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�� _��_�� . _ <br /> APPLiCA'�'I�_�� FOR COI�STRUCT, jN P�RMIT <br /> , i0 BE COM,PLETED IN BLACK INK—PLEASE PRINT � <br /> ' �^ ) `. <br /> BUILDING DEPARTMENT HEATING SYSTEM: GAS `.]ELECTRIC ❑ <br /> 259-8810 <br /> DEMOLITION COMBINATION ✓ BUILDING MECHANICAL PLUMBING SIGN <br /> OWNER MAILAD�FE55 CITV 2!P PMONE �� <br /> nA�.I�Y I-�t>MES INC� �/s�l) FA�LAI�.��� � =F� 1nlA �-fz310�. �2� 3��0 <br /> TENANT MAILAODflESS CIT ZIP PMONE <br /> ARCHITECTORDESIGNEfl MAILADOPESS CITV ZIP PHONE - <br /> GENERALCONTRACTOR MAILAOORESS qTY 21P PHOAF STATEUCENSEp <br /> MECHANICALCONTRACTOR NAILAOORE55 CITV ZIP PHONE STATELICENSEN � <br /> PLUMBINGCONTRACTOR MAILAODRE55 CITV ZIP PMONE STATELICENSEa <br /> LlA$$OF WORN <br /> ✓NEW I � ADDITIO� ALTERATIUN REPAIR �. DEMOLITION . WOODSTOVBFRPL INSERT . BUILDING RELOCATION <br /> CONiA�ON AN�PHONE NO ��_�D�� <br /> CONTRACT PRIGE OF WORK ���T <br /> KJ....Y <br /> DESCFIBE WORKAND SOU E Fpp qGE NVOLVED _ I <br /> I �� � -�Nc�l� � ►� .�JiMI �►� 3�-���1� <br /> PROPO ED USE OF BUIL�I�G <br /> r �I�{''.}� /� I HF.REBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> JI Il�il �rlL APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> IEGALDESCRiPTIONOFPROPEFTY�SHJW�'BELOYlORA AGHFOUHCOPIES) FROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> � � WORK WILL BE COMPLETED WITH WHETHER SPECI�IED HEREIN OR <br /> � �or BLOCK oF NOT. THE GRANTING OF q PERMIT DOCS NOT PRES�IME TO GIVE <br /> AUTHORITY "f0 VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> ��� " n��� �n, �� OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> CL f'ERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> �JIW�����,,(�K OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATICN IS MADE AND I CObIPLY WITH THE STATE <br /> � �� ��� CONTRACTORS LAW 18.27 RC AND 296200 WAC. <br /> PROJECTADDFESS �( 1 / X ��l G�j – ��,� � � C� C��7 <br /> �� � I I�' N'��L/ V sicf:,rdiw[ p �, onr � <br /> r / . � i <br /> ci,vnus 'ssuc se <br /> PLUMBING � MECHANICAL — <br /> N0. TYPE OF FIXTUbE OR ITEM FEE NO.� TYPE OF GpUIPMENT FEE <br /> . ' WATER CLOSET(TOILET) � C—NHNDLG UNITS—H.P. <br /> r <br /> � BA HTUB ; F CED AIR SYSTEMS—B.T.U. M E.A. �— <br /> LAVATORY(WASH BASIN) � UNIT ATERS—B.T.U. M <br /> SHOWER CLOTliF- RYERS <br /> _ KITCHEN SINK 8 DISP VENTILATIOff N <br /> � DISHWASHER � RANGE HOOD ; <br /> DRY TRAY ' WA1�EH HEATER � <br /> CLOT WASHER WOOD STOVE ; <br /> _ URINAL ; METAL FIREPLACE&CHIMN <br /> DRINKING FOU IN � FIREPLACE INSERT � <br /> FLOOR DRAIN � HEAT PUMP <br /> BACKFLOW PREVENTEflS i GAS PIPIN� � <br /> - ROOF DRAINS—RAINLEADERS � EXHAUST PAN ; <br /> SINK(SEFVICE—BAR,ETC.) � <br /> —T— <br /> i <br /> i <br /> i i <br /> i <br /> � T <br /> SUB TOTAL $ SUB TOTAL $ <br /> PERMIT $ � PERMIT $ ; <br /> TOTAL FEE S TOTAL FEE S <br /> FOR OFFICE USE ONLY: � � <br /> FRONTSETB4CK REARSET�ACK SIDESE78ACK PLANCHECNNUMBER FEE pECEr' NO <br /> 1 — � <br /> � �O Z/o0 7/ � o , 031�/ <br /> us ZONE 1 LOTAREA VACANTSITE FEES VALUAI'ION FEE <br /> BUILDING (�� �"�' — <br /> TYPEOFC�]IIiS.ALLOWABtE TYPEOFCONST.A.IU•1L O[[uFextr Nooi�WEwscu!nrs - �--�•' <br /> _ sxo3 � I PLUMBING --r <br /> SIZE OF 6LDG. NO.OF STORIES BASEMENT <br /> Z�DO SF >" MECHANICAL — <br /> SI Sf G44 ( Q <br /> OCGUFANCV LOAD FIRE SPflNNLERS REO'0 HEIGHT�IMITATION ADDITIONAL PLAN CHECK _ <br /> I�D ' � <br /> –6PflfPllfi-Eil– <br /> REASON FORSPRINKLERS <br /> STATE BUILDING SUFlCHARGE L i%�C� <br /> INTAKEBV PLANSAPPPOVEDeY CITY OF EVERETT PUBLIC WORKS I�� <br /> �I I� LOCAL SALES <br /> 23 3 TAX COOE IS 3105 rorn� ;�� <br /> ��� � <br /> . . ?S..u'i�.1iNiMn ��'�N3•.a�T>a�s'�i,. .:'ald.,r.�'uw: <br /> .. . . �" . . . :, . ,.. :..:_,� �. � <br /> ..,- . ...,_ �_ �.....,..-. .��.....� <br /> . . ...... .. e __... ' . .:.. . _ . <br />