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APPLICATION FOR CONSTRUCTION PERMIT <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> I CiATING SYSTEM: XGAS C)ELECTRIC ❑ <br /> BUILDING DEPARTMENT <br /> 259.8810 <br /> ❑ DEMOLITION ❑ COMBINATION `BUILDING ❑MECHANICAL ❑PLUMBING Cl SIGN <br /> OWNER MAIL ADDRESSO <br /> CITY IIP PHONE ^],7j�• <br /> s•� ' �— .1 eCG�iC'74�G1U /��,�.�1Z 98'007 <br /> TENANT MAIL AODRE55 CRY IIP PHONE <br /> ARCHITECT ON DESIGNER MAIL ADDRESS CITY IIP PHONE <br /> 1AZ1--4 ag j Zn .7kc <br /> GENERAL CONTRACTOR MAIL ADDRESS CITY IIP PHONE STATE LICENSE F <br /> sv'� a.S COt.NT l ZIOhl�L— <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY IIP PHONE STATE LICENSE <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY IIP PHONE STATE LICENSE <br /> CONTRACT PRICE OF WORK <br /> DESCRIBE WORK AND SO ARE F TAGE INVOLVED /'N+'AOFRF:/IN.•^^"^•'"i'^ D <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSED USE OF BUILDING .// APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> Fa4'z6.-1N 6 Fn�c< PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEGAL DYSCRIPTION OF PROPS (SHOWN BELOW OR ATTACH TWO COPIES) WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> ? �rK.'t� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT BLOCK OF AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> j' L$ ✓• OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED 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 K I D NuuBER CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> 815Y.M-a?6 -Q000 <br /> CONSTRUCTION LOAN LENDER,ADORES$.TELEPHONE NUMBER / /n►�_,A, <br /> PROJECT ADDRESS <br /> tm BusNLse LK.EH$FW <br /> PLUMBING MECHANICAL <br /> N0, TYPE OF FIXTURE OR ITEM FEE N0. I TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) I NC-AIHNDLG UNITS-H.P. ' <br /> BATHTUB FORCED AIR SYSTEMS-B.T.U. M E.A. ' <br /> r. LAVATORY(WASH BASIN) I UNIT HEATERS-B.T.U. M <br /> I SHOWER ' CLOTHES DRYERS ' <br /> I KITCHEN SINK 8 DISP If VENTILATION FAN <br /> ( DISHWASHER RANGE HOOD ' <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER I WOOD STOVE ' <br /> URINAL ' Ina METAL FIREPLACE(WOOD BURNING) 7 ' <br /> _ DRINKING FOUNTAIN FI("PLACE INSERT <br /> _ FLOOR L RAIN HEAT PUMP <br /> _ BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS-RAINLEADERS IEXHAUST FAN <br /> SINK(SERVICE-BAR,ETC.) ) <br /> i <br /> _ SUB TOTAL $ ' SUB TOTAL. S <br /> PERMIT $ I PERMIT E <br /> TOTALFEE 5 ' TOTAL FEE $ 1 ' <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBACK T HEAR SETBACK S'"I SETBACK(�/ PIAN CHECNUTABjR/J FEE /, RECEIPT NO <br /> USE 2 �Lt7r LOT <br /> AREEAT�! 7VACANT SITE FEES/5 1/ VALUATION FEE <br /> 5 1 L O O YES NO BUILDING ;'2 p ZF� I '-: , <br /> TYPE OF CONST NO,OF STORIES ILaIAKCY KUOTPATLUN"UNn" <br /> PLUMBING _ <br /> SlDOBLDG FIRE SPRINKLERS REO'D BASEMENT MECHANICAL T, ' <br /> d2 SF 2J ❑ YES NO ' <br /> OCCUPANCY LOAD FIRE ALARM REO'D HEIGHT LIMITATION ADDITIONAL PLAN CHECK I i' <br /> OTHER <br /> REASON <br /> STATE BUILDING SURCHARGE' <br /> INTAKE BY PLANS APPROVED BY CITY OF EVERETT PUBLIC WORKS i <br /> LOCAL SALES <br /> DATE 9 TAX CUBE 1S 3105 TOTAL <br />