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APPLICAi1G J FOR CONSTi3UCT �N PERMIT � <br />TO BE COMPLETED IN BLACK INK-PLEASE PRINT <br />� HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ � <br />BUILDING DEPARTMENT <br />259-8810 <br />Cl DEMOLITION I_1 COMBINATION f 1 BUILDING i i MECHANICAL IJ PLUMBING xSIGN <br />OWNER MAILADDRE55 CIN ZIP NONE <br />�TI,Gl� (�it�L. 78a� �K-f�6a��1 wY, �v�+zerr, w� 98zo3 �� <br />��F[J�N C MAILADDRE55 CIN ZIP PHONE <br />J� � 7e� EI�N W'f, EY�; uJk. 98203 L2CXo <br />�I <br />ARCHIT CTOROESIGNER MAILADORESS CITV 21P PHONE <br />ME7QZNSIcGrJCo.ING��R�SPX33743 SEl�fI'IZE, W/•E 98f33-3743�+6� <br />MECHANICALCONTRACTOF MAILAODRE55 CITY ZIP PHONE <br />PLUMBING CONTflACTOR <br />CLASS OF WORK <br />� NEW ❑ <br />MAII <br />STATE LICENSE N <br />a <br />CITV 21P PHONE STATELILENSEN <br />! 1 ALTERATION I i REPAIR I I DEMOLITION L I WOODSTOVE/FRPL INSERT I 1 BUILDING PELOCATION <br />CONTPACTPRIGEOFWORK /`�`��/� I C0� C/ •�D AN� ��+���1 �"�—/ �+Z�' �t'•'��� <br />DESCRIBE WORK AND SOUAFE FOOTAGE INVOLVED <br />EtZ�'GT 5lNGI,� FAG� � <br />PROPOSED 11SE OF BUILDING <br />sl�s�J <br />LEG/AL�UESCflIPTIONOFPROPERTY�SHOWN�JBJE�Q WORATTACH <br />LOY'�.i � BLOCK ���^OF � <br />i� <br />WATER CLOSET <br />LAVATORY <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />SINK <br />FOR OFFICE USE ONLY: <br />� � <br />NPEOFCONiS.ALLOWABLE <br />SIZE OF BLDG. <br />OCCUPANCYLOAO <br />REASON FOR SPRINKLERS <br />INTAKE BY <br />UR ITEM <br />SUB TOTAL S <br />TOTAL <br />,/ • /,I SIOESETBACK <br />�� <br />IYPF.OfCONST.ACTOAL <br />NO. OF STORIES <br />FIRE SPRNKLEPS REC <br />PL}NS APPPOYED BY <br />j � II� <br />VACANT SITE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIGNS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br />WOFK VlILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THf 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 CONSTRUC � ION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOFlIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CCNTRACTORS LAW 7827 FCW AND 296200 WAC. <br />X �a/�� <br />SIGNP AE i Gc3 ��� <br />CILV OI15iNE5S LIL[NSE N0. <br />MECHANICAL <br />10. � TYPE OF EOUIPMENT FEE <br />A/C—AIHNDLG UNITS—H.P. � <br />PLAN <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />UNIT HEATERS—B.T.U. M <br />VEN'lILATION FAN _ <br />7ANGEHOOD <br />WATER HEATEFi <br />WOOD STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />BUIL�ING <br />rcuPu+cv xo.avo�veuin,uxus <br />cnour � PLUMBING <br />BASEMENT MECHANICAL <br />HEIGHTIIMITATION ADDITIONAL PLAN CHECK <br />SPRINKLER <br />STATE BUILOING SURCHARGE <br />CITY OF EVERETT PU6LIG WORKS <br />LCCALSALES <br />TAX CODEiS 3105 TOTAL <br />SUB TOTAL $ <br />PERMIT $ <br />TOTAL FEE $ <br />FE`/� n5 <br />.� <br />� <br />0 <br />R <br />