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. - <br /> � <br /> APPLICAT14r1 FOR CONSTR�JC7 .ON PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •'e59-8810 <br /> fl DEMOLITION rl COMBINATION I-1 BUILDIkG fl MECHANICAL 1 l PLUMBING f l SIGN <br /> PROJECT ADDRESS <br /> _ 2825 COLBY EVERETT, WA (3rd floor tenant improvements) <br /> OWNER NRILA�DRESS �Iry ZIP PNONE <br /> SKOTDAL ENTEHPRISES EVERETT, WA <br /> iEN�Nf MAIL�D�(1E55 CITY ZIP FIIONE <br /> ARCNITECTONDESIGNER MAIL�UORE55 GITY ZIP PNONE <br /> QENERAIWNTRIICTOR M�IL�DDRE55 GiY pIP PIIONE , STQELICENSE� <br /> MECIUNICALCONTRIICTO� MAILAOORESS CITY nr PIIONE STATELICENSE� <br /> BURNS SERVICES & SUPPLY, INC P 0 BOX 784� FVFRFTT 3RR—�1 �4 RIIRNS$S(15QCg <br /> PIUMBINGCONIRACTOR MRILA�ORE55 Cltt ZIP P110NE STATELICCNSE� <br /> CONTR�CT PRICE OF WORK <br /> HEATING SVSTEM: ❑GAS fl ELECTRIC I-1 <br /> DESCRIBE WORK AND SOU�RE FOOTRGE INVOlVEO CONTALT PERSON ANO PHONE NO. <br /> RELOCATING SPP,INKLER HEADS FOR NE[d <br /> TENANT. (13) <br /> I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> PROF'OSEO USE Of B111L01N0 APPIICATION AND KNOW THE SAME TO BE TRUE AND CORRECt ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPIIED WITH WHETHER SPECIFIED HEHEIN OR <br /> LEGRLOESCf11PTIONOFPROPEIITY�SHOWNBEIOWORATTACHiWOGOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO OIVE <br /> �ot etocK oF AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REOULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTHUCT�JN.THAT I AM AUTHORI2ED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCEL TA%I.D.NUMBEH CONTRACTORS LAW 1827 A 296200 WAC. <br /> CONSTRUCTIONLOANI.ENUER.AWilE55.TELEPHONENUMBER ���/��7%� �G�// (� <br /> '61G1fAT � p{E � <br /> ' •Cltt BUSINESS IICENSE NO. ' <br /> PWMBIN6 - MECHAN�CAL <br /> NO. TVPE OF flXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET(TOILET) � A/C—A/HNDL6UNfTS—H.P. � <br /> BATHTUB � ; FORCEDAIRSYSTEMS—B.T.U. M E.A. ; <br /> LAVATORY(WASHBASW) � � �HEATPUMP � <br /> SHOWER � UNITHEATERS—B.T.U. M � <br /> KITCHEN SINK 8 DISP i CLOTHES DRYERS i <br /> DISHWASHER � VENTILATION FAN �— <br /> LAUNDRY TRAY ; AANGE HOOD � <br /> CLOTHES WASHER � WATER HEATER � <br /> URINAL � WOOD STOVE ' <br /> DRINKING FOUNTAIN i METAL FIREPLACE(WOOD BURNING) i <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVENTERS � GAS FIREPLACE � <br /> SINK(SERVICE—BAR,ETC.) � GAS RANGE � <br /> ' GAS PIPING ' <br /> i E%HAUSTFAN � <br /> i � <br /> ; NKLERS � <br /> � � <br /> SUB TOTAL $ � SUB TOTAL E � <br /> PERMIT $ � PERMIT S � <br /> TOTALFEE E � TOTALFEE S ' <br /> FOR OFFICE USE ONLY: <br /> fRONT SF.TPIICN RE�R SETDACK SIDE SETBACK PI�N CIIECN NUMOER fEE IIECEIPT NO. <br /> .530 �' <br /> USE ZONE lOT�PE� V�CANf SIfE FEES VALUATION FEE <br /> - f1YE5 fi NO OUILDMG � � <br /> lIEIGIIT LIMITATIDN NO OF DWELLING S�ZE OF OLDGRI � ' <br /> UN115 PLl1M01N6 i <br /> � <br /> OLCU{`ANCY NJOiStOPo[5 OCWPANilOhO BASEMEHI MECN�NICAL � <br /> GROUP <br /> IIYES �'O � <br /> FIRE�LARMREOD OEASON � ��� � ADDIIIO`l�lPLr1NCNECK � <br /> � <br /> OIHER � <br /> Fl:IF.SPRINKIER PE0'D lIF�SOY <br /> $TAl[OIIILDING SMCIIRfiGE i <br /> _ �_ <br /> TYPEOFf,ONST PIANS/.PPf10VEDBY (, rY EVEHETT ���������KS <br /> ��M L(,cALSALES -- <br /> �niE ID �j TA% CODE IS 3105 7o7AL � <br />