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APPLICATIC'1 FOR CONSTRUCT^�N PEaMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />BUILDING DEPARTMENT HEATING SYSTEM: ] GAS ❑ ELECTRIC j� PI.vME�N� <br />259-8810 <br />!: DEMOLITION ! COMBINATION BUILDING ! J MECHANICAL XPLUMBING � SIGN <br />OY.^JER MAII.ADDRE55 CIiY 2�P PHONE <br />MeNr� �1►SiD�iIRTN�Rs►}J� <br />tENiNIT MPRADDRESS LITV 21P PHONE <br />�HITECT OR �ESIGN�R���MnIL ADD�SS �� J~/i O� ��L` ST 91P' �� PHONE <br />GENEHAL GONTRACTON MA4 ADDRE55 CRY 21P PHONE SiATE LICENSE • <br />COHIRACTOR MAILADDRESS GTY 21P PHONE STATEUCENSE• <br />PLUMBINGCONTRRCTOR MFIIApDRE55 CITV ZIP PHONE STRTEUGENSE/ <br />CONTRRCT PRICE OF WORK <br />DESGRIBE <br />PROPOSED USE OF BUILDING <br />IEGAL OESCRIPTION OF PROPERTY ISHOWN BE101 <br />�pT BLOCN — OF <br />PARCEI.TA%ID NUMBER <br />, CONSTRUCTIONIOANLENpER.ADORESS.TEIEPH <br />'��� <br />PROJECTADD SS <br />i u/J� tT <br />PLUMBINCi <br />NO. TYPE OF FIxTURE OR <br />WATER CLOSET�TOILET) <br />BATNTUB <br />LA�JATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DRINKING FOl <br />FLOOR ORAIN <br />BACKFLOW PF <br />FOR OFFICE USE ONLY: <br />FRONTSETBAGN REFR: <br />USE ZONE <br />ivPCO�LON51 <br />SRE OF BLDG. <br />OCLUPANCI'L� <br />RE�SON <br />INTAKE BY <br />� <br />i HEREBY CERTIFY THAT I HAVE READ AND E%AMINED TFIIS <br />APPLICATION ANf: KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />�C�ES PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />anncNTv+ocoaies WORK WILI BE COMPLETED WITH WHETHE'.: SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PHESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR THE <br />— PERFORMANCE OF CONSTRUCTION. THAT � AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION �F MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 flCW AND 296.20U WAC. <br />NUMBER �--V�////�____`cA�f/��/\ G/�S/�T <br />J¢YJL � <br />9cN4 [ � O�iE <br />��r. a�s���ss � ���NSE �� <br />SUB TO" <br />PERMIT <br />FIfiE SPRINNIERS REO'D <br />FIRE ALARM REO'0 <br />PLANSAPPHOVEDBY <br />DATE <br />FEE NO. TYPE OF EOUIPMENT <br />N�NHNDLG UN'TS—H.P. <br />—�—� FORCED AIR SYSTEMS—B.T.U. M E.A. <br />��- —�NIT HEATERS—B.T.U. M <br />SIDE <br />-1 YES NO <br />�.ccuveucv xao�owuuxsuxrts <br />G40Uo <br />BASEMENT <br />fl YES :�' NO <br />HEIGHT LIMIi�TION <br />CITY OF EVERET7 <br />LOCAL SIILES <br />TAX CODE IS 3105 <br />VEN fILATION FAN <br />RANGEHOOD <br />WATER HEATER _i <br />WOOD STOVE <br />METAL FIREPIACE (WOOD BURNING) <br />"PUMP <br />PIPING <br />4UST FAN <br />9UILOING <br />PLUh�PING <br />MECHANICAL <br />ADDITIONAL PLAN CHECI: <br />OTHER <br />STATE BUILDING SURCHARGE <br />PUBLIC WORKS <br />rorn� <br />F[[ <br />� <br />$ <br />5 ' <br />REGE�PTNO. <br />FEE <br />---� <br />� <br />I <br />__ �— <br />_�_ <br />�T <br />�' <br />