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A�PLICATI�:' FOFt CONSTRUCT: JN PERMIT ,%� <br /> TCl 9E COMPLETED IN BLACK INK—PLEASE PRINT � <br /> HEATING SYSTEM: N:I GAS J ELECTRIC U <br /> BUILDING DEPAF':MENT <br /> 259-8810 � <br /> DEMOLITION COMBINATION BUILDING �' MECHANICAL PLUMBING SIGN <br /> . OlN1ER � ��L�DDR[SS • CITY� ZIP P�pNE ) <br /> H {� I-� �� ,/ � . l � l k..r-_' O ' ^�� . �. r '1. '_'"_ i. � <�-�''( <br /> t�a � '° -��-\--, •�l'i.�1�//ri�.'�;�1: . ., �. . .,.r�'r'i��-(� I� .� ,.1c .:// /��'t(� /� ;' .r-C.Iz�---� 7 �- - <br /> C M �� ��.� �AD�R�SS CITY 2�P PIqNE <br /> � yy .�� 7%� <br /> Cy ARCN(TEGTORCESIGNEN 1.MILA[1DRE55 GT' ZiP R�OME <br /> y2' r�i <br /> O C O GENEMLGONIFACTOR MRIlA00NE55 CITY IiF PIIONE STAIELiCENSE• <br /> '0 H �V <br /> � N M <br /> MEC ICf�ICONTRRC MI.I� 0 PESS C LP SiATEIICENSEt � <br /> �° � � -�::-r> ;—,:/�/��:�},f.���� �,��/°'' �T //,��i 9fY`7;� ��;1�-�'�� ;� L, ��-�.�= /��,ii" <br /> � n O PLUMBMGCONTPPCTON / qA1LAUDRE55 � CITY / �2iP PNONE SiRtEIIGENSC• <br /> � �, R �. <br /> y y � CLRSSOFWORK , . <br /> � z '. I NEW � � ADDITION �LTERATION � REPAIR I � DEMOUTION ��. WOODSTOVE/FRPLINSEFT . BUILDINGFiELOCAT10N <br /> N H CONTRCT PERSON M'0 PMONE N0. � <br /> ` ��".--- <br /> � N � �%��', J�>' �>,�.=1 <br /> O N CONTRACT PRiCE OF WOiiK <br /> �UESCpiBE WOHK ANU�AR[ TAGE OLV �:/. (� ^', <br /> � a � �� � :` '�C 1 S � , e > r -7CJ-- 1''�• �� . <br /> PROPOSEDUSEOF81➢LOMG • i HERGBY CER7IFV THAT I HAVE READ AND EXAMINED THIS <br /> � APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> tec�� ESCRtPTiONOFPROFERTVISNOWN9ELOWONATT�CMFOURLOPIES� PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS NPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �or e�acK oF NOT. THE GRANTING OF A PERMIT COES NOT PRESUME TO GNE <br /> / 7-��''/� '��{L i IiIC.�C���-` OTHER STATE OR LOCAL LAW EGULATING CONSOTRIUCOT ON OR THE <br /> Y-� PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOHIZED BY THE <br /> OWNEfi OF THIS PROPERN TO PERFORM THE WORK FOR WNICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> � ����� � <br /> „ <br /> x dt�� 71,�,,:�J <br /> �a�,ar, i o.i _ ' <br /> . PPOJCCtAPJ� ,- _ ` I /' � <br /> 1 r ��_ ' � � ��' '� '�.�{ � <br /> � �(-I� �G �i� . < � , ,. �k�--" .n��� . . . � r.. �.n _ <br /> �� PLUMBING / � � MECHANICAL <br /> ' - NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FOUIPMENT FEE <br /> � WATERCLOSE7ITOILET) � _ A�C�AHtJDLGUIJITS-H.P <br /> '�� BATHTUB FORCED AIR SVSTEMS-B].U. M E A. <br /> �' LAVATORV�WASH BASIN) UNIT HEATERS-B.T.U. M <br /> • SHOWER � CLOTHES DRVERS <br /> , KITCHEN SI�JK 8 DISP VENTILATION FAN <br /> DISHWASNER RANGE HO00 <br /> i 7i LAUNDRYTRAY ' WATERHEATER <br /> CLOTHES WASHER WGODSTOVE ' <br /> URINAL METAL FIREPLACE 8 CHIMNEY ' <br /> �� ORINKING FOUNiAIN FIFiEPLACE INSERT i <br /> �I I FLOOR DRAIN HEAT PUMP ' <br /> � BACKFLOW PRGVENTERS GAS PIPING �> -Y-: <br /> ROOFDRAINS-RAINLEADERS EXHAUSTFAN <br /> +, '�r SINK ISERVICE-BAR.ETC.) I , <br /> '1 • i _—� <br /> i <br /> I ' --r— <br /> ��� SUD TOTAL S <br /> �' PENMIOTTAL 5 PERMIT 5 5 <br /> �� TOiAL FEE $ TOTAL FEE 5 3e ' <br /> FOR OFFICE USE ONLY: <br /> PROIrtSEtBACN RURSEIUACK SIpE5E1BACN PLAYG�CCY.N�AIOER ItIE P[G[iP1N0 <br /> 7 Y <br /> use:o�+e �oTnnEn vneaNtsrte FEES VALUATION FEE <br /> �UII UING <br /> IVPEOiGOHIS.AtlOW1HlE tYPEOFCONSfALiOAI Occuo�np nocivm�.u•.:u�.�'s <br /> �P°j° ' PLU6701NG <br /> 9ZEOFBLDO. NO.OFSi01iIE5 BASEM[Nt MECNANICAL S O <br /> OCGUPANGYLORO FiPESPNNNlEP5RE0'D IIEIGHiLIM11AilON A�DITIONALPLANCHECK i <br /> i <br /> SPRINNLER <br /> —�_ <br /> RGASON FOR SPFINKLERS <br /> STATE BUILDING S1IRCHARG[ <br /> ir�tnncov rv.r+;nranoveonr CITYOFEVERETT PUBUCWoaHs <br /> LOCRLSRLES <br /> TAX CODE IS 3105 rorn� <br />