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APPLICATIC 1 F1JR CONSTRUC7'''�N PERMIT <br /> TO BE COMPLETED IN BLACK INK—PLEASE PpINT � <br /> BUILDING DEPARTMENT HEATING SYSTEM: ]GAS �ELECTRIC .J � <br /> 259-8810 <br /> DEMOLITION COMBINATION �(BUILDING MECHANICAL ,�pLUMBING <br /> owNen SIGN <br /> MAILRpO(IE55 CI1Y ZIP PIIONE <br /> "�chn2Q `�4¢G�,.� R'11�cJa•...... +�v� `�aZ92_ I-2o6 �sz �'+N <br /> TCN4N1 MA�t qOpRE55 C iV p�p � <br /> PHONE <br /> �RCHII[LTOPDESIGNER MAILFDURESS ��t� <br /> 71� �NONE <br /> GENER�ICONiRRGiOR MRi�A0DRE55 CiTY z�p <br /> PMONE STA1E UCENSE�` <br /> fZ�c Ru, e_l„ �1�,� c�. �IIZ W,k,��. S�_.,.,r, 9R2o'i, r� r�� ��j 4�c.g�c�c.caal..4_ <br /> MECH�NICRLCONTqACTOR MRILROURE55 CILV Zip <br /> PHONE Si�TE IICENSE� <br /> �� _ )�. � / <br /> PWMBINOCIXJTqRCTOR M�IL��DRE55 CIiY 2�p <br /> PNONE STAtE IICENSE� <br /> LpJTRACt PqiCE Of WOPK <br /> DESCRIBE WORN�NO SOU�RE FOpUOE INVdVED CONiACi PERSON RNO PHONE NO <br /> _J �.AIIIA.�� � �1.� <br /> �� <br /> PROPOSEDUSEOFPUiLOING i HERF.BV CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION ANU KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> � (�{�2 M0�.�7V'S PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> LEGQ�ESCRIPTIONOFPROPER'7Y�—SH�0`vy+BELOWO�RATT�CHTWOCOPIES� WORK WILL BE COMPLETED WITH WHETHER SPEqFIED HEREIN OR <br /> iot—� eiceK�-lSL or r•�A� � � �� NOT. THE GRANTING OF A PERMIT DOES NOT PqESUME TO GIVE <br /> � �00 AUTHORITV TO VIOLATE OR CAhCEL THE PROVISIONS OF ANY <br /> / � �'/ �J OTHER STATE OR LOCAL LAW pEGULATING CONSTRUCTION OR THE <br /> / PERFORAIANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BV THE <br /> �"��� ~�'�b - ��r-��� � �Q O OWNER OF THIS PROPERTV TO PEqFORM THE WORK FOR WHICH <br /> P�RCEIT�%IDN'JMBER APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> _� CONTRACTORS LAW 1827 RCW AWD 296200 WAC. <br /> CONSiRUCTIONIOANLEN�ER.�D�RE55.TElEPHONE NUMBER <br /> PROJECTADDRF�B n � sMv„i�nF ' S'�U�q�I <br /> C l � n•ic <br /> Citv 0119M!551 iCE NSF M <br /> PLUMBINO ' MECHANICAL <br /> NO. TYPE OF fl%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A�C—A�HNOLG UNITS—H.P. <br /> BATHTU9 FORCED AIR SVSTEMS—B.T.U. M E.A. <br /> LAVATOHV(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> ' SHOWER � CLOTHESDRYERS I — <br /> KITCHEN SINK 8 DISP VENTILATION FAN �— <br /> • DISHWASHER RANGE HOOD <br /> LAUNDRYTRAV ; WATER HEATER <br /> CLOTHES WASNER WO00 STOVE • <br /> _ URINAL METAL FIREPLACE(WO00 BURNING� � <br /> DRINHING FOUNTAIN FIREPLACE INSERT � <br /> FLOOR DRAIN HEAT PUMP � <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS--RAINLEADERS EXHAUST FAN <br /> SINK(SERVICE—BAR,ETC.) <br /> SUB TOTAL S SUB TOTAL § <br /> PEPMIT § � �J�'7 PERMIT � <br /> TOTALFEE $ TOTALFEE g <br /> FOR OFFICE USE ONLY: J v� . �D <br /> FRONiSETB�� RE�RSE1Ber,� , SIDESETB�CI(/ PIeNCNECNNUM6ER fEE �ECEiviNO <br /> i .r 5 3U y��.�� os a <br /> usezoNe �otenee WC�NiSITE FEES VALUATION FEE <br /> " ��� VES -� NO BUILDING ef.'� �7 <br /> 1YM�f�ONSf NOOFSiORIES n(mr�y�. y�ppynuNGurrtS � /�O � <�L� <br /> Go�uo <br /> 2 '3 PWMBINO � � i.� <br /> SIZEOFBID�G FIRESPq�INN,^LER5RE00 B�SEMENT � � <br /> �/v y � ,y� � YES �Z. NO MECHANICAL /`,.�� G� �� <br /> OCCUPANCY IO�D FIPE Q�RM RW 0 HEIGH7 UM11AT101� ADDITIONAL PLAN CHECK �� � /_�J <br /> _ �k A�o �J � `o� <br /> RE�SON <br /> OTFIER � <br /> SiATE BUILDING SURCMARGE �� <br /> INUME BY PlANS APPqOVED BY CITY OF EVENETT PUBLIC WORK$ i <br /> JM LOCAL SALES S � Oc� <br /> o�re sr 2 � TAIf COOE IS 3105 TOTAL � <br /> ,. <br />