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r -- <br /> t`F APPLICATIOLI , FOR CONSTRWCTLiN PERMIT <br /> the Eve,prePR TO DE COMPLETED IN INK—PLEASE PRINT <br /> CITY OF 16 <br /> everett HEATING SYSTEM J GAS U ELECTRIC U J <br /> BUILDING DEPARTMENT - - - <br /> 259-8810 <br /> DEMOLITION \ COMBINATION l BUILDING MECHANICAL PLUMBING SIGN <br /> pWgE WIAODRES4 C9Y IIP PHONE <br /> TI TI/rnYY_ ,Tim Kzc nx �,) �Jz'r �lr . c )i,,_--- ---- - <br /> TENANT 1410.ADDRESS CITU TIP PNDNE <br /> ARCHITECT ORDESIGNER MALL ADDRE¢S CITY zip PHONE <br /> nitIt I,_ IC y <br /> GENERALCONTRACTCR AMILADDRESS CITY ZIP PIK)NL LICENSE IT <br /> 7eurY lar e Tr�'j�., . .T•IL. . ( .$S/n,F' fr ( r,IIY ') ICEN <br /> A�5 MECHANICAL CONTPJ/:TOA MAIL ADDREbS CITY ZIP PHONELICENSE• <br /> a y y CITY zip PHONL LICENSE r <br /> N � PLUMDMO CONTPACTOR MA0.ADDRESS <br /> P3 z I-1 -- _ <br /> KC y CLASS OF WORK <br /> NEW ADDITION ALTERATION REPAIR DEMOLITION WOODSTOVE,FRPLINSERT BUILDINGRELOCATION <br /> CONTA:T PERSON ANDPHONE NO <br /> N Lr� <br /> y y FS CONTRACT PRICE OF WORK <br /> NO IL^7{L•*L'1 DES WORK ANOSWARC FOOTAGE INVOLVED ' <br /> off uSC /l`iG <br /> H0 PROPOSED USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> 0% C 51 n �(' .�/T b L. l"t�/DfJ Xc, APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEGAL OESCRIprKMIa PROPERnISHOWN BELOW OR ATTACH rouR coPlEs PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> rz H !( WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> h3 ` LOT BLOCK or / zLC� Z1rU / NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> t1 W H OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> C] O N 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 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 298.200 WAC. <br /> y2y SS GGNATUFE OF CONTRACTOROR AUTHORIZED AGENT DATE - <br /> PROJECT ADDRESS <br /> APgIGNT6 CITY BUSINESS LICENSE NO AND BUSINESS NAME <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEENO. TYPE OF EQUIPMENT FE_E <br /> WATER CLOSET(TOILET) AIC-A(HNDLG UNITS-H.P. <br /> BATHTUB FORCED AIR SYSTEMS-B.T.U. M E.A. <br /> LAVATORY(WASH BASIN) UNIT HEATERS-13 TU M <br /> _ I SHOWER .S CLOTHES DRYERS - <br /> KITCHEN SINK 8 DISP VENTILATION FAN <br /> �- DISHWASHER S' RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEY n U' <br /> DRINKING FOUNTAIN FIREPLACE INSERT i <br /> _ FLOOR DRAIN HEAT PUMP ' <br /> BACKFLOW PREVENTERS GAS PIP <br /> ROOF DRAINS-RAINLEADERS EXHAUST rAN ' <br /> SINK(SERVICE-BAR,ETC.) / ' p'r 'v it I Zo' <br /> �A <br /> SUBTOTAL SUBTOTAL f C?U <br /> �s PERMIT S -«-- PERMIT f <br /> TOTALFEE S TOTAL FEE—$I <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBACK REAR BETBACN SIDE SETBACK PIAN CHECK NUMBER FEE —A) RECEI-31 <br /> PT NO <br /> 2d )dF S� V <br /> USE zoNE LOT AREA VACANT UTE FEES VALUATION FEE <br /> I <br /> �� BUILDING ZE 6fol7 ',S g ' <br /> TYPE d CONTS ALLDNAME TYPE Of CONST, WAL er4~ Kn upnuiw uYR , I <br /> PLUMBING S ✓� <br /> SIZE DF BLDG NO OF STORIES BASEMENT MECHANICAL <br /> /..rf9/�IFt.•/G•.1 � �r%J <br /> r ADDITIONAL PLAN CHECK <br /> OCCUPANCYLOAD FIRE SPRNKLERS RECID HEIG2i]TVION <br /> I I <br /> OTHER ' <br /> REASON FOR SPRINKLERS <br /> STATE BUILDING SURCHARGE I�� <br /> INTAKE BY PLANS APPROVED BY CITY OF EVERETT PUBLIC WORKS <br /> LOCAL SALES <br /> J lAX CODE IS 3105 TOTAL <br />