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APPLICATIC 1 FOR CONSTRUCT' )N PERMIT <br /> TO BE COMPLETED IN BLACK INK-PLEASE PRINT <br /> BUILDING DEPARTMENT HEATING SYSTEM: XGAS J ELECTRIC U <br /> 259.8810 <br /> 1 ' DEMOLITION COMBINATION 'BUILDING MECHANICAL i PLUMBING I SIGN <br /> OWNER MALL gDOPE55 CITY ZIP PHONE <br /> L� �J-r`r E�7xX�l �• S / /0 ''l', loz 3 <br /> TENANT L/ MAIL ADDRESS CITYITY ZIP PHONE 50900-7 <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CRY ZIP PHONE <br /> GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSER <br /> !'ZL!??.0 cw` OlJ7L G.� O[­NTl2lOn4T <br /> MECHANN:AL CONTRACTOR MAIL ADDRESS CRY ZIP PHONE STATE LICENSE <br /> PLUMBING CONTRACTOR MAIL AODRE:S CITY ZIP PHONE BTATE LICENSE/ <br /> CONTRACT PRICE OF WORK <br /> DESCRIBE WO� ARE FOOTAGE�i VIED <br /> �5-3•7,dr �� TACT PERSON ND PHONE L��- Gy9• / <br /> _ V I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSED USE OF BUILDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRFrT ALL <br /> lS7KQ,�.li Fa•4uF /N �-�S-,�Ce-n PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEGAL S/d�P�PTIONOFPROPE )SHOWN BELOW^O�R ATTACHTWO COPIES) WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> LOT—LZ BLOCK OF 1.lLASd'�•Y YN.� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROV SIONS OF ANY <br /> �F7777� lt�G[ fT <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> A p� PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> llLl2 9y(y / JL4` s2/� OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> PARCELTAIIC.NUMBER APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> 81 m-- Q CONTRACTORS LAW 18.27 RCW AND 298.200 WAC. <br /> CONSTRUCTION LOAN LETIDER.ADDRESS.TELE PHONE NUMBER <br /> 2. Q.� /3 9 <br /> PR///OJECT AODRE$ DATE <br /> 5.7 <br /> -J✓V Ii �'V✓ �(Jr�3 CI1v PU9ml SS UCENS[NO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> ?j WAI"ER CLOSET(TOILET) _ _ AIC—A!HNDLG UNITS—H.P. ; <br /> BATHTUB FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> LAVATORY(WA.H BASIN) _ _ UNIT HEATERS—B.T.U. M ; <br /> - 1 SHOWER LLOTHESDRYERS �— <br /> I KITCHEN SINN d DISP VENTILATION FAN ' <br /> / DISHWASHER RANGE HOOD , <br /> LAUNDRY TRAY WATER HEATER I <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE(WOOD BURNING) I <br /> DRINKING FOUNTAIIJ FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP , <br /> BACKFLOW PREVENTERS / GAS PIPING <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> SINK(SERVICE—BAR.ETC.) - <br /> SUBTOTAL $ SUBTOTAL $ <br /> PERMIT $ , PERMIT $ ; <br /> TOTALFEE $ TOTAL FEE $ <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBACK REAR SETBACK SIDE SETBACK PLAN C11E BE FFE IECF.IPT N0. <br /> 7.5 <br /> USEZ000ppp`��� C LOT AREA VACANT SITE FEES VALUATION FEE <br /> `\J t Z 989 D YES i7 NO , <br /> fYPL BUILDING <br /> 01CONST. NO OF STDWEB aNNNEr No(K UWILLIND UNIts �({ r• ///�/1 ./VtT <br /> '- 2 3 PLUMBING <br /> 33 BLOOsf + FIRE SPRINKLERS REDO BASEMENT MECHANICAL <br /> VES NO Ile <br /> OCCUPANCY l0A0 ilOE ALARM REDO HEIGHT LIMITATIONADDITIONAL PLAN CHECK t <br /> REASON — w ' OTHER <br /> STATE BUILDING SURCHARGE <br /> INTAKE BY JOA:TE <br /> APPBOVEO BY CITY OF EVERETT PUBLICWORKS I <br /> J I11 LOCAL SALES S TAX CODE IS 3105 TOTAL <br />