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APPLICATINV FOR�CQNSTRUCT"�N�-,��g��� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT u <br /> MA 2 ' <br /> BUILDING DEPARTMEM1T HEATING SYSTEM: ❑GAS i]ELECTRIC ❑ <br /> ............. , <br /> 259-86�o I Y OF EVERETT <br /> DEMOLITION COMBINATION I i BUILDING MECHANICAL ��L�UIG��ept' SIGN <br /> OWNER MAILP�DFE55 CtTY Z'P PMONE � <br /> Pat S Maureen Kealy - 1707 Rucker Ave - Everett, WA 98201 <br /> TENAHi MAILADpRESS GITV ZIP PMONE <br /> ARCHITECTORDESiGNER MAILAO�RESS CITV Z�P PHONE <br /> G[NEPPLCOIJiqAGTOR IdAILRODRESS GItV IIP PHON[ SiATEUCENSE� <br /> PALCO 9709 - 19th Ave. S.E. Everett, WA 98208 338-1564 PALC0164N1 <br /> MECHANiLALCONTRRCTOR MAllAODRESS GtY ZIP PMONE SiAiELIGENSE� <br /> PWMpINGCGNiRACLDR 1.1/IL/+DDNE55 C�iv 21P PIION[ STAtEIICENfE� <br /> Pipeline Plumbing � Consulting, Inc -13233 Northup -Bellevue 98005 PIPELPC101BW <br /> CONTRACT PRICE OF WORK <br /> OESCRIBE WORN AND SOUnRE FOOTAGE INVOLVED LONTAGT PEPSON AND PHONE NO. <br /> Steve Foxler 644-2622 <br /> i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSEO USE OF BUILDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> �ecn�oEsceiPnoNOFraoveair�snowNaeiowoannncNiwocovies� WORK WILL BE COMPLETED WITH W.iETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ioT e�ocrc oc AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORAIANCE OF CONSTRUCTION.THAT I AM AUTHORI2ED BY THE <br /> OWNER OF THIS PROPERTY TO PEFiFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> PARCE rnx i .Nun+eea �� Q�D �y CONTRACTORS LAW 18.27 HCW AND 296.200 WAC. <br /> � 'f d <br /> CONSTRUGTION IOAN LENDEN.R�DRESS.TELEPHONE NUTABER <br /> X 3-14-94 <br /> PROJECT ADDRESS s�cN��ua� o�tc <br /> 98201 ��,.a�s�N�ss�,�F��sENo <br /> PLUMBING l7ECHANICAL <br /> NO. TYPE OF Fl%TURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILET) � A/C—A/HNDLG UNITS—H.P. <br /> / BATHTUB ; FORCED AIR SVSTEMS—B.T.U. M E.A. � <br /> LAVATOPV A.ISHBASIN) � UNITHEATERS—B?.U. M <br /> SHOWEf I CLOTHES DRYER$ � <br /> KITCHEN SINK 8 DISP VENTILATION FAN <br /> DISHWASHER RANGE HOOD <br /> LAUNDRVTRAY WATER HEATEA ' <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE(WOOD BURNING) <br /> DRiNKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> 9ACKFLOW PREVENTENS ; GAS PIPING ; <br /> ROOF DRAINS—RAINLEADCRS � E%HAUST FAN � <br /> SINK(SERVICE—BAR.ETC.) ; <br /> SU8 TOTAL $ ;�j{j SUB TOTAL 5 <br /> PERMIT $ � � DO PERMIT 5 <br /> TOTALFEE $ TOTALFEE $ <br /> FOR OFFICE USE ONLY: <br /> FPONT SET��CN REAF SETB�CK SIDE SETBFLH P�A��CHECM N MBER � FEE RECEIPT N0. <br /> � 3 <br /> use zorue �or aaen VACFNT SITE FEES VALUATION FEE <br /> , . YES � �. NO BUILDING <br /> iVPE0iG01�5i NOOFSTOFIES occu�px[v imorowluirvGurvnS <br /> cwnu� PLUMBING <br /> 512EOFBlUG FIR[SPRINKLERSREOD BRSEMENT MECHANICAL <br /> ^ YES �. NO —�— <br /> OCCUPANCYLOnO FiREALnaMREOD HEiGr+TUMRqnoN ADDITIONALPLANCHECK <br /> OTHER <br /> REASON -� <br /> . STATE BUILDIKG SURCMARGE <br /> i <br /> INTFNEBY PLANSAPPROVEOBY CITYOFEVERE7T PUBIICWORKS <br /> LOCALSAIES ' <br /> oA,E TAX CODE IS 3705 TOTAL <br />