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APPLICAYIO. . FOR CONST[iUCT; )N PERMiT ' '� <br /> , t TO BE COMPIETED IN INK—PLEASE PRINT <br /> rrtvOF <br /> eve rett HEATING SYSTEM� ❑GAS J ELECTRIC J <br /> BUILDING DEPARTMENT <br /> 259•8810 <br /> DEMOlITION COMBINATION BUILDIDj�y/ �MECHANICAL PLUMBING SIGN <br /> �NNER MI.iIAU�RE�55 �� ��T� � �&�(J I <br /> TV i> O�fJNE <br /> � � b ���� ���e� � �, ��;��,,.s ' � a�y ��-r. <br /> MAaI�DORE /Jw ADL.�A Crtr 2�P � <br /> � r.] TENAM � 1 � �'S�/�^'" �� <br /> q m � /Y/I <br /> � N �,a c <br /> �i H N 4RGHREGTOR�ESK.NER ' �0.MDRE65 GITv 21P <br /> K � � � vHONE IILENSE/ <br /> y � GENER�LCONTR/�CTOR M�IL/�DDRESS <br /> LITY =�P <br /> O ts O <br /> � N N <br /> y MELNANICNCONTMCTOR M�R+WDRE G Zp PNp1E UGENSE• <br /> � � � � �,� v�a�P� ���c,��-f�' 311� �1� I� �`-ld� �tJT `��z�l flc,,r�llu:h(o3n� <br /> PLUMBMOCONTRACT(M MMII�DDAE55 CITV 21P PNONE ICENSE <br /> n ; � v�\� — <br /> C � OF WORN <br /> � �NEyp ADDITION AL?ERATIDN ' REPAIii DEMOLIiION . WOODSTOVFJPRPI INSERi BUILDING REIOCATIOfJ <br /> � H <br /> M CpM�CT� JN AND P ONE NO <br /> �y " y � b�n 2.ai� t� t�� <br /> �{ y M COVTR�CT VP�CE 0F WOFe Z <br /> '" � y DESC�i�BEWO�KANO50U��EF00TAGEINVOIVE� . � S r ?�( <br /> � � y �«U��"�. �il 1 n � ! � ✓ ' <br /> y vROPOSEDUSEOFBUiLDMG I HEREBV CERTIFV 1NAt I HAVE READ ANO EXAMINED THiS <br /> y�___ APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> �[c��DESGaiot OF>pOPE���'SNO�BELOWOA>��AGH�OUALOP�E51 PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTVPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �or e��K O� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW P.EGULATiNG CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I 1M AU?HORIZED BY THE <br /> OWNEfl OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AKD 296.200 WAC. �/��Ip� <br /> S�GNALUAE O�CONTRACTOA OM AUiNOPIIEO RGENT D�iE ( <br /> X ��C 1� �a�tJt���Fa <br /> ��O . jADDRE55 qPv�ICeNTSP BUSi�'SS CE SEN � B Si E55 aME OI�C/ <br /> � � . .I,a .. . . C�. C f 11� <br /> � �� PLUMBING MECHANICAL � — <br /> � FEE NO. TVPE OF EOUIPMENT FEE <br /> NO. TYPE OF FIXTURE Ofi ITEM � <br /> � , WAT[PCLOSETfTOILE71 ___ __ _ __ ______ A.G—AHNOLGUNiTS—F1P. _ <br /> I �/ BATHTUB _ _ FORCED AIR S:'STEMS—B TU. �d E A <br /> � ' LAVATOFV(WASH BASIN) UNIT HEATERS—B T.U. M <br /> �� SHO�NER CLOTHES DRYERS <br /> � � KITC4EN SINK 8 DISP VENTILATION FAN <br /> DISH WASHER RANGE NOOD <br /> '�� � WATER H[ATER <br /> LAUNDRVTFAV <br /> I ��' CLOTHESWASHLA __ _WOODSTOVE . <br /> URIHAL IdETAL FIREPLACE 8 CMIMNE� <br /> DRIIJKING FOUNiAIIJ FIREPLACE INSERT <br /> �1� FLOOR DRAIN ' HEAT PUMP <br /> �► BACKFLOW PREVENTERS GAS PIPING — <br /> ROOF DRAINS—RAINLEADERS E%NAUST FAN — <br /> SINK(SERVICE—BAR.ETQ) _-- — — <br /> r '�'= . _--. —__—. . __ <br /> � � SUB TOTAL S pERMOTAI S _��_�__. <br /> I .e�I=. _ PERMIT S _ - �— <br /> ` TOTAL FEE S TOTAL FEE S .�+ <br /> FOR OFFICE USE ONLY: <br /> iPDHT5E1BAGn AFaR5E1B�GN SIPESETBNGK GIaHCH[GMNNAp[R fEE RELEIPTNG <br /> � � S �� <br /> us¢zor+E LOT ARE� VRC�NT SRE FEES VALUATION FEE <br /> BUILDING _ <br /> ivvF Of CON76�LIOwnBL[ iYVF 0�CONSt ACiU�1 ouqo Na xo a owhu+w�'s — <br /> PLUMBING <br /> SREOFBLOG. NOOFSTOFiES B�SEMENT MECMANICAL �-__ <br /> OCCUPpNCVLOA� �iREbPRNNLER5pE09 HEIOHTUMrtAT10N ADDITIONALPLANLHECN <br /> OTNER � <br /> ---�— <br /> PF.6SON i0R SPRINNlERS <br /> STATE BUILOING SURLHARGF <br /> .___—__ .___'. _ <br /> ��.r,.:Enr ��n��snranoveou� CITYOFEVERETf nut3ucwo�+Ks ' <br /> ( LOCALSALES <br /> TAX COOE IS 3105 roTn� ?�, — <br />