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APPLICATIGA FOR CONSTRUCT mON PERMIT <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT HEATING SYSTEM: U GAS U ELECTRIC U ---- 1 <br /> 259.8810 <br /> DEMOLITION COMBINATION BUILDING MECHANICAL xPLUMBING SIGN <br /> OWNER v MAIL ADDRESS CITY ZIP PHONE <br /> TENANT MALADORESS I CITU ZIP PHONE <br /> ARCHITECT DR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br /> GENERAL CONTRACTOR' MAIL ADORES$ CITY ZIP PHONE STATE LICENSE IF <br /> N��rTmrN�-r,� I� ���.Spis , SNtlHamisHy r✓� �L�1 Srn�-�Sots� <br /> MECHANICAL CONTRACIOR MAIL ADDRESS lop CITY ZIP PHONE STATE LICENSER <br /> PLUMBING C7NTRACTOR MAIL DRESS CITY ZIP PHONE STATE LICENSE R <br /> LrmwVIE �/VL /c�� 11� Gror m,sn l/I `j /�.S7ef` Z�) Q�rct7V+iz;B� <br /> CLASS OF O/K <br /> )(,NEW ADDITION ALTERATION REPAIR ! I DEMOLITION WOODSTOVEIFRPL INSERT BUILDING RELOCATION <br /> CO TACT PERSON AND P NO. <br /> CONTRACT PRICE OF WORKS CSL <br /> BE RIDE WORK AND SOU E FOOTAGE INVOLVE <br /> Cx <br /> PRo SEDUSE MVINb I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> picii APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEGALDESCRIPTION OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> LOT BLOCK OF 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 /> CONTR TORS LAW 1 .27 RCW AND 296.200 WAC. <br /> X <br /> PROJECT ADORE S5 SIGNAm n•N <br /> SF • B SN 591K[NSf NO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) aQ A;C-A+HNDLG UNITS-H.P. <br /> BATHTUB / FORCED AIR SYSTEMS-B.T.U. M E.A. <br /> LAVATORY(WASH BASIN) UNIT HEATERS-B.TU. M <br /> SHOWER / CLOTHES DRYERS <br /> KITCHEN SINK 6 DISP ; VENTILATION FAN <br /> Z DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY ; WATER HEATER ' <br /> Z. CLOTHES WASHER /Q WOOD STOVE <br /> URINAL METAL FIREPLACE&CHIMNEY ' <br /> _ DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN ' HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING ' <br /> ROOF DRAINS-RAINLEADERS EXHAUST FAN I <br /> SINK(SERVICE—BAR.ETC.) <br /> SUB TOTAL $ ; SUB TOTAL $ <br /> PERMIT $ _T PERMIT $ <br /> TOTALFEE $ TOTAL FEE $ <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBACK REAR SETBACK SIDE SETBACK PLAN CHECKN BER FEE RECEIPT NO <br /> 35 .Sv <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> BUILDING <br /> TYPE 01 CONES At I OWANII TYPE DI CONST ACTUAL a:CUMNn Iq a dHLHNG uNils <br /> cNaP PLUMBING <br /> SIZE OF BLDG NO OF STORIES BASEMENT MECHANICAL <br /> OCCUPANCY LOAD FIRE SPRNKLERS REGO HEIGHT LIMITATION ADDITIONAL PLAN CHECK ; <br /> SPRINKLER <br /> REASON FOR SPRINKLERS <br /> STATE BUILDING SURCHARGE <br /> INTAKE BY MANS APPROVED BY CITY OF EVERETT PUBLIC WORKS ' <br /> LOCAL SALES <br /> TAX CODE IS 3105 TOTAL <br />