br />LL,, <br />,ZIP <br />�/n PHONE — <br />TIE <br />A <br />?7l'.! <br />�� 4�, <br />/K/Y/l�ll._W('�� r <br />'/�fJ��TJ/,/y/E <br />//�'YD'1 J�1'f7�iJCn,�/l/l <br />I <br />+7JE/;7�J'�P/ <br />/ <br />PLUMBING CONTRACTOR <br />MAIL 00RE13S <br />ITY <br />ZIP <br />HONL <br />STATE LICENSER <br />CLASSOF WORK <br />( I NEW I ADDITION <br />ERATION <br />REPAIR <br />DEMOLITION <br />WOODSTOVEIFRPL INSERT <br />BUILDING RELOCATION <br />CONTRACT PRICE OF WORK y-vv <br />CONTACT PERSON AND PHONE NO. <br />�T('J✓fZ-✓7LKS <br />DESCRIBE WORK ANg�fj°�`'A�REfjfp'°IT INVOLVED <br />�U Mils f�Y�k-�Cyv 149ar -/i 0%A <br />- <br />PROPOSED USE OF BUILDING <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 />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />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 />PERFORMANCE OF CONSTRUCTION THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />X kIll� <br />LEGAL DESCRIPTION OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) <br />LOT �] a ocv^K� GF^` <br />/Tj�[ /Z�.� "% `�•`-0 ^ l <br />PROJECT ADDRESS <br />o 2 it 1� Z?l< <br />SKNATUPE DATE <br />GiYB451NE95lKEN5E N0 <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C—A/HNDLG UNITS—H.P. <br />I <br />BATHTUB <br />O/ <br />FORCED AIR SYSTEMS B... M E.A. <br />LAVATORY (WASH BASIN) <br />I <br />UNIT HEATERS—B.T.U. <br />i <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK 8 DISP <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE 8 CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />; <br />FLOOR DRAIN <br />EAT PUMP <br />BACKFLOW PREVENTERS <br />i <br />GAS PIPING <br />_ <br />ROOF DRAINS—RAINLEADERS <br />I <br />EXHAUST FAN <br />SINK (SERVICE —BAR, ETC.) <br />; <br />SUBTOTAL $ <br />SUBTOTAL $ <br />- <br />_ <br />PERMIT $ <br />PERMIT $ <br />TOTAL FEE $ <br />TOTAL FEE $ <br />-- <br />f361-1112rig 3FC9ffel lI A <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLANCHECKNUMBER <br />FEE <br />RECEIPTNO. <br />G'J <br />- <br />USEZONE <br />LOT AREA <br />VACANTSITE <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />--- <br />TYPE Of CONTS. ALLOWABLE <br />TYPE OF CONST. ACTUAL <br />OCGUVANCr <br />TNO MDASLLING UNITS <br />OUR <br />PLUMBING <br />SIZE OF RUDE <br />NO, OF STORIES <br />BASEMENT <br />MECHANICAL <br />ADDITIONAL PLAN CHECK <br />OCCUPANCYLOAD FIRE SPRINKLERS REDD HEIGHT LIMITATION <br />SPRINKLER <br />_ 1 <br />REASON FOR SPRINKLERS <br />STATE BUILDING SURCHARGE <br />i <br />INTAKE BY <br />PLANS APPROVED BY CITY OF EVERETT <br />PUBLIC WORKS <br />' <br />LOCAL SALES <br />TAX CODE IS 3105 <br />TOTAL <br />