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APPLICATI��N FOR CONSTRUC' 'ON PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTM'cNT � �ATING SYSTEM: IJ GAS 7(�ELECTRIC U _ <br /> 259-8810 <br /> I I DEMOLITION � i COMBINATION I I BUILDING I I MECHANICAL I I pLUMBING ! I SIGN <br /> owrrtn umi nooncss cnv zm riar�c <br /> Snohomish Health District 3020 Rucker Everett, WA 98201 339-5215 <br /> lEN\NT M�i�ADORE55 CI1V IiV PII(N!E <br /> Same as above <br /> �RCMTECi011DE5�ONEP N�ttADDqE55 Cltr 2�P PnonC <br /> Garv Parkinson, Architects 2812 Colby Ave E�erett, WA 98201 252-2153 <br /> OENEMLCONiR�G�O� M�RADOR[SS CIiV lIP PIIOII[ S��fEUGENSE� <br /> Owner _ <br /> MEGH�NICQCONIR�G70R AIML�UDRCSS Cl/V 2�P PIIOIIF SIMEI�CENS[� <br /> PIUMCMGCONfP�L10R M4111100�E55 CIIY 71P PIIO�If. i STMEUCENSE� <br /> CONiMGt�91CF.OF WOItN --" — <br /> �5�� <br /> DESCPIBE WDf1K�NO SOU�PH f W t�GE INVOLV[0 CON1�C1 f'EI150N�ND PllOtlF NO. <br /> rnt�r34LT�natit�g541��ent � " <br /> i �IERFBY CERTIFV 7HAT I IiAVE READ ANO E%AMINED THIS <br /> vnovoseo use oF ouanwa APALICATION AND KNOW 7HE SAME TO BE TRUE AND COFRECT.ALl <br /> CZli11C PROVISIONS OF LAWS AND OROINANCES GOVERNINO TNIS TVPE OF <br /> iecavesceirtror+ovnnorearvis��ownnabwonn�rnc��iwocoriesi WOFiK WILL BE COMPLETED V.9TH WHETHER SPECIFIED HEREIN OR <br /> ' J19��ZO Everett NOT. THE GRANT�NG OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ioi — a�ocK or AU7HORITV 10 VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> Refer Plan OTHER STATE OR IOCAI LAW REGULATWG CONSTHUCTION OR THE <br /> PCRFORMANCF OF CONSTqUCTION.THAT I AM AUTHORIZED BV THE <br /> 4�S_ZZ��22�0006 OWNER OF THIS PROPERTY 10 PERFORId THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> rencE�Tex i.0.Nuueen . CONTRACiORS LAW 18.27 RCW AND 296200 WAC. <br /> Cp15TPUCTqN IO�N tENDER.�DDRE55.TELEPIIpNE NUMfiER <br /> 3020 Rucker Ave. , EWerett, WA ' ;'lils •� �' �9'9� <br /> PROJECTADDRESS N.nnir -'--� n•ie <br /> LII II11iM1�5111.111•i1.11U - .. <br /> PLUMBIN6 MECHANICAL <br /> N0. T'fPE OF FIKTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(701LET) � A'C—A/HNULG UNITS—H.P. � <br /> BATHTUB � FORCEDAIRSVSTEMS—B.T.U. M E.A. <br /> LAVATORV(WASH DASIN) -'— UNIT HEA7ERS—B.T.U. M <br /> SHOWER CIOTHES DRYERS � <br /> KITCHEN SINK 8 DISP VENTILATION FAN ; <br /> DISHWASHER � RANGE HOOD —r <br /> LAUNDRVTRAY � WATER HEATER <br /> CLOTHES WASHER WOOD STOVE � <br /> _�— <br /> URINAI � METAL FIREPIACE(WOOD BURNING� <br /> DRINKING FOUNTAIN � FIREPLACE INSERT ; <br /> T <br /> FIOOR DRAW � HEAT PUMP � <br /> BACKFLOW PREVENTERS ; GAS PIPING ; <br /> ROOF DRAINS—F7AINLEADERS �— E%HAUST FAN —?— <br /> -�— <br /> SINK(SERVICE—BAR,ETC.) ; ' <br /> —i—— <br /> � � <br /> � — � <br /> � — i <br /> � —� <br /> � � <br /> �SUB TOTAL E ; SUB TOiAL S ' <br /> P[RMIT E �— PERMIT S � <br /> �-- — ----'�— <br /> TOTALFEE S ' TOi�LfEE S <br /> FOR OFfICE USE ONLY: <br /> FPONTSETB�CK PEARSETOACK SIDESFIB�CK PLA�[CNNUM[IEP iFE �j �nC/�/ RELEIP�p�o <br /> f y�, <br /> �./ <br /> USE Z(X!E tot nnen VRC�NT SILE FEES VALUATION FEE <br /> I l YES I 1 NO OUILDING �'O h� '� ; C c-� � <br /> 1YPEOFf.ONSi. NOAFSiORlES pq;preyp xpUrpxpurmuxns �— <br /> �G(� �°� jjJ PLUM�ING ; <br /> --'— <br /> SREOFBLW. ESPRRlNlf:p50EO0 B45EMENi MECII�NICAL � <br /> � <br /> Z�p<��; �I. r i ves n No — — ; . <br /> OGCUPI1NCYl0�0 LIfiE L�OMPEOD H[IGNTLIMIMiION ��DI110NALPLANCHECK � <br /> Oili[R ' <br /> i <br /> REASON —._—_— --___ ___ -- �"—' . <br /> STA�[(3UILDING SUf7CHAl1GE �� � <br /> __ __ Y ''Z i <br /> wtnKeor rinusnrrnoJi��u.— CITYOFEVERETT runucwoi�k.^, ' <br /> �IM LOCAL SALES , I <br /> I nnn (n .� , , TAX CODE IS 3105 totn� -�Lp ; S�j <br />