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APPLICATII„N FOR CONSTRUCI .ON PERMIT <br /> TO BE COMPLETED IN INK—PLEASE PRINT <br /> everett f HEATING SYSTEM: J GAS J ELECTRIC J <br /> BUILDING DEPARTMENT <br /> 2598810 <br /> DEMOLITION COMBINATION BU I LNG MECHANICAL PLUMBING SIGN <br /> G..0 MALL AUDRCss CRr ZIP PHONE <br /> OWNER /` ftialr. 9327. 604) �SiS'65/� <br /> N 1 MAI ADORE59 CITY TIP <br /> PHONE <br /> nnLNITECTOPDESONER MALL ADDRESS <br /> Lliv Zlo P40NE .— <br /> pt' I,' LICENSE <br /> .FNERALCONTRACTOR MAX ADDRESS CIIY :IP - <br /> (#/,FAY! CITY ZIP PIKAIC IICENSE# <br /> ---. <br /> MECHANICAL CONTRACTOR MAR ADDRESS — —-- — <br /> p � .3 PLIAIBING CONTRACTOR MAX.ADDRESS <br /> f.ITY ZIP PHONE LICENSE# <br /> CyH <br /> t H En <br /> tH cLASSp upon — <br /> EW AOOITION ALTERATION REPAIR DEMOLITION WOODS70VFJFRPL INSERT BUILDING RELOCATION <br /> I< n coNTALTPEn.oNANOrHaJENo <br /> q <br /> 0 = 0 <br /> OCGNTRACTMCEOFM'OAK <br /> 0 0 <br /> N H UCKAIRE YORK AND 90UARE FOOTAGE INVOLVED <br /> p vroPosED usE wo OF BusoVIt4t 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> y ty ASCII <br /> ® APPLICATION AND KNOW iliE SAME TO BE TRUE AND CORRECT.ALL <br /> �y LEGAL OEBCR1110Nd PROPERTY ISHOWN BELOW OR ATTACH FOUR LOPRSI PROVISIONS OF LAWS AND ORDINANCES GOVERNINC+THIS TYPE OF <br /> " M O WORK'WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> LOT 2_— eLocN a - NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> Z H OTHER STATE OR LOCAL LAW REGLL ATING CONSTRUCTION OR THE <br /> y Y PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BY THE <br /> I-+ y OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> gAPPLICATION IS MADE AND I COMPLY 'A''TH THE STATE <br /> n 7 y CONTRACTORS LAW 18.27 RCW AND 298.200 WAC. <br /> C Cy SONATUPE OF CONTRACTOR OR AUT"ORRED AGENT DATE <br /> PROJECT ADDRESS APPLeANT;FFBUSINESS LICENSE NO ANO BUSINESS N-MF <br /> a - 76 5,6 <br /> PLUMBING MECHANICAL <br /> FEE <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT <br /> WATER CLOSET(TOILET) AIC_AHNDLG UNITS—H.P. <br /> BATHTUB FORCED AIR SYSTEMS—B.T.U. ME _ <br /> ew rl LAVATORY(WASH BASIN) — UNIT HEATERS—B.T.U. M <br /> SHOWER i 3 CLOTHES DRYERS ' <br /> x KITCHEN SINK d DISP (, VENTILATION FAN <br /> DISHWASHER RANGE HOOD ' <br /> LAUNDRY TRAY y WATER HEATER ' <br /> CLOTHES WASHER WOOD STOVE <br /> METAL FIREPLACE A CCHIMNEYURINAL <br /> I_ DRINKIN�FOUNTAIN -FIREPLACE INSERT <br /> IrI FLOOR DRAIN HEAT PUMP ' <br /> K GAS PIPING <br /> BACKFLOW PREVENTERS <br /> ROOF DRAINS—RAINLEADERS —� _ EXHAUST FAN <br /> 7. SINK(SERVICE—BAR.ETC.) _�_— �L �!iaN J,f <br /> I <br /> — I <br /> SUBTOTAL f SUBTOTAL f <br /> PEFMIT $ PERMIT S ' <br /> 1 TOT AL FEE $ �+ <br /> ,� TOTAL FEE s, <br /> 1 FOR OFFICE USE ONLY: RECEIPTNG <br /> FRONT SETBACK REAR SETBACK SIRE SETBACK PIAN CHECK NUMBEN FEE Y 7'/ <br /> �o ' ae # s ' gai�see � vv� e-c <br /> USE ZONE LOT AREA VASANT SITE FEES VALUATION FEE <br /> BUILDING Yy 2L..n A 71 '— <br /> TYROICONISALLMAME IYPL OF CONST ACTUM o';IKsxc. 4o m.will,%mIs ' <br /> PLUMBING 3•e_; <br /> SIZE OF BLDG NO OF STORIES BASEMENT MECHANICAL <br /> OCCUPANCYLOAD FIRE SPRIMLERS REOD IffgHT LWTTKJN <br /> ADDITIONAL PLAN CHECK ' <br /> — OTHER <br /> REASON FqI SPRINKLERS <br /> STATE BUILDING SURCHARGE <br /> I <br /> INTAKE BY BANS APPROVED BY C11 OF EVERETT PUBLIC WORKS <br /> LOCAL SALES s <br /> W CODE IS 3105 TOTAL <br />