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ApPLICATIL _� FOR CONSTRUC7��M p�R�IA�T <br /> TO BE COMPLETED IN BLACK INK—pLEASE PRINT � <br /> BUILDING DEPARTMENT HEATING SYSTEM: �GAS ❑ELECTRIC ❑ <br /> 259-8810 <br /> I 1 DEMOLITION g COMBINATION <br /> OWNER BU:LDING . � MECHANICAL � � PLUMBING <br /> MAILqODRE55 �,,., � SIGN <br /> Z�P PHONE <br /> TENANT MpILADDRESS E Everett Mall Wa ��C. ;;i�e,-ett ,Wa 9R208 353-6500 <br /> CITV ZIP PHONE —_ <br /> ARCMITECTORDESIGNER MAILAODRFSS <br /> VTV ZIP PNONE <br /> Wm• a '��._ 184� Ballin er S1a NE Seattle WA 98155 365-2063 <br /> GENERALCONTRACiOR MAILADCRESS <br /> CITY ZIP PNOYE <br /> Cr n 'n Hom s Inc. 713 Se Everett Mall Wa STATELICENSEq <br /> MECHANICALCONTRACTOR MAILqDOqE55 ��C+ Everett �]$ 9a'z�8 3�$�gNa�I108ME <br /> qTV Z�P <br /> FV2Z'pY' Pn ^te he PMONE STATELICENSEa <br /> --� Qt M.etal, PO Box 1508. Ever�tt�WA 9f1206 252-3114 EVERGS121K7 <br /> PLUMBINGCONTRACTOR MAILADDReSS <br /> CITV Z�P <br /> Marvsville Plumbino 13318 SR 530 NE Arli�tcn, WA 93223E 435-5555a5ELcMARYSPTI <br /> CLASSOFWORK —�'-----�— <br /> �NEW �. . ADDITION . �� ALTERATION � OZJE <br /> � REPAIR DEMOLITION I �� WOODSTOVE/FRPL INSERT I ' BUILDING RELOCATION <br /> CONTqACT PRICE OF WpRK CONTACT PERSON AN�PMONE N0. <br /> DESCRIBEWORKANDSOUAREFOpTqGE01N?p�bpl •00 Bert V. Cronin, Jr. 353-6500 <br /> S�n�le Familv Residence 2687 s❑ ft. <br /> PROPOSED USE OF BUILOING <br /> Single Familv Residence � HEREBY CERiIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> LEGAL�ESCRIPTIONGFPROPERTY�SHOWNBELOWORATTACMFOURCOPIES� PROVSIONSOFLAW3ANDORDINANCOESUOVERNINGT�HSRTYPEOF <br /> �or 11 BLOCK or MounY.ain V18W ] WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> � NOT. THE GRANTING OF A PERMIT DOES NOT PRESUM[ TO GIVE <br /> AI�THORITY TO VIOLATE OR CANCEL THE PROVISiONS OF qNY <br /> _ OTHER STA7E OR LOCAL LAW REGUT ATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> — OWNER OF THIS PROPER7Y TO PERFOFM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STAI'E <br /> CONTRACTORS LAW 1827 RC NU 2g6.200 WAC. <br /> � � 8C25-/ -G//,.'CG''1 ? <br /> PROJECTADDRESS X <br /> 8711 lOth. Dr. SE Lverett WA 9II208 SIG-ArqE <br /> n t 1 F r�S DAiL <br /> PLUMBING cirveusness ce se o _ ..___. <br /> N0. TYPE OF PIXTURE OR ITEM MECHANICAL -- __._ <br /> . WATER CLOSET(TOILET) FEE NO. TYPE OF EOUIPMENT <br /> ' A/C—A/HNDLG UNITS—H.P. FEF. <br /> BATHTUB — <br /> . LAVATORY(WqSH BASIN) ' FCRCED AIR SYSTEMS—B.T.U. M E.A. <br /> SHOWER ' UNI7 HEATERS—B.T.U. M � <br /> ' 1 CLOTHES DRYERS � <br /> KITCH�N SINK&DISP -�— <br /> DISHWASHER ' VENTILATION FAN -- ' <br /> LAUNDRY TP.AY � 1 RANGE HOOD ' <br /> _L CLOTHES WASHER ' 1 WATER HEATER � <br /> URINAL ' �^100D STOVE <br /> DRINKING FOUNTAIN � 1 METAL FIREPLACE&CHIMNEY � <br /> FIREPLACE INSERT 7 ��� <br /> FLOOR DRAIN , <br /> BACKFLOW PREVENI'ERS � HEAT PUMP � <br /> � ROOFDRAINS—RAWLEADERS ' GASPIPING � <br /> SINK(SERVICE—BAR,ETC.) � EXHAUST FAN <br /> , , �v ; h <br /> � <br /> SUB TOTAL g � I <br /> PERMIT � SUB TOTAL $ � <br /> � � PERMIT g � <br /> TOTALFEE $ � <br /> FOk OFFICE USE ONLY: � TOTAL FEE g , <br /> FRONTSEIaACK wS SZB S. �tlUS OM (��p. 7� <br /> � FEA TBACK SIDE SETBFCK <br /> � /O / ♦ FLAN CHECK NUTABER FEE �� �/� <br /> 73 0 RECEIPiNO. <br /> USEZONE / <br /> LOTAFE� VACANTSITE <br /> �-- � -'J/� FEES VALUATION FEE <br /> J BUILDING � <br /> TYPEOFCONiS.ALLpWABL 7YPE GONSTFCiUAL �� ,`J :1� O i <br /> OttL'vqHtv Na ctp,':rLLn:Su9n5 � q <br /> G OV /.�� � �x." <br /> — J -3 PLUMBING i <br /> 'LZ% BSF '�' SlS NJ.OF STOqIES BASEMENT � i O .,� <br /> G Z � MECHANICAL <br /> O ."i? ' O�l <br /> OCCUPANCYL AD FIRESPRNKLERSREOD HEIGHTLIMIiATION AODITIONALPLANCHECK <br /> /�! A �� z i - <br /> R[ASONFORSPqINKLERS SPRI LER — <br /> � r��o,�_ /n in;� <br /> STATc BUIL�ING SU9CHARGE i <br /> INTAKE BY PLANS9 PPflOVEU BY �J`) <br /> v � C LOCAL SA ES� PUBLIC WORKS ( i u <br /> � . -, <br /> g//��43 TAX CODE IS 3105 TOTAL � , <br /> J�� ��« <br />