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APPLICATIG.� FOR CONSTRUCT.�N PERMIT �� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> HEATING SYSTEM: ' GAS U ELECTRiC ❑_ <br /> BUILDING DEPARTMENT <br /> 259•8810 MBING SIGN <br /> DEMOI.ITION COMBINATION BUILDING MECHANICAL <br /> MAtLADDRE55 CIN 21P PMDNE ^J��� <br /> OWNER � `i� <br /> 1'orr, P�se�1 �s� 7 Quc�«v- .rvQ„���%�,a �f-asa� <br /> TENANT <br /> MPILADDRE55 Gliv 2�F FHOYE <br /> ARCHITEGT OR DESIGNER MAIL ADDRE55 <br /> dTY ZIP PHON[ <br /> GENERRLCONTRAGTOR MAILAO�FESS QTY ZIP PMONE <br /> CCo�A.E �H <br /> ��/P/'c�'`fi r Lr�/� c P e� � � l r P 54�z.Fv Pr�ss- e e�, �a U <br /> MECHANICRLGONTRALTOR M AD�RE55 <br /> CIiY Z P PHOt STATE lIC <br /> PLUMBING CONTRAGTOR MML ADDR[55 CITV 21C PHORG STATE UC[NS[� <br /> CLASS OF WORN <br /> NEW . ADDITION ALTCRATION REPAIR DEMOLITION WOODSTOVE/FHPL INSERT BUILDING RELOCATIO <br /> � CONiRCT PF.RSON AND PHONE NO <br /> CONTflACT PNICE OF WONK <br /> O@SCRIBE WORN RND SOl1AR[FOOiAGE INVOLVED <br /> PPOPOSEDLISEOFBl1ILUING I H[REBY CERTIFY THAT t HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO AE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> �EGnioEscaianot+oFPRovearv�snowr+aEiowoRnrt�CNFouecooiesr yyORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> `oT B��K pF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHOFITY TO VIOLATE OR CANCEL THE PROVISIUNS OF ANY <br /> OTHER STATE OR IOCAL LAW FEGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTflUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPEPTY TO PEi7FORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> � S � �-3i-gs <br /> ,rv� ar ��i—CJ Q oeir <br /> PRQIECTAODRE55 <br /> Giv�V9NF 55 UCENc r NO <br /> PLUMBING MECHANICAL <br /> FEE NO. TY'?E OF E�UIPMENT FEE <br /> N0. TVPE OF FI%TURE OR ITEM A�C—A�HNDLG VNITS—H.P. <br /> WATER CLOSET(TOILET) FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> BATHTUB UNIT HEATERS—B.i U. M ' <br /> LAVATORY(WASH BASIN) CLOTHES DRVERS —T <br /> SHOWER VENTILATION FAN _•— <br /> KITCHEN SINK 8 DISP —r— <br /> RANGE HOOD _ <br /> DISHWASHER yyqTER HEATER . <br /> LAUNDRYTRAV WOODSTOVE <br /> CLOTHES WASHER METAL FIREPLACE 8 CHIMNEY � <br /> URINAL FIREPLACEINSERT � <br /> DRINKING FOUNTAIN —� HEAT PUMP — <br /> FLOOR DRAIN GAS PIPING <br /> BACKFLOW.'REVENTERS EXHAUST FAN — <br /> flOOF DRAINS—RAINLEADERS _, <br /> SINK(SERVICE—BAR,ETC.) � <br /> —•— <br /> T <br /> SUB TOTAL $ SU8 TOTAL S �_ <br /> PERMIT 5 PERMIT $ �' � <br /> TOTALFEE 5 <br /> TOTAL FEE $ <br /> FOR OFFICE USE ONLY: aeceiaT No <br /> FRONTSETBRCN REARSETBACK SIOESET�ACN <br /> PLANCHECKNUMBER FEE <br /> USE ZONE LOT AREA VACAHi SITE <br /> FEES VALUATION FEE <br /> BUILDING <br /> ttPEO(CONiS.ALLOWABLt ivPfO(LONSiAC11)AL aroP�i+ccv NoaewFuivcuN��s <br /> swcir p�UMBING <br /> SIZE OF BLDG <br /> NO.OFSTORIES BTSEMENT MECHANICAL <br /> OCCUPANCY LOAD FlRE SPRNNLERS REO'D HEIGNT UMIiFTION <br /> A�DITIONAL PLAN CHECK <br /> SPRINKLER <br /> i <br /> REASON FOR SPRINKLERS S7AtE BUILDING SUFCHARG_ <br /> INTAK[BY PLANSAPPROV[D BY CITY OF EVERETT PUOI IC WORKS ' <br /> LOCALSALES T�TA� ; <br /> TAX CODE IS 3105 — <br />