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APPLICAT10t' FOR CONSTRUCTI'� N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PHINT <br /> HEATING SYSTEM: J vAS �ELECTRIC J __—_� <br /> BUILDING DEPARTMENT � <br /> 259�8810 <br /> DEMOUTION COMBINATION �BUIi.�iNG MECHANICAL ��IUMBING SIGN <br /> cr:,o� r.�n�:nnoness cnr z�a r��or�e <br /> �e o r�s o/f-i3 SSA�rL� � z 3'/Z-�3'39 <br /> ,QoEi�N�s �—.�P o. �0 3 � � , ,_ , wA . b° � _ <br /> �BlnNt 6U�L�OOREss Gi� ]ir r��oNE <br /> /�L�/N6 • —__ <br /> ARC���LEGIO�OFSiGNEA 6�RILA��RE55 LIIY 21P PNON[ <br /> �Q6/ni G--_ _ <br /> GENEReICONiReCiOR AUILAWRE55 Clt• I�P PNONE S�REUCLNSE• <br /> 6�/sn.6 n,���✓ Mc�[. -- _ <br /> NECNR111�AL W�IiRPGiO� 61nIL AO�RE55 GI1Y IIP PIIpNE SipiE LICENSE� <br /> PL�IABMGGONiRACTO� �.uiL�PORE55 Ui� .'i�' �NONE SiAiE UCENSE r <br /> GONTn�CT PRICE OF WOAK / � / � <br /> DESCAi6E WO�N 4ND SOUAnE i0014GE IINOIVE� CONT�f,i PERSON RN�P��ON[NO <br /> R�'LoGltTE T�lLL�iL . �C�h�oV�� Lcro.v�.�,o /�sTEM.13o2s,�i Z66 �-3SGs <br /> (�� D� INTLf�-��1� w�L q� D��R-- � HEREBV CERTIFV THAT I HAVE READ AND E%AMWED THIS <br /> rao>oseo use or euao�ve �PPLICATION AND KNOW THE SAME TO BE TqUE AND CORFECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> IEG��0E5CRioi�.pNO�oqOPEAT��SNOwNBELOWOqnTi�CMTWOCOPiESi WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ioi B�ocK Or AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS ^F ANY <br /> OTHER STATE OR LOCAL LAW REGULATING COtJSTRUC?ION JR THE <br /> PERFORAIANCE OF CONSTRUCTION.THAT I AM AUTHOR12ED BV THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WOFK FOR WHICH <br /> APPLICATION IS MADE ANO I COMPLV WITH THE STATE <br /> PARLE:fA%I p NIIMBER CONTRACTORS LAW 18.27 RCW AND 296200 WAC <br /> GONSI�UG��ON.OANIENDER AppN[55 �EIEPMONE NUA�BER / �� ^ / � <br /> / � �.O�� <br /> X r __w�t _ <br /> PROJECT ADDA ESS sicN�wnc <br /> 3003 W. C.es,No ,V.�, J--SZ ��,.a����Ess���F,,,., — — <br /> PLUMBIN6 MECHANICAL <br /> N0. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATEF CLOSET�TOILET) NC—A'HNDLG UNITS—H.P. _ __ <br /> BATHTUB FOiiCED AIR SVSTEMS--B.T.LL M E.A. i_ <br /> LAVATORY iWASH A4SIN� UNIT HEATERS—B.T.U. M <br /> SHOWEfi CLOTHES DRVERS <br /> KITCHEN SINK 8 DISP VENTILATION FAN � <br /> —_ —r-- <br /> DISHN.�ASHER RANGE HOOD <br /> LAUNDRVTRAV WATER HEATEF _ <br /> CLO7HES WASHER WOOD S70VE _._ <br /> URINAL METAL FIREPLACE(WOOD BURNING) _ <br /> DRINKING FOUNTAIN FIREPLAC=INSERT <br /> FLOOR DRA�N HEAT PUMP _ <br /> 2ACKFLOW PREVENTERS GAS PIPING � <br /> T� <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> SINK�SERVICE—BAR,ETQ) — <br /> --r— <br /> SUB TOTAL 5 SUB TOTAL $ <br /> PEfiMIT E PERMIT S <br /> TOTAL FEE b TOTAL FEE 5 <br /> FOR OFFICE USE ONLY: <br /> FqONiSETB�CN RERNSEIB�CH Si0E5ETBACM PIRNLME NNUMBEH FEE AECEIPiNO <br /> � �/O�i- <br /> lISE 2CNE lOT RPE� VALANT SRE FEES VALUATION FEE <br /> -"" YES -� NO BUiIUiNG <br /> iraFOfLON57 NOOFSTORIES occ�o.y�� vnnrpwi;iiy6wr�5 <br /> �""-0 PLUMBING <br /> SQEOFBLOG ��RESPA�lINLERSAEO'D BASEMENT MECNANICAL <br /> � �. VES �� NO -- �- <br /> OGCUP�NGVLOeD �iREnURR1RE00 MEiGHTUGrtATiON ADDITIONALPI.ANCNECN <br /> OTHER <br /> —" __"_" _ ——____ __ _'_—'.__�_ <br /> RERSON — <br /> STATE BUILDING SUFCHARGE <br /> �tirnKe ov PUNs ao�aoveo o� CITY OF EUERETT PUBUC WORKS <br /> LOCALSALES <br /> D4TE TAK CODE IS 3105 TO7AL <br />