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::�:i ��� �� � <br /> APPLICATl�nl FOR CONSTRUCTiON PERMIT e�e�e« <br /> Ihe Ewrgrcan TO BE COMPLETED:N INK—PLEASE PRINT � I . <br /> CITV OF }} <br /> eV�re ll • HEATING SYSTEM: ❑GAS� ❑ELECTflIC ❑ <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> I I DEMOLITION (1 COMBINATION i I BUILDING � I_I MECHANICAL ❑PLUMBING }((SIGN <br /> OWN[R / � MAI�AOOR[55 CITV 21P AHONE I <br /> u �zzA j�t7' 483� Ev�+tc-f�EN wy CE✓�E�f I <br /> � L ��ryqpT MI.ILr1�URE55 CIiY 21P PIIONE <br /> il _P1ZZA N+-1T �f83D C�-vc�GftFEN GJRA1 �E`iT <br /> � � MGIIIIECIORDESIGIlEfI IAAILA0�8E55 QiY ZIP t'HONE <br /> � <br /> ��H ecuenn�cor+nanaon 6UILAUOPE55 CIiV Zm PNONE UCENSE� <br /> � (�R�I�I/i�n� Ir�C� �Q�Bex Sz69 LYN,Uweoo V.fq• �J oyb 76•8d35' R6Z,evnM'�y7�0 <br /> MECII�HICALCONIIi�G10f1 IAAILAOOBE55 CIIY ZIP PHONE LICENSEI <br /> '9�� <br /> W PLUMpINGW1tlMCiOfi MM��O�RE55 GIIY ZIP P110NE LICENSE/ <br /> � <br /> py CL�SS OF WO(iK <br /> �H� 1("NEW I-.1 ADDITION CI ALTERATION I.I REPAIR I_1 DEMOLITION I_1 WOODSTOVE/FAPL INSERT ❑ BUILDING RELOCATION <br /> Q Q41� � CONTA TPERSONAN�PIIONENO. <br /> ` �^ co�n nact rmce oF woa . � �"r� ���� <br /> �y� D[SCRIpE WOfiK GND5WA11EFOOTAGE INVOLVBO — <br /> 3y 7 Ar <br /> �'�' rnoroseonseoFom�owc ' " � I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> �� <br /> p.� �/�MM C�aL ,� P Z Z/-J �.�.L/�t�. APPLICATION AND KNOW THE SAME TO BE TPUE AND CORPECT.ALL <br /> �� �ecn�oescmrrior+oFrnoPmn�s��owuee�owonnTTna�vouncoriesi PROVISIONSOFLAWSANDOfl�INANCESGOVERNINGTHISTYPEOF <br /> � � WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> to: otocK o� NOT. THE GPANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �'�' � AUTHORITY TO VIOLATE OR CANCEL THE PFOVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGUUITI�G CONSTRUGTION OR THE <br /> �� ��� "�� PEFFORMANCE OF CONSTFUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOH WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> SIGN�T�'1EOFCONiRRCTOfiOPAUiHONIZEOAGENT DATE <br /> x Ua'it. �� C�"7� ���7/9/ <br /> ' raaecT nooaess <br /> _ O � I �, pPP I YBUSI E�LiQENS���O.ANDBU5INE55NM1E — <br /> w N � C. <br /> �� PLUMBING MECHANICAL � <br /> �'C�� NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOIIIPMENT FEE j <br /> _ i � WATER CLOSET(TOILET) � NC—A/HNDLG UNITS—H.P. i I <br /> � BATHTUB � FORCEDAIRSYSTEMS—B.T.U. M E.A. � <br /> LAVATORY(WASH BASIIJ�- i UNIT HEATERS—B.T.U. M i <br /> I ' SHOWER —'� C:OTIIES DRYERS —� <br /> � KITCHEN SINK 8 DISP VENTILATION FAN � ; <br /> � DISHWASHER --r RANGE HOOD � <br /> ILAUNDRYTRAY � WATERHEATER ' <br /> ' ( � _ CLOTHES WASHER � WOOD STOVE i <br /> � <br /> _� UflIN�L ' MET�L FIREWACE 8 CHIMNEY � <br /> j DRINKING FOUNTAIN i FIREPLACE INSERT i I <br /> � ; FLOOR DRAW � HEAT PUMP ' � I <br /> � t t I BACKPLOW PREVENTERS i GAS PIPING i I <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN � <br /> SINK(SERVICE—BAR,ETC.) ; ' ' <br /> � <br /> i <br /> � ��� � � <br /> oo�� � <br /> � � <br /> i SJB TOT�L $ ; SUB TOTAL S ' <br /> PERMIT $ �— PERMIT $ i �� <br /> i�� TOTAL FEE $ ; TOTRL FEE $ � . <br /> - FOR OFFICE USE ONLY: <br /> POON�SE104CN flFAqS[TOAGR 510[SF.IpACH PLANCIIECKNUAIOEp iEE RECEIPTNO. , <br /> �• � <br /> wem(�we i.ernnen vncnr+rsne FEES VRIUATION FEE ',I <br /> (� � � . Ts� N� BUILOING � i <br /> Ivl'f0l�aNIS.AIIOWMIE 1VPE0(CONSI.ACIUnL rccurnrmv naN�wmnmUrnlS — I <br /> i <br /> cnour p�UMBING � <br /> srz�or oioc. r+o.oc sromEs 045CAIF111 MECHANICAL � � <br /> i I <br /> ADDITIONAL PLAN CHECK � <br /> oecurnnevio.no nn�srm�Kiensneon IIEIGHRI611IAilON � <br /> �•�• O7HEF � '�. <br /> i <br /> i <br /> 11[�SON fOfi SPpINNLE115 —�— <br /> STATE BUILDING SURCIIAPGE i�� <br /> unnKeov rinu r ovennr CITY OF EVEflE7T PUBLIC WORNS ; <br /> �- <br /> �� ` TAX CODE SL3105 TOTAL <br /> �� �� �� <br />