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APPLICATIC�] FOR CONSTRUCT_ �N PERMIT � <br /> TO BE COMPLETED IN BLACK INK-PLEASE PRINT �T <br /> �C� HEATING SYS7EM: U GAS ❑ELECTRIC ❑ <br /> BUILDING DEPARTMENT <br /> LTl[�7 y 259-8810 <br /> q � H J DEMOLITION COMBINA.ION ✓BUILDING MECHANICAL PLUMBING SIGN <br /> � H VJ pWryEH , MAILGDDRESS CiTv Ziv P!�ONE <br /> „ �3 � 8 U� <br /> � � iENANT M �1N�RE55 CrtV IiP iHONE <br /> H 7J <br /> Ox0 <br /> h�H h� AqLHfTECTOfiDE51GNER MRILA�DPE55 CRv ZiP PMONE <br /> CA H <br /> � O � GENE(�PLCONTRAGTOti MALLPDDRESS GITY 21P PNONE STpTELILENSE• <br /> oNr� _�IWY1P� <br /> M6CMAN�CRLCONTMCTOR MRRADDPESS dTY ZiP PHpNE STRTEIICENSE� <br /> HI��g <br /> ^.V n <br /> x H C p�pE181NGCONTRAGTOR MAILADDRE55 QTV ZIP . PNONE STATELILENS[� <br /> � <br /> �yz <br /> H H ����RN � <br /> ���7---(yyy y : i NEW ✓ADDITION � ALTERATION . �. REPAIR DEMOLITION WOODSTOVF�FRPLINSERT � BUILDINGRELOCATION <br /> � ,�y C, l{p' �j �j� CONTAGT PENSON AND PH�NE N0. <br /> � CONTFACT PRiGE OF WORK�I ] \� \� U `-��"'D <br /> m <br /> D RI�E 1YORN ANO SQWAE FOOTAGE INvp�yED <br /> H O fNi� '� "' <br /> PROPOSEOUSEOFBUROING I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> yn e C�e•��. � APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> IFGALDESCRIPTIONO�,FPT�NOPERTV�SNOWNBELOWOFATTACNFOURCOPiE51 PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHIS7VPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> tot e�ocK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITV TO VIOI.ATE OR CANCEL THE PROVISIONS OF AN1' <br /> � �O `D OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.iHAT 1 AM AUIHORIZED BY THE <br /> OWNEF OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COIdPLV WITH iHE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> X <br /> � <br /> rRaecTt�Pponess ` c,,,�.+��;:� o.+c <br /> '_t P-�+-�.��W, ,�—�.,,,.,,..:�.��;.,�„ <br /> �� MECHANICAL <br /> NO. TYPE OF FIXTUP,E OR ITEMJ FEE NO. TYPE OF E�UIPMENT FEE <br /> '�' WATER CLOSET�TOILFT� hG—h'HNDLG UNITS—H.P. <br /> '�1 BATHTUB ; FORCED AIR SVSTEMS—B.T.U. M E.A. <br /> LAb"ATORV IWASH BASIYI i UNIT HEATERS—B.T.U. M <br /> SHOWER � CLOTNES DRYERS � <br /> '�' KITCHEN SINK 8 DISP VENTILATION FAN <br /> 1�' DISHWASHER FANGE HOOD � <br /> LAUNDRVTRAY WATERHEATER ' <br /> ' ' �LOTHES WASHER WOOD STOVE � <br /> � URINAL IdETAL FIREPLACE 8 CHIMNEV <br /> � FIREPLACE WSERT � <br /> DRINKING FOUNTAIN <br /> '�1 FLOOR DRAIN HEAT PUMP ' <br /> BACKFLOW PREVENTERS GAS PIPMC; : <br /> ROOF DRAINS—FAINLEADERS � EXHAUST FAN <br /> �1 SINK(SERVICE—BAR,ETC.) � <br /> �' � ' <br /> � <br /> � <br /> � <br /> '�� SUB TOTAL $ ; SUB TOTAL 5 <br /> � PERMIT S � PERMIT 5 <br /> TOTALFEE $ TOTALFEE $ ' <br /> FOR OFFICE USE ONLY: _ <br /> FRONi5ET0ACK RERqSEi�ACK SIDESETBR PLANCHECNNUbIBER FE[ RCCEiPiNO <br /> �� � ' ,�� �2, G�5 /�l <br /> � <br /> uSezoNe �ornae+ vncu�isiie PEES VALUATION FEE <br /> �/ BUIIDING � ' (� <br /> 7YEO�LONfS�ILOWABLE 7YPEOFLONSi.ALiURL octu�eNtr u0aov:mnbumss <br /> � �7� � �011P � PLUMBING i <br /> _V-/�i <br /> SREOFBLDG. NO.OFStOR�ES BASEMENT i <br /> ��`L�� MECHANICAL <br /> i� � <br /> OCCUPANLYLOFO FlRESPRNKLERSH'00 NEIGHT�IMITATION ADDITIONALPLANCHECK i <br /> �/ � <br /> SPRINKLER <br /> F[ASON WR SPRINrcL[RS <br /> STATE BUILDING SURCHARGE ��L� <br /> iNiAe[�V PLANSAPPROVEO DY CITY OF EVEHETT PUBLIC WORK$ <br /> LOCALSALES <br /> �� � y J TAX CO�E IS 3105 TOTAL �� ; cU <br />