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�� .-. .� <br /> APPLICATI(..�1 FOR COhSTRUC'� .ON PERMIT � <br /> TO BE COMPLETED IN BLACK fNiC—PLEASE PRINT <br /> BUILDING DEPARTMENT HEATING SYSTEM: U GAS ❑ELECTfiIC 1_; � <br /> 259-8810 <br /> IJ DEMOLITION �`COMBINATION �BUILDING I I MECHANICAL i i PLUMBING I i SIGN � <br /> OWNER AUIR�ODflES$ CITY ZIP PHONE � <br /> 1�r�h t.�l A�ba�tfi Bsa.s L�' �o�J �.�,H �a�l � �t 9d'�/� S<<Ps-9��9 <br /> T N�NT MARADOflESS CITV �21P PNONE <br /> ARCHRECTOqDE51GNER MAII�DDNE55 CITV 71P PHONE <br /> �'C /.�rcN�T�rrs ,Z9tZ� �_/ z-�.hp .rw�'c ��)tto��s �-�,la. 9k.��.� � ist�s�y <br /> �.Y1 TA�IILJ/"!G, ORE�OS �G ltJ(�1 C��� �A� 7Z(S�DI/ ��'S �✓�� /VAi�L_,!/��� <br /> MECH�NICALCON7M TOR AUIIADOPESS CITY ZIP PHONE SiAIELICENSE� � <br /> PtUMBMGCONTRACTOfl MMLAOORE55 CITY ZIP PIIUqE StAIEtICEN,^,E� <br /> C1A55 0F WOfiK <br /> 3( NEW C I ADDITION I I ALTERATION I I REPAIR I I DEMOLITION I I WOODSTOVc/FRPL INSERT I I BUILDING RELOCATION <br /> � y� S _ �) CONTACT PEPSON AND PH(NJF.NO n <br /> CONTMCTPRICEOFWO K aj OiO��Ff✓� � �- �i�/3-`/a O.nL—�—f�7��0�_���� <br /> DE6CRIBE WiDill(AND ARE FOOT�GE INV VED � <br /> , �'�s1�o�11 � ?7 / --S_FL�� <br /> P�;usE°F��D S<71.�Sf � HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> `` APPLICATION AND KNOW THE SAME TO BE TRUE AND tORRECT.ALL <br /> IE�DE9CRIPTIONOFPROPERTV�SNOWN9ROWOfiATTACHFWHCOPIES) PROVISIONSOFLAWSAiJDORDINANCESGOVERNINGTHISTYPEOF <br /> � WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> ' ior _ e�ocK oF NOT. THE GRANTING OF A PERMIT UOES 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 CONSTHUCTION.THAT I AM AU'fHORIZED BY THE <br /> OWNER OF THIS PFOPERTV TO PERFORM THE WOPK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTOHS LAW 1827 RCW AND 296200 WAC. <br /> I)3 a5 _� x �� �C � � ��2.��`f v <br /> PROJECTADDRESS }/� �y� 5 • � UAtC <br /> - /�j ��'� ,rE- f'�X.1� '�i <br /> circ euswcss icc�ra. <br /> PLUNBINO MECHANICAL <br /> • NO. TYPE OF FD(TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> � WATER CLOSET(TOILET) � A/C—A/HNDLG UNITS—H.P. � <br /> --�— <br /> � BATHTUB ; - FORCED AIR SYSTEMS—B.LU. M E.A. ' <br /> ' LAVATORY(WASH BASIN) i UNIT HEATERS—B.LU. M � <br /> � � SHOWER ' CLOTHES DRYERS � <br /> ,. � KITCHEN SINK 8 DISP ; VENTILATION FAN _T_ <br /> DISHWASHER � RANGEHOOD � <br /> � LAUNDRY TFAY ; W/1TER HEATER ; <br /> �� CLOTHES WASHER � WOOD STOVE � <br /> ' URINAL ' METAL FIflEPLACE 8 CHIMNEY ' <br /> DRINKING FOUNTAIN � FIREPLACE INSERT � <br /> ��. FLOOR ORAIN � HEAT PUMP � <br /> ' � BACKFLOW PREVENTERS ; GAS PIPING _ � <br /> FlOOF DRAINS—RAINLEADERS � E%HAUST FAN � <br /> SINK(SERVICE—BAR,ETC.) ; � <br /> � <br /> � � <br /> � � <br /> � � <br /> � �T— <br /> I � <br /> sue Torn� s I sue rorn� a ; <br /> PERMIT S � PERMIT S � <br /> TOTAL FEE 3 ' TOTAL FEE S ' <br /> FOR OFFICE USE ONLY: <br /> FflONTSETBACK REAHSETB�CK SIDESETBACK PLANCHECNNUMBER fEE �[CEIPiNO. <br /> �Gai � ,6z .t G33f� <br /> USEZONE LOT�REA VACANTSITE FEES VAL TION FEE <br /> BUILDING 2�j � II D I ��U <br /> TYPEOFCONTS.ALLOW/�BLE TYPEOftONSI.�CIU�I axUrexw 1unowuuxcuxn5 � <br /> � �'�'- � � �A�P �// PLUMBING —i— <br /> `�' --f— <br /> S�ZE OF BLO6. NO.OP STOBIES BASEMF.N'7I MECHANIC/+L —T� <br /> �� � 2 NO __'_-1_ <br /> OCCUPANC LOAD FIRE SPRNKLEHS REO'D HEIGHT UMIlA710N ADDIT�ONAL PLAN CHECK i <br /> �h Yt� ,�- 1�/►l .30 ; � <br /> RE�SONFOfiSPflMKLERS /y�,� � {O <br /> f�lv+{�j STATE BUILDING SURCHARGE lJ <br /> i <br /> MTA1cE BY PUNS�PPHOVEDDY CITY OF EVERETT AUBLIC WORNS -�—i-- <br /> LOCALSALES �� <br /> 7�G� � TAX CODE IS 3105 TOTAL ; <br />