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APPLICATIC�I FOR CONSTRUCT"�W PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> HEATING SYSTEM� ' GAS ❑ELECTRIC O <br /> BUILJING DEPARTMENT — <br /> 259-8810 <br /> DEMOLITION COt�9BINATION BUILDING MECHANICAL PLUMBING I SKiN <br /> �Eq MI1IL�ODRE55 GTY ZIP iHIX/E <br /> � r� C-�.n u^ o � �,,t„�� ,�u-� C���cl� �,tZ ,r ys ��� <br /> TEN�NT M�IL FESS �m Z�P P�E <br /> ARCHREGT OR DESIGNER MRR ADDRESS <br /> CITY 21P VHONE <br /> GENERALCOHTR6GTOR � •ECyIPINLI�1 Wy MC• C11Y ZIP PHONE STATELIGENSE� <br /> 162� E Mai /1���uIZ~1���-- <br /> MECHANIGAL CONTR�CTOR C������ �� CITy 21P PHONE STATE LICENSE� <br /> 2g'2�L1 PHONE SiPTELIGENSE� <br /> PLUMBMGCONTP�GTOR M�II�ODRE55 ��N Z�P <br /> CU55OF WORK <br /> ! �, NEW I I ADDITION �. ' ALTERATION �. � REPAIR DEMOLITION WOODSTOVElFRPL INSERT � � BUILDING REL I <br /> CONT�CT PERSON ANU VIIOME NO. ]�'/]-�f (y�" <br /> ppNTP�GTPRICEOFWORN � ^'� P�•�^ -' � / �`� � � I <br /> DESCRIBE WOIM AND SOVARE FOOTAGE�NVOLVED <br /> - ' S '�C� �(� �LJ <br /> PROPOSEDUSEOi n.o . i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> . C�.l APPLICMTION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> � — `~A�� `� � � PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEG�LDESCH�7TqNOFPROPERTY�SMOWNBELOW ATTACMFWRCOPIES� yrORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OH <br /> ioT BiocK ov NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> -- AUTHOFITY TO VIOIATE OR CANCEL THE PROVISIONS OF ANV <br /> � OTHER STATE OR LOCAL LAW REGUUTIN6 CANSTRUCTION OR THE <br /> PERFORMANCE OF CONS?RUCTION.THAT 1 AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPEHTV TO PERFORM THE N'ORK FOR WHICH <br /> APPLICATION IS MAUE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.R7 RCW AND 296.200 WAC. <br /> x i���Q.,[b i-1�-�3 <br /> _��.,,�E N,�;u rC�E �l c�P� o,.E <br /> PiqJECTADDRESS <br /> �rtYBU5WE55UWN5E NO <br /> ��� MECMANIC�L <br /> FEE N0. ?YPE OP EQUIPMENT FEE <br /> Np, TtlPE OF FlI(TURE Ofl ITEM N��NDLG UNITS—H.P. <br /> WATER CLOSET(TOILET) � <br /> BATHTUB ( FORCED AIR SVSTEMS—B.T.U. M E.A. <br /> UVATORV(WASH BASIN) � UNIT HEATERS—B.T.U. M � <br />� SHOWER ' CLOTHES DRVERS � <br />� KITCHEN SINK d DISP I VENTILATION PAN �-- <br /> DISHWASHER RANGE HOOD <br /> LAUNDRV TRAY ; WATER HEATER � <br /> CLOTHES WASHER WOOD STOVE ' <br /> UFiINAL METAL FIREPLACE&CHIMNEV � <br /> DRINKING FOUNTAIN FIREPLACE INSERT � <br />' FLOOR DRAIN � HEAT PUMP � <br />� BACKFLOW PREVENTERS ; GAS PIPING Clti�C( . ' <br /> ROOF URAINS—RAINLEADERS E%HAUST FAN ' <br /> � <br /> � <br />' SINK(SERVICE—AAR,ETC.) T_ I <br /> , _ <br /> _�_ <br /> __ T <br /> � � <br /> i � <br /> SUBTOTAL $ 'iUBTOTAL 8 _ �U; '_ <br /> PFRMIT $ PERMIT S � � � <br /> TOTAL FEE $ TOTAL FEE $ ' — . <br /> FOR OFFICE USE ONLY: aeceiareo <br /> FROHT SETBRCN FERR SET9RCK SIDE SETBACK PLAN CHECK N�S� <br /> FEE <br /> �oTaREA V�C�NTSITE • FEES VALUATiON FEE <br /> USEZONE � <br /> BUILDING <br /> i <br /> TYPEOfCONTS.PILOWRBLE TYPEOFGONSTPCNAL rcCua�[r NOdowEwNeuNrts P�UMBING ' / � T, <br /> NO.OFSTORIES BASEEIEKT MECHANICAL / �� Vu <br />' SIZE OF 6�CG. i '— <br /> ADDIT;ONAL PLAN CHECK <br /> � <br /> OCCUPANCV IOR: flR[SPRNKLEPS RW'D HEIGHT LIMITPTION � <br /> i <br /> SPPINKLER � . <br /> RE450N FOR SPPINhlERS � <br /> STATE BUILOING SURCHARGE <br /> M7AKE BV PLANS APPROVEO BV ��P(OF EVERETT PUBIIC WOFKS <br /> LOC11L SALES ' <br /> TIU(CODE IS"f05 TOTAL � _ <br /> -- ��� <br />