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APPLICATI4W FOR CONSTRUCT4pN PERMIT <br />94 R 311.31:.313 TO BE COMPLETED IN BLACK INK -PLEASE PRINT <br />BUILDING DEPARTMENT I HEATINGSYSTEM: LIGAS 19ELECTRIC ❑ <br />259 8810 <br />11 DEMOLITION f.l COMBINATION CI BUILDING Z MECHANICAL PLUMBING SIGN <br />OWMEII waAoonFSS city rF IR <br />Dorm Construrtion Pin. Box 21%1 F r tt oR703 290-6080 <br />MWWI MAL AWMSS Cm IF h.wN <br />ARCIN1ECICAVESIONER WLACOPESS CITY IF Pllwt <br />MNFR4 Cw1IlUClw1 MALMMFSe CITY Ie "LINE SIAIF LICENSE. <br />wCNAIIICAL CANiRACNMI MAX ADEMIESS CITY IV "IwIE SAM LICENSE <br />Horizon 11PntPne Ine 7601-121Rt FIT FILL 1p,,ad 98037 745-3930 HORIZHI137DU <br />"WBMCw111MCI(M WL AM IESS C r IF Pi SIAM LICENSE• <br />CONiRKi MEE Df WORN <br />4065.00 <br />Dttcnet WaM ANDwwRt tmtAot trvavFD <br />caNlAci oFRWN AND P.L.It ND <br />Installing 3 TEV036 IOKN heat strip <br />R,brt Ma,,0r,,,r 76A-'1g0G <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT, ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />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 />CONTRACTORS LAW(�1827 RCW AND 296 200 WAC. <br />I1' ``r', I / -�LI <br />t-7qU• lV\`ll—�,Y,/�]_nF_wL/ <br />rRDPostouu a MM1DAW <br />IFOAL DESCRFTMOT PRDnER" ISHOWNSELONLW ATTACH CAourESl <br />IDr SIocX a <br />MRCFL TAtID M1LR[R <br />3940-000-0082 <br />CDNSTRHL1gNLGW IFNDFR.ADwIESB. TFIEPIIONF MAm[R <br />PROJECT ADDRESS <br />1127-74 ch St 9E (CondominlLTma) <br />ton"In fill I <br />CR.PIAwp�M.D <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />I NO. <br />TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A'C-AMNDLO UNITS-H.P. <br />BATHTUB <br />FORCED AIR SYSTEMS-B.T U. M E.A. <br />80 100 <br />LAVATORY (WASH BASINI <br />UNIT HEATERS-B.T.U. M <br />SHOWER <br />FCLOTHES <br />DRYERS <br />KITCHEN SINK A DISP <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING( <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />_ <br />BACKFLOW PREVENTERS <br />OAS PIPING <br />ROOF DRAINS-RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE -BAR. ETC.) <br />SUBTOTAL III <br />SUBTOTAL E <br />O Oki <br />_ <br />PERMIT $1 <br />' 1 <br />1 <br />PERMIT 8 <br />/ 1 <br />TOTAL FEE $1 <br />1 1 <br />1 <br />TOTAL FEE III <br />99-M <br />FOR OFFICE USE ONLY: <br />MICNT STRATI <br />IMMINTRACN <br />eOE KTWK <br />"tNCKCRMIMNR <br />III <br />REFTNO <br />w <br />UII l- 1 <br />VSEFONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />Cl YES F, NO <br />BGLdNG <br />- - <br />n"wwleT <br />tO wemlEe <br />KRAAM, MWTAWIIALw7 <br />41pA <br />PLUMBING <br />MECIMNICAI <br />SMEOFam <br />mePR im REOD <br />BASEMENT <br />n YES ❑ NO <br />AD04TO01 PLAN CHECK <br />-- --�— <br />OCLLIIANCYLOM <br />fITM AUTY RFGD <br />NFMIITLY'IA191 <br />OTIIER- <br />MA6ON <br />SLATE BUILDING SURCIUTIOE <br />WrAAt by <br />PLANS AnPnvrtD By <br />CITY OF EVERETT <br />Pumlc wonKs <br />LOCAL SALES <br />TOTAL <br />wit <br />TAX CODE IS 3105 <br />