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APPLICATId', FOR CQNSTRUCT?"fN PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> — ------- - --- -- -- - ---- I <br /> BUILDING DEPARTMENT HEATING SYSTEM: !J GAS U ELECTRIC U _____ <br /> 259-B810 <br /> I I DEMOUTION I I COMBINATION I I BUILDING ,+�MECHANICAL I i PLUMBING I I SIGN <br /> OYMER MNL�DURC55 f.11Y (IP P110NE <br /> /30_FinJG Co. E✓EiZF_ " [..t�l 9S'203 <br /> iEN�NT MAIIADDRC55 GIfV 11P 1'110N[ <br /> �RGHITECTORpESIGNEIi IAAILADUOE55 CITV zIP P/10NE / // // <br /> GNE f�WQ/N CrJ. p 0.rJUX 235 7 Fl.�'2c�'r1� c„t9 98 203 C 2U6) 26� - DUoO <br /> GENFP�LGONfP�Gi011 MML�ODIIE55 GIIV IIP 1910Nf �InICIICEN:.C� • <br /> r.� . c. ccrw. �v. �x i6�Ds os�eF�,tx' w.9 y�cb7 c zo6) 64y . �a�o <br /> MEGII�NICAL LONIfiTCt08 M�II AD�RE55 CIIY LII' 1'IqNG SI�fG IILENS[� <br /> usrcce��v 1cAc�I FhE,o�,Ecv�� � �ioz �Jb"-`fx.�:N.•s,,aFo�c.+�.b u99� �zo6hPB�-o�on c.,r�crrErs�a6aF' <br /> PLUMOMG CONIR4Ci011 M�IL AODfi[55 GIIY 211' PIqNB SI�TE LICENSE 1 <br /> GONTfl�LT PRILE OF WOIIK <br /> f/�i'1/i�/(.C«2f <br /> UESCRIBE WOqR pN0 Sq1�0E FOOTAGE INVOLVEO LpNIACT PFftSON�ND PIIONE NO. <br /> Mf3Ri J �K A4/ - oloo <br /> I HEREBY CERTIFY THAT I HAVE HEAD AND EXAMINED THIS <br /> PROVOSEDUSEOFOUILDING AppLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.AlL <br /> C�l�/7/C/�C OiJ'P_F�,l/� f J'�p�<l/-�(,'i_ pROVI510NS OF LAWS AND ORD�NANCES GOVERNING THIS TVPE OF <br /> LEOALOE6CflIPTqNOFPpOPERIY�SHOWNBELOWOflATT�CN7WOLOPIES) WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERFI�OR <br /> �oT o�oc� � NOT. THE GHANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITV TO VIOLATE OR CANCEL THE PRUVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK fOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> P�RCEL TA%ID NUMOER CONT(iACT0ii5 LAW 18.27 RCW AND 296200 WAC. <br /> CONSTNUL1qN IO�N LLND[N.AUOIIC55.ILlEP110N[NOM01.11 <br /> YJ! 13/.�t <br /> O��E <br /> �K7-3�CD-i U9i 8 �.��.����z�H����.,,,.� �, <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF fIXTURE OR ITEAA FEE NO. TYPE OF EOUIPMENT FEE <br /> WATEH CLOSET(TOILEn /UC—A/HNDLG UNITS—H.P. , <br /> BATHTUB FORCED Alq SVSTEMS—B.T.U. M E.A. <br /> LAVATORV(WASH BASIN) UNIT HEATEfiS—B.T.U. M ; <br /> SHOWER CLOTHES ORYERS �— <br /> KITCHEN SINK 8 DISP ; VENTILATION FAN <br /> D�SHWASHER 1 RANGE HOOD �— <br /> LAUNDRYTRAY WATER HEATEF � <br /> CLOTHES WASHER WOOD STOVE . <br /> URINAL METAL FIREPLACE(WOOD OUHNING) � <br /> DRINKING FOUNTAIN ; FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP � <br /> BACKPLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—RAINLEADERS � EXHAUST FAN <br /> SINK(SERVICE—BAR,ETC.) <br /> � <br /> � <br /> � <br /> � <br /> SUB TOTAL E SUB TOTAL S <br /> PERMIT S � PERMIT $ � <br /> TOTAL FEE S ; TOTAL FEE $ <br /> FOfl OFFICE USE ONLY: <br />� FRq1�5ETB�LN PEAHSETO�CN SIDCSElO�GK PIANCHLGNNUMOER FEf OEGEIPiNO. <br /> USEZONE LOUIIEA vecu+rsiTe FEES VALUATION FEE <br /> f� YES Il NO OUiLoiNG � <br /> TmacaMsc rroofsronies orne.xcr xnawxuwr,urin ; <br /> �'� PLUM�ING <br /> _ �_ <br /> SIZEOFOLDG. FlIIESPI7WMl[fISOCO'0 U45CUENT � <br /> MECH�NICAL <br /> I�I YES Il NO <br /> oCCUPANCYLOAD FIIiE�l�11M1iEOD IIEIGII7LIMI7ATION ADDITIONALPLANCHECN ; <br /> nE� OTHEq 0�— <br /> Q STATE UUILOING SUNCHARUE � <br /> INfN(EOY rim�snlf�upv�unv CIiYOFEVERETT i�wucwonKs � <br /> /��� LOCAL SALES � <br /> o.re �p .�y.� TAX CODE IS 3105 rorn� � � <br />