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^ <br /> APPLICATIOrI FOR CONSTRUCT .ON PERMIT i <br /> TO BE COMPLETEO IN BLACK INK—PLEASE PRINT � <br /> v��� <br /> BUILDING DEPARTMENT �EATING SYSTEM: ❑GAS ❑ELECTRIC ,:� <br /> 259-8810 <br /> �EMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> ONTlER IA�ILADDRESS GTV jla PMONE <br /> �k�� I(.x 2731 Ulest� � , � � ��l �g 02m <br /> TENANT MA0.ADDRE55 GITY ZIP pNpNE <br /> ARGHITECT OR DESIGNER MAIL ADDRESS CIN 21P PMONE <br /> GENEML GONiRRCTOR M�IU�DRESS GITY 21P PHONE ST�TE ULENSE t <br /> � '��A�7 <br /> MECMRNIC�LCONTR�CiOR IAAIL�DDRE55 CITV 21P PHOIlE STATELICENSE� <br /> PLUMBMGCONTqRCTOR MAILAUDNE55 CITY ZIP PHDNE STAIELIGENSE� <br /> CUSS OF WORK <br /> i ��, NEW . �, ADDITION � � ALTERATION �� � REPAIR }(DEMOLITION WOODSTOVE/FRPL INSEHT BUILDING RELOCATION <br /> CCMACT PENSON AN�PNONE ND. <br /> CONTR�CT PRICE OF WOPK <br /> OESGRIBE WORK AND SOUARE fOOTRGE INVOLVED <br /> PROPOSEDUSEOFBUILDING I HEREBV' CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEGALDESCRIPTIONO�PqOPENTYISNOWNBELOWORATTACHFWRCpPIES� PROVISIONSUFLAWSANDORDINANCESGOVERNINGTHISTVPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �or (L_ eiocK �25 oc NOT. THE GRANT�NG OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGULA7ING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STA7E <br /> CONTRACTORS!4W 18.27 RCW ANU 296200 WAC. <br /> ��- �1f�--�PV �1�' �-Ibll'fYY� 3�16�42 <br /> PR0.IECT ADDRESS Src:v �u[[� � � oerE <br /> *M 'j2 <br /> cnrausmcss�ktes�eo <br /> PLUMSIIKi MECHANICAL <br /> NO. TYPE OF flXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br />� WATER CLOSET(TOILET) � ArC—NHNDLG UNITS—H.P. <br /> BATHTUB ; FOHCED AIR SYSTEMS—B.T.U. M E.A. � <br /> LAVATORV(WASH BASIN) � UNIT HEATERS—B.LU. M ; <br /> SHOWER � CLOTHES DRYERS <br /> KITCHF.N SINK 8 DISP VENTILATION FAN <br /> DISHWASHER RANGE HOOD <br /> LAUNDRV TFAV ; WATEa HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEV � <br /> ORINKING FOUNTAIN ; FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS ; GAS PIPING � <br /> ROOF DFAINS—RAINLEiDERS EXHAUST FAN , <br /> SINK(SERVICE—BAR.ETC.) � <br /> � <br /> I <br /> I <br /> � <br /> SUB TOTAL S ; SUB TOTAL $ <br /> PERMIT $ PERMIT $ <br /> TOTAL FEE $ � TOTAL FEE $ <br /> FOR OFFlCE USE ONLY: <br /> FHONTSETB�CN PEARSETBRCN SIIESETBACK PL4NCHECKNUMBEF FEE 9ECEIPTNO. <br /> 3Q <br /> USEZONE �oraaea VACANTSITE FEES VALUATION FEE <br /> BUILDING � <br /> TYi'EOFfANTS.RLIOWABtE TYttOfCON51RCilIRL OctW�NCr xOMVMuuaUN��s <br /> �a0°' PLUMBING ' <br /> i <br /> SRE OF OIDG. NO OF STOiiIES BAS_MENT MECHANIGAL � <br /> �xCUPANCV LOAD FIFE SPRNKLERS REO'D HEIGHT UMITRTION ADDITIONAL PLAN CHECN � <br /> — � <br /> SPRINKLER � <br /> REASON FOR SPPIHKLEfIS � <br /> _�' <br /> STATE BUILDING SURCHARGE i <br /> INTRNE BY PLANS APPROVED BY � <br /> CITY OF EPERETT PU6LIC WORKS <br /> LOCAL SAIES <br /> TAX CODE IS 3105 TOTAL ; <br />