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APPLICATIl�1 FOR CONSTRUC'1�+ON PERMIT ���� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT � HEATING SYSTEb1: �J GAS J ELECTRIC � SPRINKL�R <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> OWNEF MAILADGR[55 CiTY 2iP PHONL <br /> McCauley Construction P.O. Box 987 Lake Stevens, WA 98258 355-2079 <br /> TENANT MAILRDDRE55 GiV ZIP PHDNE <br /> ARCNITEGTORDESIGN[F IdAILADDRESS CITY 21P PHON[ <br /> GENERAI CONTqAGTpR MPIL ADDRE55 CIiY 21P PHO4E STATE LICENSE� <br /> McCauley Construction P.O. Box 987 Lake Stevens, WA 98258 355-2079 <br /> M@CNANICAL CONIRACTOR MAR qDDRGSS f.ITY 21P PHONE STATE LICENSE� <br /> PLUMBMGGONTPACTOR MAILAODR[SS Crtv ZiP pHONE STATELICENSER <br /> Robinson Plumbing, Inc. 607 SE Ev Mall Way #26, �verett, WA 98206 355-6171 <br /> CLASSOf WGRN ROBINP*272C2 <br /> gNEW ADDITION ALTERATION REPAIR DEMOLITIOt! WOODSTOVEiFRPL INSERT � BUILDING RELOCATION <br /> CONiACT PERSON ANp PHONE N0. <br /> coNmncraAiceoFwoarc $21�600.00 <br /> DESGRIBE WORK AN�SOURRE FpOTAGE INYOWED <br /> s rinkler 6� 4�e s <br /> PROPOSEOUSEOfBUII�ING i HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> A artment APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> �ecntoeseaiarior+oFvaoveaTv�sNownee�owoaaTrneHFouacoaies� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISNPEOP <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEFiEIN OR <br /> LOT BLOCK oF 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 OF THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF TH!5 PROPEATY TO PERFORM THE WOFK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 78.27 RCW AND 296.200 WAC. <br /> X ��1� g/�Q� <br /> PROJEC7 r1DDRE55 SicrvnNac o�iE <br /> 2219 Rucker Avenue ��..a�s�NFss��«.�sENo <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) A�C—A/HNDLG UNITS—H.P. <br /> BATFiTUB FORCED AIR SVSTEMS—B.T.U. M E.A. � <br /> LAVATORY(WASH BASIN) UNIT HEATERS—B.i.U. M <br /> SHOWER CLOTHES DRVERS � � <br /> KITCHEN SINK 8 DISP VENTILATION FAN � <br /> DISHWASHER RANGE HOOD i <br /> LAUNDRYTRAY WATER HEATER <br /> CLOTHESIYASHER WOOD STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEY <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN H[AT PUMP <br /> �ACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—RAINLEADERS E%HAUST FAN <br /> SWK(SERVICE—BAR,ETC.) <br /> _ i <br /> SUBTOTAL $ SUBTOTAL 5 <br /> PERMIT $ PERMIT 5 <br /> TOTAL FEE 5 TOTAL FEE 5 <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBACN REAR SETBFGK SIDE SETBACK PIFN CHECN NUMB[P FEE REC IPT NO. <br /> .�oJ� 5�• c'�� asav <br /> use7.or+E toTnaen VACANTSITE FEES VALUATION FEE <br /> BUILDING <br /> 1VPEO�f7CONISALI�pOWABIE 1YPEOFCOIiSiACII0.L ocavnNtv N�u�OWFI:iNGUN'�5 <br /> —ll.' I N 1� J `��IN�� BiG RI �D PLUMBING <br /> SilEOF9lOG. NO.OFSTORIES BnSEMENT MECHA4ICAL <br /> 3 `f��! <br /> OCCIIPANCYLOAD FIRESPRNNLERSREO'D HEIGHTIIMiTATION ADDITiONALPLANCHECK <br /> Y�S SPRINKLFR (168 heads �� <br /> 11EASON FOii SPRINKlEFS � <br /> iY�V/�� r � ���'���1/U STATE BUILDING SURCHARGE <br /> vl C" <br /> iHrnk�ev a�nr�snarnovecev CITYOFEVERETT PUBLICWORKS <br /> LOCAL SALES <br /> q�� ��,, ,�M TAX CODE IS 3105 T�TA� p ; � <br />