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APPLICATIOI FOR CONSTRUCTI N <br />TO BE COMPLETED IN BLACK INK —PLEASE PRINT <br />BUILDING DEPARTMENT HEATING SYSTEM: J GAS J ELECTRIC U <br />259-8810 <br />PERMIT �* <br />DEMOLITION COMBINATION BUILDING X MECHANICAL PLUMBING SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />PORT OF EVERETT P.O. BOX 538 EVERETT 98206 <br />TENANT MAIL ADDRESS CITY ZIP PHONE <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY :IP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />STATE LICENSE, <br />TAKISAKI <br />1312 S. WELLER <br />SEATTLE, <br />98144 <br />324-4448 <br />MJTKAI *123CA <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />STATE LICDNSE F <br />W.E. STONE & <br />CO. 4220 22nd AVE. <br />WEST SEATTLE <br />98199 <br />284-5710 <br />WE-ST-o*-*341N9 <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />STATE LICENSE <br />X NEW ADDITION ALTERATION REPAIR DEMOLITION WOODSTOVE/FRPL INSERT B <br />UILDING RELOCATION <br />CONTACT PERSON AND PHONE NO. <br />CONTRACT PRICE OF WORK $ igg lf� <br />—� <br />Y�F7 <br />JOHN RUETER 284-5710 <br />DESCRIBE WORK AND SOLARE FOOTAGE INVOLVED <br />-- <br />REFRIGERATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />PgOPOSEO USE OF BUILDING <br />CHILL FACILITY <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />LEGAL DESCRIPTION OF PROFERTY (SHOWN BELOW OR ATTACH FOUR COPIES) <br />LOT BLOCK of <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />292� TERMINAL AVE. <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR T4 <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY TiHE <br />EVERETT, WA 98206 <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICAT ON IS MADE AND I COMPLY WITH THE STATE <br />'T%LAWp18.2WAND296.200WAC. <br />J7_ <br />*CFtYBUSPNES <br />PROJECT ADDRESS <br />De <br />PLUMBING <br />ECHANI AL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />6 <br />A/C—A/HNDLG UNITS—H.P. 3 @ 5HP <br />BATHTUB <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS—B.T.U. M <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK & DISP <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />; <br />WATER HEATER <br />I <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />I <br />METAL FIREPLACE & CHIMNEY <br />I <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DHAINS—RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE —BAR. ETC.) <br />I <br />SUBTOTAL <br />$ <br />SUBTOTAL $ <br />PERMIT <br />$ <br />PERMIT $ <br />TOTAL FEE <br />$ <br />TOTAL FEE $ <br />S — <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />1 .1 <br />RECEIPTNO <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATIONV <br />FEE <br />BUILDING <br />— <br />TYPE Of COHIS. ALLOWABLE <br />TYPE OF CONS1.ACTUAL <br />=.UMNCY <br />"OuV <br />NO a BHRLIING UNIIS <br />- <br />PLUMBING <br />SIZE OF BLDG. <br />NO. OF STORIES <br />BASEMENT <br />MECHANICALUU <br />�— <br />OCCUPANCY LOAD FIRE SPRNKLERS REO'D HEIGHT LIMITATION <br />ADDITIONAL PLAN CHECK <br />I <br />SPRINKLER <br />REASON FOR SPRINKLERS <br />STATE BUILDING SURCHARGE <br />INTAKE BY <br />PUBLIC WORKS <br />i;77rxml:t� <br />TOTAL <br />F <br />J�S/ iUU <br />