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APPLICATIC�^] FOR CONSTRUCT� lN PERMIT <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> HEATING SYSTEM: ❑GAS CI ELECTRIC ❑ <br /> BUILDING DEPARTMENT <br /> 259•8810 <br /> ❑ DEMOLITION L 1 COMBINATION BUILDING [ I MECHANICAL i PLUMBING ❑ SIGN <br /> OVMEH MRILRODRE55 C�TV Z�P ND PMONE <br /> /1�?� � oa Cd/�� �' S'��/ <br /> TEN�NT � M�ILADORE55 QTY ZIP FHO <br /> �RCMITEGTOROESIGNER M�ILADDRE55 CITY ZIP HONE <br /> GENERAL CONTR�CTOR M�!L ADDRESS CITV ZIP PNONE SUiE U ENSE� l <br /> , I I(�l,�C oti1 ( �Ufi� S v�r f� !� <br /> EGM ICALCOHTRACTOR M�IL�DDRE55 GTV 21P PNONE ST�TELI NSEI <br /> PLUMBINGCONTRRCTOR MAILADORESS CITY 21P PHONE STATEUCENSEt <br /> CONiFAGT FFICE OF WORK ���� — _ <br /> ( �(' �.J O <br /> DESCRIBE WORN AN SOUARE FOOTRGE INVOWEO � NiACi P N AND PNONE NO. <br /> E <br /> HEREBV CERTIFV THAT I HAVE READ AND E%AMINED THIS <br /> PROPOSEO IISE OF BUILDING / /j� � ��� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> �{/(�J PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEG�LUESCRIPiIONOFPROOEPTYI5H0 BELOWOR N OCOPIESI WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> O NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �ot-�— eiocK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> Q�l E `1 J L OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORI2ED BY THE <br /> p OWNER OF THIS PROPERTV TO PE:9FORM THE WORK FOR WHICFi <br /> .?O� ' 3 Z'ro � d� APPLICATI IS MADE AND I COMPLV WITH THE STA�E <br /> PARCEL iRX ID.NUMBER CONTBA TORS W 18.27 Ri,W AND 296200 WAC. <br /> CONSTPUGTIONLO�NLENOER.RDDHESS.TEIEPMONENUMBER � S <br /> �qC�� F � <br /> p�ECT ADDRE� � smN� nE o <br /> L BUSMESSL NSENO <br /> PLUMSINO ECHAlHCAL <br /> ►q, TYPE OF FlXTURE OR ITEM FEE NO. TYPE OF IPMENT �E <br /> WATER CLOSET(TOILET) � NC–/UMNDLG ITS–H.P. <br /> BATHTUB ' FORCED AIR S STEMS–B.T.U. M E.A. <br /> LAVATOAV(WASH BASIN) UNIT HEATER B.T.U. M <br /> SHOWEfl CLOTHESDRY RS <br /> KITCHEN SINK 8 DI VENT�LATION F <br /> DISHWASHER RANGE HOOD <br /> LAUNDRYTRAY WATER HEATER <br /> CLOTHES WASH R WOOD STOVE <br /> URINAL METAL FIREPLACE( OOD BURNING) ' <br /> DRINKING FOUNTAIN FIREPLACE INSERT � <br /> FLOOR DRAIN HEAT PUMP ' <br /> BACKFLOW PREVENTEfiS GAS PIPING � <br /> ROOF DRAINS–RAINLEADE S EXHAUST FAN <br /> SINK(SERVICE–BAR,ETC. <br /> N <br /> trfQ �- <br /> � <br /> SUB T AL $ SUB TOTAL E <br /> PER T $ PERMIT $ <br /> TO AL FEE $ TOTAL FEE 8 <br /> FOR OFFICE USE ON : <br /> FNONTSETBRCK pRSETBRCN SIDESET9AGK PIANCHECNNI/MBER FEE RECHP NO. <br /> is i 4 73 3— .�� <br /> USE ZONE LOT ARER VRCANT SIT FEES VA�UATON FEE <br /> � ❑ YES ❑ NO BUILDIYG 70 y0 ��� <br /> N1'E Of GONSi r10.OF STORIES Occuoexp rv0 a bnfu�xGcrrtS <br /> —. I snou� PLUMBING <br /> �v <br /> SIZE OF BLOG. FIRE SPRINKLEPS flE0'D BRSEMENT / MECHANICAL � <br /> 5 ❑ YES .�NO � <br /> U � <br /> OCCUPANGY LOAD FIRE AURM REOD HEIGHT LIMITATIOH ADDITIONAL PLAN CHECK <br /> 1 <br /> /J MJ Z � OTHER `/ <br /> REASON -�� <br /> STATE BUILDING SURCHARGE �j;/ <br /> INTAKE BY �LRNS APPRO�D BY CITY Of EVERETT PUBLIC WORKS ,� �vL� <br /> J LOC11L SIILES � <br /> op,E 6 9� TAX CODE IS 3105 TOTAL �� ;,_�'J <br />