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,��� APPLICATII.N FOR CCINSTRUCI .ON PERMIT <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT � <br /> � �HEATING SYSTEM: U GAS U ELECTRIC O <br /> BUILDING DEPARTMENT . <br /> 259•8810 <br /> I�I DEMOLITION I I COMBINATION i ' BUILDING �IECHANICAL I I PLUMBING I I SIGN <br /> !'7t�I� PQ`AD✓XS ��O 1 ✓/�rT/ l� �I/� PIIONE <br /> TENANT MA0.MORE55 GITV ZIP PNONE <br /> �� <br /> ARGNITEGiOf10E616NEN AUILADDRE6S CIiY ZIP PIIONE <br /> �+t� {�bt5?.?*1 Co PD,�f �.�57 FI(EJI�TT q8�3 �(o(v-/.� 394 <br /> 6EN MLGON RACTOR MAILADDRE55 CITY ZIP P/IONE STATELILENSEI <br /> T�K �STlrf !e. �� , . ,� ,.� <br /> MECNANILALCONTMGi011 GARAODNE55 CITY ZIP PNONE STATEI�LENSE� <br /> �c5?��� .r,�c voeoXa�s�� s�rr� �'rsi�� ���-srn� u�ESNLdFI�IRF <br /> VlUMBkqfANTMCTOi1 IMILAOORESS LITY 21P P110NE STATEl10ENSE� <br /> C1A55 OF N'ONN <br /> ❑ NEW f 1 ADDITION ALTERATION I.-1 REPAIR I I DEMOLITION I I WOODSTOVFJFRPL INSERT I I BUILDING RELOCATION <br /> GON7ACTPERSONyIV�lDPNONENO. ��[�� �//1 <br /> CONTN�GTPRICEOFWORK��O DOO /'1� K2 �YGI'���f{v� <br /> D�E�SCrR�I�BEWOHKIN/D§/�O�UAREFOOTAGEINV VED {(� �y0 ����/ur�� � �^/ <br /> r+e.vs � �rrCL�T �' '!/CJ �J�c:, <br /> ��us�rt+c _ � ��C :� • . I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> �� C APPLICATION AND KNOW THE SAME TO BE TRUE AND CORHECT.ALL <br /> �ea�o�scnirrawovvnor¢RntsNowneE�owon�n�cHvouncoriesi _ PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISNPEOF <br /> - WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �oT e�oc�c oc NOT. THE GFiANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ����� ,�` � � AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> _ F 1T7 OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFOHMANCE OF CONSTHUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPEIITV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTO S LAW 18.27 RCW AND 296200 WAC. <br /> �i - � 'r � l 'Q <br /> P110.IECT ADOHESS C / D wr[ <br /> DO1�. �Il�7f'/rD YM15M59LY.fNSEM <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FIIfTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TGILET) � A/C—A/HNDLG UNITS—H.P. � <br /> BATHTUB ; FORCEDAIRSYSTEMS--B.T.U. M E.A. ' <br /> LAVATORY(WASH BASIN) � � UNIT HEATERS—B.T.U. M <br /> SHOWER � CLOTHESDRVERS ' <br /> KITCHEN SINK 6 DISP VENTILATION FAN ; <br /> DISHWASHER � RANGE HOOD � <br /> LAUNDRV TRAY ; WATER HEATER ' <br /> CLOTHES WASHER WOODSTOVE � <br /> URINAL METAL FIREPLACE 8 CHIMNEV ' <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP ' <br /> BACKFLOW PREVENTERS ; GAS PIPING � <br /> ROOF DRAINS—RAINLEADEHS � E%HAUST FAN � <br /> SINK(SERVICE—BAR.ETC.) � � <br /> � � <br /> , � <br /> � <br /> � � <br /> � � <br /> SUB TOTAL S ; SUB TOTAL' S '� <br /> PERMIT S � PERMIT S � <br /> TOTALFEE S ' TOTALFEE S ' � <br /> FOR OFFICE USE ONLY: <br /> FRONT6ETBAGN REAN6ETOACK 61UE6ETBACK PIANLMECNNUMBER FEE RECE�FTND. <br /> ��QG7� <br /> usezorr¢ IOiMEA V/�G1NT61iE FEES VALUATION FEE <br /> BUIIDING � <br /> i <br /> TYPEO{CIXIIb.AILONMIf TYPFOfGONST.ACi11Al OWM�Mt� MOaOw[lIwGUMit6 i <br /> �� � PLUMBING i <br /> 612EOFBlDO. NO.OFSI0HIE6 &�SEMENT MEGHANICAL � � <br /> � <br /> OLGUFANCYLOAD FINE6PRNMLEHS11E09 NEIONTtWITATION ADOITIONALPLANCHECK i <br /> � <br /> � SPNINKIER � <br /> pEA50N FOR 6PRWRlERS � <br /> STATE BUILDINO SURCHARGE � <br /> � INTAKE BY PlANSAPPHOVEO BY CITY OF EVEflETT PUBLIC WORKS i <br /> S LOCAL SALES , <br /> TAX CODE IS 3105 ror�� �f 3 5'; — <br />