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i4PPLICATI( v .�'�R COI�STRUC'i DN PERMIT �� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT evFizcTr <br /> �_ ' <br /> BUILDING DEPARTMENT HEATING SYSTEM: �;j GAS J ELECTRIC J <br /> 259-881C <br /> DEMOLITION COMBINATION BUILDING ��MECHANICAL PLUMBING SIGN <br /> OCJ;'��R I.1qILAD�qL55 CRV ZiP PIIONE � �- - - � <br /> _1 )A��y f-f�r�e5 <br /> �'"�'���� MAILADJflE55 qTY ZIP PNONE <br /> J 6V�CI�ITEGTORDESIGNER MAILADDRESS CITV ZIP PHONE <br /> ��:?:����.GONTR4CTOR MAILAODRE55 CIl'V 21P FNOYE STATEIICENSEN <br /> I ��k«y f�rnCS <br /> "LCIIA�IIGALCONipqCTOR RIAILAC�q 5 CIiY ZIP PNONE y� SkT�UCENEa <br /> ��U�J 1 'F�2VK1� �� �oX 70/�1 �C'��-�- �'1��1 '�S' �/l�1u UG�JS�' Ci/��S3C/`� — <br /> PIu1.1F1INGCONTPpCTOR MAILADDHE55 GITV ZIP � PHONE STATEUCEf�:Ea <br /> CI,1550F WORK <br /> f�-NEW ' ADDITION � � ALTERATION REPAIR DEMOLITION � WOODSTOVE/FRPL IN','�'_=RT . BUIL�ING RELOCATION <br /> CONTACTPER50 NDPHONENO. <br /> CO!lIf3AGTPRICEOFWORN ' � � ��.-.�� "� I <br /> 02^CiiIBEWORKANDSOUAREFOOT�GEINVOLVED �LI� - ��� `� <br /> i�rvoWoseouseoFem�oiNc i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> L[nAL OESCRIPTION OF PROPERTV�SHOWN BELOW OR ATTACH FOl1R COPIES� PROVISIONS OF LAWS AND ORfiINANCES GOVERNING THIS TYPE OF <br /> WORK WIIL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> i.ur_� BLOCK oF NOT. THE GRANTING OP A PERMIT DOES NOT PRESUME TO 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 PROPERTY TO PERFORM THE WORK FOR WHICFi <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> X ,�. � � r��_: <br /> PFOJECTADDRESS n �i��:mm�r � <br /> f ,,,.<< <br /> -7/ 7- y��- -� .. <br /> ��,�����,,,:�__,����,=f �:� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TVPE OF EQUIPMENT FEE <br /> WATER CLOSET('i OI�ET) A�C—AiHNDLG UNITS—H.P. ; <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. � <br /> LAVATORY(WASH BASI�) UNIT HEATERS—B.T.U. M ; <br /> SHOWER � CLOTHES DRYERS <br /> KiTCHEN SINK 8 DISP I VENTILATION FAN <br /> DISHWASHER RANGE HOOD <br /> _ LAUNDRY TRAY I WATER HEATER � <br /> GLOTHES WASHER WOOD STOVE ; <br /> URINAL ; METAL FIREPLACE 8 CHIMNEY <br /> __ UFINKING FOUNTAIN I FIREPLACE INSEFlT <br /> FLOOR DRAIN � HEAT PUMP , <br /> BACKFLOW PREVENTERS Z. GAS PIPING � <br /> ROOFDRAINS—RAINLEADERS LJ EXHAUSTFAN � ; <br /> S W K(SERVICE—BAR, ETC.) � , <br /> � <br /> i <br /> � � <br /> � <br /> 3UB TOTAL 5 SUB TOTAL $ � ;J � -- <br /> FERMIT $ PERMIT S /, � <br /> TOTALFEE $ TOTALFEE S � ' <br /> FOR OFFICE USE ONLY: <br /> FqONTS[iE1f;:K RE�RSETBACK SIDESETpACH PIANCHEC NUMBER fLE RECEIPTNO. <br /> L L�T(� <br /> usezor�E �otnFlen VACANTSRE FEES VALUATION FEE <br /> 6UILDING ' <br /> iYPE0FC01R5ALL0YlABLE 7YPEOFCONSi.ACiUAL OtCUFAntr NoOrm:rtu�.r.cn,ns � <br /> cxouv PLUMBING <br /> SIZEOFBIDG. NO.OFSTORIES �ASEMENi MECHANICAL <br /> OCCUPANCYLOAD FIRESPRNKLERSFEO'0 HEIGHTLIMITATION ADDITIONALPLANCHECK i <br /> —_ SPRINKLER i <br /> REASON FORSPRINKLEFS <br /> �— <br /> S7ATE BUILDING SURCHARGE ' <br /> i <br /> II�inNlS 13V PLFNS APPROVEDBY CITY OF EVERETT PU�LIC V�ORKS � <br /> LOCAL SALES <br /> TAX CODEIS 3105 TOTAL <br /> '.- .f ....'.. , -,. .:;- i y:.-..... �. .`, . :-...-^ '"- ,�'_c = L . .. ..'__ �.' ' �...a�:.: _ _ <br /> .. -;. �i,: . . . :. } ... � , . . _ <br /> . . .. - .:..,..� -��. ' =. " :: ;.�. ..`:,.-„ ..�-.- ' <br /> . � I� ...�x�•• .�yn , ,�: ...� w. ��": --w <br /> cv n t ���_ . . ^.i �s r��q`'Y'� r.,,Y��fi,�" � ^' �n� �mY� 3-. _ .. <br /> . �� _ . ..� .. i �<�� ...� . . . -ni+, .-�+«ti`.1cYi,�•t w.�n,�,�.wr. <br />