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APPLICATIC`-f FOR CONSTRUCT'�N PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />HEATING SYSTEM ❑ GAS ❑ ELECTRIC i,] <br />BUILDING DEPARTMENI' � — <br />259•8810 <br />f?'�EMOLITION i=1 COMBINATION fil BUILDING ❑ MECHANICAL i� PLUMBING �;� SIGN <br />OWNER � MARAD�RE55 I qTV ZIP PHONE <br />5�;�, � r�tcn�7�on.s I�� Nv �,��� ��-� �rt�(r� �►�i1-�6�� <br />TENANT MAILA OR SS CITY 21P PMONE <br />/' <br />�ra �tCl L-�+ <br />ARCHITECiORDE5IGNER MAILpODRE55 C17Y ZIP PMONE <br />f=/�C;L �.�un�� 2�-��i �Jo �`'i�'' `Gu�-,�uA `'l�`/� � �S� -?zE3 <br />GENERALCONTRqCTOR MAILAD�RESS QTV ZIP PMONE STRTELICENSEI <br />�i.f�l�� =!� <br />MECHANICAL CONTRACTOF MAIL ADDFE55 LITV ZIP PMONE STRTE LICENSE � <br />PLUMBINGCONTRAC70R MRILRDDPE55 CITY ZIP PNJNE STATELICEN>E� <br />CONTRACT PRIGE OF WORK <br />� G'C�% `'� <br />DESCRIB WORK AND SOUARE FOOTRGE IM1VOIVED COq7g� PEPSON AND PHONE NO <br />iP�f`rii,� /..i.n.;�l_viff �..�.._..._.. ,_:/ —I.cr'- /'......��.� %yi'� _(�1l-�� i. <br />LEGRL pESCRIPTIQJN GF PROPERTY �SHOWN BELOW OF RiTRCH TWO COPIES� <br />/ <br />lOT BLOGK OF <br />PAqCELTA%ID.NUME <br />,��9/ , <br />CONSTRUCTION LOAN <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN� <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAIP;S—RAINLEADERS <br />SINK �SEP.VICE—BAR, ETC.) <br />SUO TOTAL 5 <br />PERMIT $ <br />TOTAL FEE $ <br />FOR OFFICE USE ONLY: <br />FRONiSETBACK REARSETBACK <br />lISE ZONE LOT AREF <br />iYPE 0/ CONSt NOAF STORIES � <br />L <br />SIZEOF DG. FIRESPRINKLERSRW-D <br />OCCUPA CYLOAD . FIRERLARMflWD <br />BV <br />Ylr�°T'" / ' ' <br />r�ar+snranoae�ev _ <br />i �� � <br />� <br />omE ,.,�. �n • <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO �3E TRUE AND CORRECL ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIEO HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITV 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 PERFOFM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COIAPLY WITH THE STATE <br />CONTRACT�%S LAW 78.27 RCW AND 2oG200 WAC. <br />MECHANIC4L <br />FEE NO. TYPE OF EOUIPN <br />NC—A/HPIDLG UNITS—H.P. <br />FORCED AIR SYSTEMS—B. <br />UNIT H[ATERS—B.T.U. M <br />. CLOlHESDRYERS <br />METALFIREPL <br />FIREPLACE IN: <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SIDE SETBACM PIAN CHECK NUMBER <br />vncnNr sire FEES <br />._. YES ! NO BUILDING <br />OWII>�NLY NOO�OWEIUNGONifS — <br />^.�'9p�� PLUMdING <br />� <br />9n5EMENT MECHANICAL <br />YES 1�J0 <br />HEiGNi urnlinnON ADDITIONAI. PLAN CHECK <br />� �� STATE BUILDING SURCHARGE <br />CITY OF EVE ETT PUBLIC WORKS <br />LOCAL SALES <br />TAl( CODE IS 3105 TOTAL <br />FEE <br />�- <br />