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AIPPLICAT141_ FOFi CONSTRUGTI�N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> HEATING SYSTEM: '�GAS ❑ELECTRIC ❑ <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> ! DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> OWNER MAILAO�FE55 CITV 21P PHO <br /> V1�►N. W �-(1 `�82o b- I 2 <br /> TENANT MAILADDRESS CITY ZIP P NE <br /> ARCHRECTORDESIGNER MAILAODRE55 CITY � ZIP PNONE <br /> ^ <br />� GENERALCONTPACTOR MAILA��RESS CITV \ ZIP 1 PMONE STATELIGENSEe <br /> MECHANICALCO�ALTOR MFILA�ORESS CITV � \ PHONE STATELICENSEu <br /> PIUMBING CONTflACTOP fAAll ADDRESS TV ZI PHONE STATE LIGENSL< <br /> CLA55OF WORK <br /> xNEW I .I ADDITION . I ALTERATION . REPAIR � DEMOLITI WOODSTOVE/FRPL INSERT BUILDING RELOCATION <br /> ���,` �.�, ,� C AGT PEFSON AND PHONE NO <br /> �o",••�`c•� A/tt,�.�Aun P.7r�►+.�u.) 25'43-!SL'1 <br /> CONTRACT PRILE OF WORK <br /> OESCRIBE WORK AN�SOUFflE FOOTAGE INVOLVED � <br /> Lvr�s?'R-u[-T ►�11� RES�'i0 �t 2$D <br /> PFOPOSEDUSEOFBUILOING r{�rgE E i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEGALDESCFIPTIONOFPROPERTY�SHOWNBEL0IYOFARAGHFOURCOPIES) PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �oT e�ocK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> .rN,E � 4,�� L�5 � � � � � � OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMAN�F OF CONSTRUCTION.THAT I AM AUTHOFIZED BY THE <br /> OWNF� UF THIS PROPERTY TO PERFORPA THE WORK FOR WHICH <br /> J P�AT O��URG AF'PLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS lAW 18.27 RC W AND 296.200 WAC. <br /> AOA TGW 7F+E- W 4�� l <br /> 2_�_ rFE1G � <br /> X �� � 3-12-9Z <br /> .,r.�.muur nnie <br /> PROJECTAO�RESS <br /> 1,4t4 � �'L�• cirvnusi�iFss�ic[rvs[no <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FI%TURE OR ITE FEE NO. TYPE OF EOUIPMENT FEE <br /> �WATER CLOSET(TOILET) / FVC—A/HNDLG UNITS—H.P. � <br /> � 1 FOFCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> Z BAVATORY(WASH BASIN) �,1r' UNIT HEATERS—B.T.U. M � <br /> � SHOWER '' ( CLOTHES DRYERS ' <br /> � KITCHEN SINK&DISP � VENTILATION FAN � <br /> DISHWASHER � RANGE HUOD <br /> � LAUNDRY TRAY � ; \ WATER HEATER <br /> � CLOTHES WASHER �� WOOD STOVE . � <br /> URINAL ' METAL FIREPLACE&CHIMNEY ' <br /> DRINKING FOUNTA I FIREPLACF INSERT�� � <br /> FLOOR DRAIN HEAT PUMP ' <br /> BACKFLOW PR NTERS GAS PIPING _ <br /> ROOF DRAINS AWI.EADERS � EXHAUST FAN ' <br /> SINK(SERVI BAR,ETC.) � <br /> UC 1. <br /> � ; <br /> � ' <br /> SUB TOTAL S %; SUB TOTAL S ;— <br /> PERMIT S i PERMIT S <br /> TOTALFEE S TOTALFEE $ <br /> FOR OFF USE ONLY: <br /> FRONTSETB REA95ETBACN SIOESETBACK PLFNCHECNN�AIBEP FEE AECEIPTNO. <br /> � �� 5.,d o, ���Et 3s`' �� 3��. � � � 3a Ya <br /> us 9NE �OTAFEA vncaNrsrte FEES VALUATION FEE <br /> ' -z � o � �9�9� � ' 9 ��0 <br /> BUILDING � <br /> rvae av ca�rs.nuowae�e rrre.�ayr—c�ar�s�r acrun� «a�,:�. �.o a�c+,:«+�c��.:,s —� <br /> � —W V �p M I � PLUMBING � � <br /> 1yIZ�PFBLD . NO.OFSTORIES BASEMENT �,�Ef,HANICAL (JJUi ` <br /> �`r NO �7Q <br /> 2sto � �/Y� 2 "'� <br /> OCCUPANCV LOFO PIflE SPRNKLERS REO'D HEIGMTLIIAITAT�ON ADDITIONAL PLAN CHECK � i /Q <br /> � � SPRINKLER � � <br /> REASON FOR SPRINKLEFS `/ � .�/, <br /> STATE BUILOING SURCHARGE �J <br /> i <br /> INTANE BV PIANSAPPROVED BY ClTY OF EVERETT PUBLIC WOFiKS /�� i <br /> LOCAL 'aALES <br /> 1 %2 t)N1 TAX CODE IS 3105 roTn� � �2 ;7�j <br />