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'��� APPLICATI�i�I FOR CONSTRUCt`. N PERMIT <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT � <br /> BUILDING DEPARTMENT HEATING SYSTEM: �GAS ❑ELECTf71C ❑ � <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING '�'�MECHANICAL 'PLUMBING SIGN <br /> OWNER MqILADDRE55 GTV ZIP PNONE <br /> �ob G,No -���� ��Nn AvF Evt�rT qPao3 3s3-��� <br /> TENANT MqILA0DFE55 CITV ZIP PHONE <br /> SAn�c <br /> . ARCHRECTORDESIGNER MRILADDNE55 CITV ZIP PHONE <br /> NIP <br /> GENERRL LON A1LTOfl MRIL AODPE55 QTY ZiP PNONE STRTE UGENSE� <br /> �Il� <br /> MECHANICALCONTRACTOR MRIIA�DPE55 ITY ZIP PHONE SiRTELICENSE� <br /> f��E �EA'�+N9 TNc t�0 Box ��4 �el�+ @orJ� q�d4r 83/-(oddo A�NEAZ� lss�-+a <br /> PIOMBING LON.T1 LTOR MAII ADDRESS GITY uP PHONE SiATE LICENSE a <br /> ' C1A550FWORN� <br /> , �.�.! NEW '. � ADDITION �ALTERATION . REPAIR i '�. DEMOLITION WOODSTOVEJFRPL INSERT i BUILDING RELOCATION <br /> CONTACi PERSOY AND PHONE NO <br /> . CONTMCT PRICE Oi WONN .370 0 �l AI E NA R� r <br /> � DESGRIBEWORRANDSOURREPOOTr1GE1NVOWED <br /> .?N51A11 G 5 Fu1wpca L ►�•�+ZS GA1 i e � <br /> rt� I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> � �N/14� e FF✓� ��n9� �OtY�R� (3ljcli }PP APPLICATION AND KNOW THG SAME TO BE TRUE AND CORRECT.ALL <br /> LEG�L DESCRIPTIONOF PROPENTV�SNOWN BELOW ORATTRCH FOUF COPIES) PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> � WORK WILL BE COMPLETED WITH WHETHER SPECIFIED IIEREIN OR <br /> �or eiocK oF NOT. THE GRANTING OF A PF.RMIT DOES NOT PRESUME TU GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> - OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PPOPERN TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY N'ITH THE STATE <br /> � CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> x l�c�.e �DO-�-`-a4 ��7�9� <br /> PROJECT ADDRESS S�Gmau�F nr� <br /> ��1 v �V£ �„�a�s��«s�.���,sE„o <br /> PLUMBIN6 MECHANICAL <br /> � NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> ' WATER CLOSET(TOILET) A�C—A/HNDLG UNITS—H.P. <br /> BATHTUB FORCED AIR SVSTEMS—B.T.U. hl E.A. � <br /> . LAVATORY(WASH FlASIN) UNIT HEATERS—B.T.U. M <br /> � SHOWER CLOTHFSDRYERS <br /> KITCHEN SINK 8 DISP VENTILATION FAN <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY 2 WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> � URINAL METAL FIREPLACE 8 CHIMNEY � <br /> �— <br /> �� DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN � HEAT PUMP � <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—RAINLEADERS � EXHAUST FAN <br /> � SINK(SERVICE—BAR,ETC.) <br /> i i <br /> ' SUB TOTAL S ; SUB TOTAL $ �O ' <br /> , PERMIT $ PERMIT $ /T <br /> � TOTAL FEE S TOTAL FEE $ �7 <br /> FOR OFFICE USE ONLY: <br /> FPONTSETBACK qERRSETORCN SIOESEIBACN PLANCHECNNUMDER fEE RECEIPTNO <br /> �S�%.� <br /> usezor+e �ornaen va�n�utsrte FEES VALUATION FEE <br /> BUILDING � <br /> 7VPfOFCONIS.nLLOWABIE iYPE0fC0Y5i.AG1U4l acureNtv NOOrmvFWNcuvns <br /> 4PWP � PWMBING <br /> SIZEOFBLDG. NO.OFSTORIES BASEMENT MECHAWICAL �� -� <br /> � <br /> OCCUPANCV LOAD FIFE SPPNKLERS R[O'D MEIGHT L�MITATION ADDITIONAL PLAN CHECK <br /> � <br /> SPRINKLER <br /> REASON FOfi SPRINKLERS — � <br /> STATE BUILDING SURCHARGE <br /> INTRKE BY PLANS RPPROVEDOV CITY OF EVERE7T PU�LIC WORKS <br /> LOCAL SALES <br /> TAX CODE IS 3105 rorn� 7 S I� <br />