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■ <br />r. --� <br />APPLICATIG_J FOR CONSTRUCT.JN PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />BUILDING DEPARTMENT HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />259•8810 <br />I i DEMOLITION L; COMBINATION i' BUILDING �MECHANICAL � LUMBING ! I SIGN <br />OWNER MqILADDRE55 CITY ZIP PHONE <br />MECHANILALCONTRAGTOfl MA.ADORESS CITV ZIP PHONE STATELICENSE� <br />A <br />41 �PLUM9ING CONTflAC <br />�� ��n.+ 7 x_ <br />CLASS OF N10fiK <br />I J NEW �� <br />fOB NAIL ADDRE55 CIN ZIP nC I b✓ PHONE STATE LILE:JSF N <br />J ��� <br />b w�. ?�o s„ ( 6�' ��f� wq � ay� -�9��_�7� sT �v �s.,� <br />�DDITI� 1 ALTERATION I I REPAIR I! DEMOLITION !.! WOODSTOVE/FRPL INSERT �i I HUILDING RELOCATIOtJ <br />J,,, ,r7 Q f I CONTACT PERSON AND PHONE NO. <br />WORK �� �4. Y I� l7 r <br />PROPOSED USE OF BUILOING <br />� <br />LEGA�GESCRIPTIONOFPRO E <br />LOT BLOCK <br />OF <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SID1K 8 DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DFINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS-RAINLEADERS <br />FOR OFFICE USE ONLY: <br />FRONTSETBPCK REARSEiBACK <br />USEZONE LOTAPEA <br />SIZE OF BLOG. <br />OCCUPANCVLOAO <br />REASONfORSPflI'� <br />INTAKE BV <br />SUB TOTAL $ <br />PERMIT $ <br />TOTAL FEE 5 <br />TYPE OF CONST. AC �AL <br />IJOAF SiORIES <br />PLANS AP?ROVED BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORR[CT. ALl <br />COPIES) 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 �OES 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 PP.OPERTY TO PERFORM THE WORiC FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH TI�E STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />7 <br />FEE <br />� <br />� <br />NO. TYPE OF E�UIPMENT <br />A/C-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 />VENTILATION FAN <br />RANGEHOOD <br />WATC•R HEATER <br />VJOOD STOVE <br />METAI FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUM!' <br />GAS PIPING <br />EXHAUSTFAN <br />PLAN CHECK Nl1M8ER <br />VACAtIt SITE FEES <br />BUILDING <br />OCL'JCRNLY NO OfVMIIRIGONIfS <br />�F00P � pLUM81NG <br />BASEMCN7 MECHANICAL <br />HEIGHT LIMITATION ADDIiIONAL PLAN CHECK <br />SPRINKLER _ <br />STlQE BUILDING SURCHPRGE <br />CITY OF EUERETT PUBLIC WORHS <br />LOCAL SALES <br />TAX CODE IS 3105 rora� <br />FEE <br />SUB TOTAL $ <br />PERMIT $ <br />TOTAIFEE $ <br />RECcIPT NO. <br />N <br />