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ppPLICATIOrI FOR CONSTRUCT.JN PERMIT `'`'`'"'" <br /> TO BE COMPLETED IN INK—PY.EASE PRINT � <br /> rne tw�groan <br /> GITY OP <br /> —_ _._ .__ .—' <br /> everett — - - <br /> � �y I HEAI WG SVSTEM: I,�GAS 'J ELECTRIC �J _—.—.-- ------- -- <br /> '�� BUIIDING DEPARTMENT `—�--- <br /> 259-8810 <br /> C�� DEMOUTION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> y cirv nv vroHE <br /> z MAIL DOPE55 <br /> �� °"'"� � 3Y��/015 <br /> �-+ >a ( � Su �w� /�,�Ff�`— P�o�� <br /> KLO iENANTaC{C NI�NDDRESS � <br /> H 7n — <br /> ��� cirv z�,v ariorvE —_ <br /> pqCMRECTORDE5IGNER MAIIADDRE55 <br /> �x GENERNLLO RFCTOF MRµFDDFESS CRV ZIP PNONE LICENSEx <br /> �d ���C�, � .�I �o�0 5 fi'' � Uia u c�K_�__�� lGe�lwo K�k�tiF,ti�D� <br /> p�C MECMANIGRLCONTRRCTOR MRILADORE55 <br /> CITV ZIP PMONE LICE SE <br /> � <br /> �+ C17Y T�p PNONE LICENSE# <br /> �y y� PLUMBING:ONTRFCTOR MNL AODRE55 <br /> � <br /> �y CLfS50FWOP6 <br /> �� . � NEW ADDITION � ALTERATION X�REPAIR � DEMOLI710N . WOODSTOVEIFFiPL INSERT �. BUILDING RELOCATI <br /> f"� COMFCT PERSON ANO PNONE NO. <br /> ��C'� CONTPRCT f iiICE OF WORK � <br /> z y� OESLRIBE`JO ANDSQUAP i TAGEINVOLVED <br /> HOC/� <br /> PROPOSEDUSEOFBOILDING i HEREBY CERTIFV T�IAT I HAVE READ AND EXAMWED THIS <br /> � /� APPLICATION AND KNOW THE SAME TO BE TRUE AND GORRECT.ALl <br /> -�T� pROViSIONS OF LAWS AND ORDINANCES GOVEFNING THIS TVPE OF <br /> �ecn�oesceivnorvoFvaoaealv�sNowNee�owoanrrncHcouacoaiesi yypRK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �or eiocK oF NOT. THE GRANTWG OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AU7HOFi1TY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THA7 I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PE9FORM THE WORK FOR WHICH <br /> qPPLICATION IS MADE AND 1 COMPLV WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. q �_GJ/ <br /> SIGNPTUREOFCONTRPCTOFORPUT IZ DAGENT DATE Q <br /> X C � <br /> PROJEGTADDRES qppLIGA! GI Y SI E Li 15ENO.AII BUSINE55NFME <br /> _ �_,�s�-���.� a� /�C�� <br /> I I PLUMBING MECHANICAL <br /> '_' FEE NO. TYPE OF E�UIPh1ENT FEE <br /> Np, TYPE OF FIXTURE OH ITEM q��piHNOLG UNITS—H.P. <br /> WATER CLOSET(TOILET) <br /> FORCED AIR S`.'STEMS—B.T.U. M E.A. <br /> '�1 BATHTUB <br /> LAVATORV�WASH BASIN) UNIT HEATERS—B.T.U. M <br /> ' ' SHOWER CLOTHES DRVERS <br /> � KITCHEN SINK&DISP VENTILATION FAN <br /> '�1 � DISHWASHER RANGE HOOD <br /> LAUNDRVTRAV WNTER HEATER <br /> , ' CLOTHES WASHER WOOD STOVE <br /> � — METAI FIREPLACE 8 CHIMNEY <br /> URINAL <br /> � DRINKING FOUNTAIN FIREPLACE INSEF'f <br /> FLOOR DRAIN HEAT PUMP <br /> ' BACKFLOW PREVENTERS GAS PIPING <br /> � ROOF DRAINS—RRINLEADERS EXHAUSTFAN <br /> f 1 SINK(SERVICE—E4R,ETC.) <br /> '�' <br /> ' i SUeTOtAL $ SUBTOTAL $ <br /> ' PERMI7 $ PERMIT $ _ <br /> � TOTALFEE $ <br /> — TOTALFEE $ <br /> FOR OFFICE USE ONLY: FEE Aeceia�eo <br /> FRONT$ET6FCN RERR SETEAf,K SIDE SETBACK PLAN CHECK NUMBER <br /> USEZONE LOTAREA <br /> vncnNtsrte FEES VALUATION FEE <br /> a���o��� ,�. 9°r� �z' ' <br /> tVPEOFCONiS.PILOWPBIE NPEOfCENSi.RCNRL accuPaxcv xOn�owFwx�uxrts � <br /> ceaw PWMBING — ' <br /> SRE OF BLDG. NO.OF STONIES BASEMENT MECHANICAL — <br /> OCCUFANGYLOND <br /> riRE SPRrvK�ERS REO'D NEiGNT u�aiTAiiON FDDITIONAL PIAN CHECK ' <br /> OIFIER �� <br /> REnSON FOR SVAINKLERS STATE BUILDING SURCMARGE <br /> iNTqKE Bv I P�ANS AFPROVED BV CITY OF EVENETT PUBLIC WORKS <br /> I LACAL SALES <br /> TAX CODE IS 3105 Tor�� <br />