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51241-Payless <br />APPLICATIO� . FOR CONSTRUCTf,N P I�IT <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT �«Q� <br />VL� <br />BUILDING DEPARTMENT I HEATING SYSTEM: RIGAS fJ ELECTRIC LI _ <br />259•8810 21 28o'L <br />f I DEMOLITION I I COMBINATION ! I BUILDING P�XMECHANICAL I <br />OWNER MMLA�DRE55 CITY ZIP P�rorve <br />Paylesa M2B02 1001 North Broadway Everett 98201-1490 206-258-6422 <br />TENANT N�IL�OURESS CRv 21P PHONE <br />•RCMITECiORDESIGNER MI1IL�DDRESO CITv 21P PNONE <br />�� <br />GENER�LGONTRACTOR MRIIA�DRE55 L�iV 21P PNONE S1ATElICENSE� <br />MELNANIGALGONTRACTOR MAII��DFESS CIiY ZIP PHONE STATEI�LENSEI <br />Bel-Airc Inc 2172 Division St Bellinghum WA 98226 206-733-4652 BELAIfIA163LJ _ <br />PWMBINOCONTR�CTON MRILADDRESS CITv ZIP PHONE STATEIiCENSE� <br />CONTH�CT PRIGE OF WORR <br />�10,164.00 <br />DESCRIBEWORN NDSOUAREFOOTR6E14VOLVED <br />Install �1) Trane 10 Ton� (1) Trane 4 Ton <br />And (1) Trane 2 Ton Roof[op Unit <br />PROVOSED USE OF BUIL�IN6 <br />Commercial <br />lE4�L DESLRIPTION OF PROPERTY ISNON?1 PELOW OR �TUCH TWO COPIES� <br />LOT BIOLR Of <br />PARGELTAYIO NUMBER <br />CONSTRUCTION IOAN lENOER, ADDRESS. TEIEPNONE NUMBER <br />1001 North 8oraduay <br />8 DISP <br />LAUNDRY <br />ROOF <br />FOR OFFICE USE ONLY: <br />IISE IONE <br />TVPf 0� LONSt. <br />SREOFBL00 <br />OGCUP�NCYL0�0 <br />RE�SON <br />INTARE BY <br />TOTAL S � <br />NIT S <br />1L FEE E <br />SIDE SETB�CN <br />V�L�NT 5�1E <br />f i YES i i NO <br />O[NMNfv NO p VMII�NGIMi15 <br />6qt1Uv <br />FiqE SPRINKLERS REO'0 <br />FIRE MARM RWD <br />PL�NS �PPROVkO BY <br />D�tE <br />C' YE5 7 NO <br />HEIGHT LIMITATION <br />CITY OF EVERETT <br />LOCIIL SALES <br />TAX CODE IS 3105 <br />I HEREBV CERTIFV THAT I HAVE READ AND E%AMINED TItilS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CUf;RECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNINQ THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GHANTING OF A PEFiMiT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PFOVISIONS OF ANY <br />OTHEF STATE OR LOCAL LAW REGULATINO CONSTRUCTION OR THc <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPEFTY TO PFHFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTRACTORS LAW iB27 RCW AND 296.200 WAC. <br />� 1��1v� !'ZZ'Y4 <br />iF wi[ <br />Nl95lX;FN5fN0 <br />�NICAL <br />TVPE OF EOUIPMENT FEE <br />NC—NHNDLG UNITS—H.P. <br />FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br />UNIT HEATERS—B.T.U. M �_ <br />CLOTHES DRYERS <br />� <br />VENTILATION FAN �_ <br />RANGEHOOD ' <br />WATER HEATcH � <br />WOOD STOVE ' <br />METAL FIREPLACE (WOOD BURNING) ' <br />FIREPLACEINSERT � <br />HEAT PUMP <br />GAS PIPING � <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />PI�NCHE NNUMAER FEE <br />if�ir > <br />BUILDING <br />PLUMBING <br />MECNANICAL <br />AOUITIONAL PLAN CHECK <br />OTHER <br />STATE BUILDING SURCHAROE <br />PUBIIC WORKS <br />TOTAL <br />�M <br />e <br />� <br />