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APPLICATIC l FOR CONSTRUCT' 1N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT � HEATING SYSTEM: U GAS U ELECTFIC U � <br /> 255•8810 <br /> f 7 OEMOLITION I I COMBINATION I J BUILDING I�?'�IAECHANICAI 1 I PLUMBING I I SIGN <br /> OWNER = y•M1� M�Il�00RE55 CITv �yt(L � PNONE <br /> 1�av� �co �S �,,7 . c�.sZ �o t�Cl 9 4s � �'-� <br /> TENMlT M�IIADDRESS CITv ZIP PIqNE <br /> �GXe.Cvt',Je ��,��Jc�'ti �r1C. `xYnL - F�\d`�. � S�,,ce" �- <br /> �RC1/!TELTORUESI�NER M�ILADORESS GITv ZIP PIqNE <br /> OENER�LCONTRALTOR MAILADDRE55 GITV 11{' PIKKIE o11-�)� SUTEIICENSk� �', <br /> �Qi��� �r� pco-�ec-� �C� \S(�3l � E i't1c,.� Vc,l�c�( Rc� S'<,�c.�.rh <br /> MEf,NANIG4 CdITR�CTON MAIL�DDRESS CITY ZIP �NONE STRE LILENSE/ T— <br /> L�l� <br /> YnonQ� Ft� I I(eN P <br /> PIUMBINO CONTR�CTOP M�IL�DDRE55 CI'V 21P PN(kIE SUIE LICENSE� <br /> CONTR�Ci PRICE OF WONk <br /> DESCRIBE WORK�NO SIXURE FOOT�OE INVOLVED CONT�CT PERSON�ND PHONE NO ��,`C� \�OOC � __ <br /> � � �� o� o � c�e. <br /> 1 . a� . .�'1\ • rJr��l� <br /> . <br /> 30 � ��0�10'� I HEREBY CERTIFV THAT I HAVE READ AND E%AMINED THIS <br /> PROPOSEO USE OF BU�LDINO APPLICATION AND NNOW THE SAME TO BE TRUE AND CORRECT.AlL <br /> p�'�LCG., U Se- PROVISIONS OF LAWS AND ORDINANCES OOVERNINO THIS TYPE OF <br /> lEd1LDEfiCNIPTIONOFPROPERTY�6NOWNBEIOWOR�TfACHTWOCOPIE51 WORK WILL BE COMPLETEL WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING Of A PERMIT DOES NUT PRESUME TO GIVE <br /> �oT e�ocK— oF — -- qUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERN TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> P�RCE�TAX I.D.NUMBER CONTRACTORS LAW 18.27 RCW AND 296.2C�0 WAC. <br /> CONSTRUCTqNIOANLEN�Efl./�DDRE55.TELEPHONENUMOEfl <br /> _ /�7csax 5 � �/�9 3 <br /> PIIOJE A DRCT�S2� r, \ B�,q s�iaH�� ��.,� o�rE — <br /> �� <br /> (1J. Cc.Syli.r `clU nrvn�nrvEssiccr�sErro <br /> PLUMlMN1 MECMANICAI <br /> NO, TVPE OF FlXTURE OR tTEM FEE NO. TYPE OP EOUIPMENT PEE <br /> WATER CIOSET(TOIIET) � A/C—A�FINDL6 UNITS—H.P. —� <br /> BATHTUB ' r'(�RCED AIR SYSTEMS—B.T.U. M E.A. <br /> LAVATORV(WASH BASIN) UNIT HEATERS—B.T.U. M � <br /> SHOWER ' CLOTHESORYERS � <br /> KITCHEN SINK 6 DISP � VENTILATION FAN ; <br /> DISHWASHER RANCE HOOD � <br /> UUNDRV TRAV ; WATER HEATER ` <br /> � CLOTHES WASHER � WOOD STOVE � <br /> URINAL ' METAL FIREPLACE(WOOD BURNING) <br /> DflINKING FOUNTAIN � FIREPLACE INSENT � <br /> —� <br /> FLOOR DRAIN HEAT PUMP � <br /> BACKFLOW PREVENTERS ; GAS PIPING � <br /> ROOF DRAINS—RAINLEADERS � EXHAUST FAN � <br /> SIP1K(SERVICE—BAR,ETC.) ; � <br /> � <br /> � � <br /> — , � <br /> � <br /> SUB TOTAL S ; SUB 1 OTAL S __ �_ <br /> PERMIT S PERMIT S <br /> TOTALFEE E TOTALFEE S ' <br /> FOR OFFICE USE ONLY: <br /> FPONTSETBACK REIIR6ETB�CK SI�E6ETBACIt HL�NCIIFCK�NE% FEEw� ���PT�� <br /> y� � � (1" <br /> USE ZONE l0T�RE� VACANT SITE FEES VALUATION FE�_ <br /> ❑ VES 17 NO pUILDINO <br /> TYPfOfCON51. NO.OFSTORIES acNwxcr rqaow[u�xtwinG —.— — � <br /> °"0U° PLUMBIN6 � <br /> 612E OF BLDO. FIRE SPRINRLERS REO'0 B�SEMENT MECHANICAL � <br /> n ves n No <br /> OCGUPANCYIOAD FIREIUHMREOU ��EK3NiLIMIT�TION A�OITIONALPLANCHECK i <br /> i <br /> OTHER � <br /> RE/�SON — T <br /> S7ATE BUILDING SURCHARGE i <br /> INUKE BY PIANS�PPROVEO BY CITY OF EVEHETT PUBLIC WORKS i <br /> �M TAI(CODE IS 3105 TOTAL ' <br /> WiE /ff G, I <br />