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APPLICAi 10 . FOR CONSTRUCT(�N PERMIT � <br /> TO 8E COMPLETED IN BLACK INK—PLEASG ^^:NT <br /> BUILDING DEPARTMEt�T HEATING SYSTEM: ❑GAS ❑ELEC7r71C O I <br /> 259-8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING ❑ SIGN <br /> OWNER MAIIA�DRE55 CITY ZIP PHONE <br /> COLBY CENTER 2825 COLBY AVENUE EVERETT 98201 <br /> TENFNT MAILADDRESS QTY ZIP PHONE <br /> PIPER JAFFRAY 3RD FLOOR TENANT IMPROVEM�NT <br /> AflLMRECTOBDE5I:NER MAllA0DRE5S CI1Y ZIP PHONE <br /> GENEMLGONiRACTOR MAILAUDFIf55 CITV ZIA PNONE STATELICENSEI <br /> MECHANILALCONTRAGTOR MRI�ADOFE55 qiV ZIP PHONE STATEUCENSEI <br /> COMMERCIAL FIRE PROTECITON, INC. 653 PINKERTON ANACORTES 98221 COMMEFP132MM <br /> PLUMBINGCONTRAGTOR MAILADDFE55 CITY ZIP PHONE STATELICENSEt <br /> _J�— �7'.5�,� <br /> CONTRRCT PqICE OF WORI: <br /> DESCRIBE WORK AND SOU�IRE FOOTAGE INVOLVED CONTACT PERSON AND PHONE N0. <br /> //��.L�II�CJ <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINE� THIS <br /> PROPOSED USE OF BUILDING APPLICATION AND KNOW THE SAME TO BE TRU:AND CORREC7.ALl <br /> ?ROVISIONS OF LAWS AND ORDINANCES GOVERNIN�THIS TYPE OF <br /> LEGALOESCRIPTIpNOFCROPERTY�SHONTI9ELOWORATTACHTN'OCOPIES) WORK WILL BE COMPLETED WITH WHETHER SPECIF�F.D HEFiEIN OR <br /> NOT. THE GRANTING OP A PERMIT DOES NOT PRESUME TO GIVE � <br /> �or OLWK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY I�, <br /> OTHER STATE DR LOCAL LAVJ REGULATING CONSTRUCTNM UR THE I <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZE�8Y THE I <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH ' <br /> PARCEITA%�.D.NUMBER APPLICATION IS MADE AND I COMPLY WITH THE STATE I <br /> CONTRACTORS LA�7 W qPfD 296.200 WAC. ! <br /> 4 /GONSTflULT10N LOAN LIdNOER,RDDRE55.TELEPHONE NUAt�ER � � ' <br /> � ;i / � � /�-'� � ��. <br /> � � (O <br /> PROJECTADDRE �� i' � z q si r.roa[. r i � oere <br /> J ItY S ESSIICCN$ENp. <br /> PLUMBING � M CHANICAL <br /> N0. TYFE OF Fl7(TURE Ofl ITEM FEE N0. TYPE OF E�UIPMENT � FEE <br /> WATER CWSET(TOILET) � A/C—lvHNDLG UNITS—H,P. � <br /> BATHTUB �FORCED AIR SYSTEMS—B.T.U. M E.A. � <br /> LAVATJRY(WASH BASIN) � UNIT HEATERS—B.T.U. M ; <br /> SHOWER � CLOTHESDRYERS � <br /> KITCHEN SINK 8 DISP ; VENTILATION FAN ; <br /> DISHWASHEA � RANGE HOOD � <br /> LAUNDRYTRAY ; WATER HE�TER � <br /> CLOTHES WASHER � WOOD STOVE � <br /> URINAL ; METAL FIREPLACE(WOOD BURNING) <br /> DRINKING fOUVTAIN � FIREPLACE INSERT ; <br /> FLOOR DRAIN � HEAT PUMP � <br /> BACKFLOW F.^.EVENTERS ; GAS PIPING ' <br /> i700F ORAINS—RAINLEADERS � E%HAUST FAN � � <br /> SINK(SERVICE—BAR.ETC.) ; ' i <br /> � <br /> � <br /> � � <br /> — —' _ ; <br /> _ ' <br /> SUB TUTAL S ; SUB TOTAL 5 ' <br /> PERMIT § � PERMIT $ i <br /> TOTA:FEE 5 ' TOTAL FEE S � <br /> FOR OFFICE USE ONLY: <br /> FflONTSETBACK REARSET6RGK SI�ESETOACK PLANCHE KNUM ER FEE AECEIPTAO. <br /> S-�� � ', - � <br /> uSezoNe ioraqen VACANTSITE FEES �VALUATION FEE � <br /> ❑ YES ❑ NO BUiL�iNG � � <br /> TYPEOFCONSi NO.OFSTOFIES aaurencr x0010�v[luN4uxrtS — i ' <br /> �� —I N� 5 � � � PLUMBING ; � i <br /> 52EOFBlOG. FIFlESPRINKLERSflEOU BAS MENT— 2LF EL�i ��ECHANICAL �— I' <br /> L Y�j '� YES ❑ NO ; � <br /> WCUPRNCY LORO FIflE ALMM FEO'D HEIGNT UMIiATION ADDITIONAL PLAN CHECK � <br /> �tt Y�� �' � � �1�,, �� � <br /> REASO�N J, <br /> (/I�" NGKE'�RS� CI����GC/' STATE BUILD NG SURCHAqGE i , <br /> INTAI(E�Y P ANS APPROVED 0Y C�TY OF EVERETT PUBLIC WORKS � <br /> �I�F1 LOCAL SALES � <br /> onre �p�j TAX COUE IS 3105 T�TA� /Z� <br /> � <br /> � <br />