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-, _ __ . _ _— ' .. .. _ . ._ <br /> APPLICATIC ] FOR CONSTRUCT'-1N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDWG DEPARTMENT HEATING SYSTEM: ;�y GAS J ELECTRIC _�_ � <br /> 259-8810 <br />, DEMOLITION ! ! COMBINATION ;�C BUILDING ! I MECHANiCAL ', PLUMBING SIGN <br /> OWIIER IAAIL POOFE55 GITY IIP oHON[ <br /> JtRRy ��;�'S aosy�.F, is_���14���1.=�p. 9go�� �a.G)883•�HZ <br /> 7GNAN�— MAILApDRE55 (;ItV 21P PNONE <br /> ARGMIiEGTOFDESIGNER MAI�AD�RE55 dTY IIP PHOIJE <br /> GENERFLCONTRAC70R RIAILADDR[55 CITY ZIP PHONE JTATELICENSE• <br /> —_..5Am6 • �ga�N�.�.9 <br /> MEGHANIG�LCONTRACTOR MAILA�DP.G55 CITY 21P pNONE g:4TE CENSEr <br /> �cRi2o�1' �ev����G . �laU/ !,�lStg�,� L�r�u.��q�g3�7s(5:3930 /,44z�ri3�vc� <br /> PLUM9IYGGOYiRACTOR MAILADDRE55 CIiV ZIP PMONE STATELICFNSE• <br /> –111,G'—pL4-,�-�r – <br /> CONTrp�{pq�CE OF WORK <br /> DESCFIBE WORK AND 5<1 AFE FOOIAGE INVOLVED CONTAGT PERSON AND PHONE NO. <br /> _ �(oL0_� LiUfn4 <br /> — �38� /��e �S P.�S"�-oO$Z <br /> �/ �Z� I HGREBY CERTIFY THAT I HAVE REAG AND EXAMINED THIS <br /> aaoros�nuseoFouiioiNc APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> drn� �\ PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> iew�oes�OPERTY�SNOWNBELOWOR GNTYO/C•OPIES� WORK WILL BE COMPLETED WITH WHETHER SFECIFIED HEREIN OH <br /> �oT� e�ocr oF o'�`t ti Gi� NOT. THE GRANTING OP A PERMIT DOES NOT PRESUME TO GIVE <br /> — AUTHURITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> �WQ/� �jJw C � OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> - PERFORAIANCE OF CONSTRUCTION.THAT I AM AUTHORI2ED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> anace�tnx i.o.r+uMaea CONTRACTORS LAW 1827 RCW AND 296. 00 WAC. ' <br /> CONSi1iUCTION LOAN LENOER,�O�RESS.TELEPNONE NUMBER � � <br /> a-a9-9'� <br /> PROJECT ADDRESS scHnrw�t. — nerc <br /> � <br /> J CrtvqUSiN[SSUCO15t NO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NQ. TYPE OF EaUIPMENT FEE <br /> WATER CIOSET;TOILET) AiC—A�NND!G UNITS—H.P. I <br /> BATIiTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> LAVA70RV(WASH BASIN) I � UNIT HEATERS—B.T.U. M <br /> SHOWGR CLOTHESDRYERS �- <br /> / KITCIIEN SINK 8 DISP ; VENTILATION FAN ' <br /> DISITYJASHER / RANGE HOOD <br /> LAUNDRY TRAY ; WATER HEATER <br /> � CLOTHES WASHER � WOOD STUVE <br /> URINAL � METAL FIHEPLACE(WOOD BURNING) <br /> DRINKRJG f OUNTAIN � FIFEPLACE INSEqT <br /> FLOOR DRAIN HEAT PUMP —�— <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—RAINLEADERS � EXNAUST FAN <br /> SIN'((SERVICE—BAR.ETC.) ; �— <br /> — _ <br /> _ � <br /> — —r— <br /> SUB TOTAL S SUB TOTAL 5 <br /> PERMIT 5 PCRMIT $ <br /> TOTALFEE 5 TOTALPEE 5 <br /> FOR OFFICE USE ONLY: O�a <br /> FROIJTSETBA/G�K R[ARSET04CK SIDES[TpACN PL�NCH[CHrNUM/BE'A PEE RECE'�iNO <br /> �v J /v �� <br /> usezorve �otnaen vncnrut;ire FEES VALUATION FEE <br /> � [-'�. YES ❑ NO pUILDING �)�/'7� <br /> 7�PF Di COl,ai NO.OF STOR�ES nccuraqa xo orvN[uiveuxus �� ��_–��-�— <br /> _ � � P03 � PLUMBINO <br /> SIZEOFBLDG FIRESPBINNLERSPEO'� BA$EMENT MECHANICAL �/)� <br /> Ilo'1G SF 'r ;;� vES ✓O 11..�-- <br /> �'S2 S GAQ - — <br /> or,GurnNGv�onD Fin[ntnmdpeoo HEIGHTI.IMITATION ADDITIONALPLANCHECK <br /> 1 � <br /> u/a OTHFF <br /> REASON -- �� �� � <br /> sTHTE�UIL�ING SURCHARGE � <br /> INTRKEBY PLANSAP RJVEDBV CITYOFEVERETT PUBLICWORKS <br /> �I"� LOCALSALES <br /> onre ��Z��qy TAX CODE IS 3105 TOTAL � 7 �'✓]� <br />