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APPLICATIC-1 FOR CONSTRUCT"-1N PERMIT <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPAR I MENT HEATING SYSTEM://� S U ELECTRIC U <br /> 2598810 <br /> ❑ DEMOLITION 1_1 COMS/SBIINATION UIILL/DIIN�(G/JI I MECHANICAL I PLUMBING [I SIGN <br /> `'P�-YI O PHONE ,) SCJ I G <br /> 'YvJ / � T <br /> TEN T MIL ADDRESS CITY ZI'+ PHONE <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br /> GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE 1 <br /> MECHANICAL CONFRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE E <br /> AI���hPrw, P*10AaLA, <br /> PLUMBING CONTRACTOR MAIL ADIFE io <br /> CITY ZIP PHONE STATE LICENSE <br /> CONTRACT PRICE OF WORK <br /> gL7. D c7 <br /> DESCRIBE WORK AND SOUARE FOOTAGE INVOLVED CONTACT PERSON AND PHONE NO <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 /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEGAL DESCRIPTION OF PROPERTY(SHOWN BELOW OR ATTACH TWO COPIES) WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> 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 /> 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 TAX I D.NUMBER CONTRACTORS LAW 10.27 RCW AND 296.200 WAC. <br /> CONSTRUCTION LOAN LENDER,ADDRESS.TELEPHONE NUMPER <br /> PROJECT ADDRE S snNAruRL ATE S <br /> 617 50S'F_ CIrYK21Nf551K1 N� <br /> PLUMBING MECHANICA <br /> NO. TYPE OF FIXYURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) I A/C—A/HNDLG UNITS—H.P. I <br /> BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> LAVATORY(WASH BASIN) I UNIT HEATERS—B.T.U. M <br /> SHOWER ' CLOTHES DRYERS ' <br /> KITCHEN SINK 8 DISP VENTILATION FAN <br /> DISHWASHER RANGE HOOD ' <br /> LAUNDRYTRAY ; WATER HEATER ' <br /> CLOTHES WASHER I WOOD STOVE i <br /> URINAL ' METAL FIREPLACE(WOOD BURNING) <br /> DRINKING FOUNTAIN I FIREPLACE INSERT _T <br /> FLOOR DRAIN ' HEAT PULP ' <br /> BACKFLOW PREVENTERS i GAS PIPING ' <br /> ROOF DRAINS—RAINLEADERS ' EXHAUST FAN <br /> SINK(SERVICE—BAR,ETC.) 1 <br /> I <br /> I I <br /> I I <br /> I I <br /> I <br /> I I <br /> SUBTOTAL $ ; SUBTOTAL $ ' <br /> PERMIT $ I PERMIT $ I <br /> TOTAL FEE $ ' TOTAL FEE $ ' <br /> FOR OFFICE USE ONLY: <br /> FTONTSETBACK REAR SETBACK SIDE SETBACK PLAN CHECK NUMBER FEE RI CI IPT NO <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> ❑ YES ❑ NO BuaolNa <br /> TYPE OF CONST. NO OF STORIES oawMc Ao o wrtuac carts - <br /> cww PLUMBING <br /> SIZE OF BLDG FIRE SPRINKLERS REO'D BASEMENT MECHANICAL ' <br /> ❑ YES ❑ NO - --- <br /> OCCUPANCY LOAD FIRE ALARM REO'D HEIGHT LIMITATION ADDITIONAL PLAN CHECK <br /> I <br /> OTHER <br /> REASON -� <br /> STATE BUILDING SURCHARGE <br /> INTAKE By PIANS APPROVED BY CITY OF EVERETT PUBLIC WORKS i <br /> LOCAL SALES <br /> DATE TAX CODE IS 3105 TOTAL <br />