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„�: _ ,. <br /> �,y , <br /> `�/ APPLICATIC .J FOR CONSTRUC7 . JN PERMIT <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT Q ���, � <br /> � fi� �I� 7 <br /> HEATING SYSTEM: U GAS �ELECTRIC ❑_ <br /> BUILDING DEPARTMENT <br /> 259•8810 <br /> DEMOLITION �COMBINATION BUILDING xMECHANICAL LUMBING SI(3N <br /> OWNER MAILA�DNESS GITY ZiP PNONE <br /> $p���a, 07 �!s aF'-7� .�trrcf 4 �ria v 3��-s87,9 <br /> TEN�NT MML�D�RESS pTY 1JP _ VHONE <br /> .�����-1] �' (D B�9 ���L"dOf� T i PHONE <br /> ARCMITSCT OP OESI NER M L�OJflE55 ��TY Z���p� ��^ ��I� <br /> ArAST� CO, �/�,0. !$OX ,3.57 IE V I! f'T `� <br /> /1�5�1��on Y• • _” RE ��� Li�ITE�i` / ZI��3 PHO���Y�ELIGENSE• <br /> MECHAF71L`/ALCONTR.IC OR M�ILAODHE /� /�� '7 C�ITYI� /2j1P , PHONE � STA�TE`LIGENSF.� <br /> ��INW�� M�II�DDR� fBiX�-3-_/ CIJR//� `L�I�T ��T)w.l �iA�7Ctvr*�iRF <br /> �. � <br /> cuss nF woaK <br /> '.. , NEW . ' ADOITION ALTERATION REPAIR UEMOLITION WOODSTOVE�FRPL INSERT BUILDING FELOCATION <br /> CONT�CTVERSONAkDPHONENO �}��' . /� <br /> CONTMCT PPICE OF WORK D DO O � � N _�,�.Q •���SWS <br /> pE$C__Ij�§� K AN S�OUA�RE FO�OyiAGE INVOLVED,l �/,L �, � �� <br /> ��,��1 WI{'�f/( �i�l !�a4CTi✓� <br /> a'froroseo S OFOUIID�NG ` I�vSL�l���y��(+us'�� � y{�j({� I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> µ�fN/ � W�7w� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> IEWLUESCRIPTIONOFPROPERTVISHOWNBELOWONATT�LumiaMmcsi PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> iot s�ocK � NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ���� AUTHORITY TU VIOLATE OFI CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTFUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK fOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTOR LAW 1827 RCW AND 296200 WAC. <br /> x �'I,�m� �we�t�f, �� -�q� <br /> z�, �,� <br /> PPQIEGT ADDFESS Aun — <br /> W ��� � CIIYBUSMESSIICEN5EN0 <br /> �f �V <br /> PLUMBIN(i MECHANICAL <br /> Np, TYPE OF FIXTURE OR ITEM fEE N0. TYPE OP EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—NHNDLG UNITS—H.P. � <br /> BATHTUB FORCED AIR SVSTEMS—B.T.U. M E.A. i_ <br /> � <br /> LAVATORY(WASH BASIN) � UNiT HEATERS—B.T.U. M � <br /> SHOWER CLOTHES DRVERS ' <br /> KITCHEN SINN 8 DISP — VENTILATION FAN � <br /> DISHWASHER RAN�E HOOD ' <br /> LAUNDRY TRAY ; WATER HEATER � <br /> CLOTHES WASHER � WOODSTOVE ' <br /> METAI FIREPUICE 8 CHIMNEV <br /> URINAL � ' <br /> DRINKING FOUNTAIN �J � -- FIREPLACE INSERT � <br /> FLOOR DRAIN � HEAT PUMP ' <br /> BACKFLOW PREVENTERS ; GAS PIPING ' ' <br /> ROOFDRAINS—RAINLEADERS EXHAUSTFAN ' <br /> SINK(SERVICE—BAR,ETC.) � <br /> � <br /> � <br /> ---T-- <br /> SUB TOTAL 5 � � � SUB TOTAL $ ` o�'�O <br /> PERMIT $ /D �� PERMIT $ � � <br /> TOTALFEE $ TOTAIFEE 5 � ' � <br /> FOR OFFICE USE ONLY: piceiP.r�o <br /> PIANCHECNNUMBER FEE <br /> FRONT SE70AGK AEAR SETBAGK SIDE SETBACN '^�/ <br /> �y FEE <br /> IOTAREA v�c.wtsire FEES VALUATION <br /> USE TONE ' <br /> eui�oiNc ' <br /> TYiE Of CONIS ALLOWABLF fYPE Of C01151 ACNFL xavu¢r No a DwFwe4unns i �" <br /> �aa" PLUMBING <br /> SIZEOF9L0(i NO.OFSiORIES BASEMENT MECHANICAL �S'� �V <br /> ADDITIUNAL PLAN CHECK ' _ <br /> OGGUPANCY LOAO FIRE SPRNKLEHS NEOU NEIGMT LIMIi�TION � <br /> SPRINNLEF <br /> REASON FOR SPPINNLEHS STATE BUILDING SURCHAqGE <br /> INT�KEBV PUNS�VPROVE�BV CITY OF EVEHETT PUBLIC WORNS � <br /> LOCAL SALES ' <br /> s � TAX CODE IS 3105 T�TA� ���� ' �' <br />