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APPL9CATIC 1 FOR CiDNSTRUC7 _Ji'�! PE�MIT �� <br /> TC� BE COMPLETED IN �LA�,iC 11dK—PLEASE PRINT cvr�terr <br /> BUILDING DEPARTMENT HE�71NG SYSTEM: GAS J ELECTRIC J ___ <br /> �'.59-8810 <br /> DEMOLITION COMBINATION BUILDING �tECHANICAL ?LUMBING SIGN <br /> O�YNEfi � MAILAD�PE55 GiV Z�P FIIONE <br /> ��-. �i � ��sv-,� 3LZ� �drb�, � A �JCr�cf �>s�z� � ��-3��� <br /> TENANT c AAILADOPE55 A CITv ZIP PHO:�E <br /> �i: )c JGJ � S�rN 3'LZv 10�b� �� Y.�e.-�� y� 20 � <br /> ��iCl/I [CT08 -SIGNER MFILADD SS CITY ZIP PYOkE <br /> 4 <br /> Lli.v:� !�'t.•e� (<��es�qa 2126 3�9.�. Se��E(/r 4812! '7Lp-4zw9 <br /> GB�ERALCONTRAGtOq IAAIIA'ODRE55 GiTY ZiP PHON[ STATELICENSda <br /> n�bf. �F ."f�-�cv;4 3224 C, Ib„ ` 37x3 <br /> �dfCHANICAI�OHTRACTOR MRIL AOORESS CITY 21P PHONE STATE UCENSE I <br /> �'lU BMGC TRALT R ��tM0.�pDORES� , Gltt / ZIP PHONE STATELIGENSE� <br /> ��C. �. Sw�-... c�N /Lti3 � /�GCvne �� �`� ��.�qTow �J �Li'3 LSZ- 7H7/ <br /> CL�:5 OF IVOFK <br /> NEW n ADDITION ALTERATION REPAIR DEMOLITION � VJOODSTOVFiFRPL INSERT BUILDING RELOCATIO'� <br /> // '\ CON/JJ(CTIPERSOHq/N�DPNONENO. 7 <br /> CGNTRRCT PPICE OF WORK � ,�7 V I\E 1� �. /'�' i TV O � �� G-S y " 3�C j <br /> UEECRIBEWOPKANDSOUAiiEFOOTAG[IN LVED � <br /> l <br /> ���4"r�lOY W�-(�5 - 13 J <br /> PROPOSEOOSEOFBUIIDiNG I HEREBY CERTIFY �NAT I HAVE READ A'JD EXAIdINED THIS <br /> L a.w U I'�i �L' APPLICATION AND KNOW THE SAME TJ BE',RUE AND CORRECT.ALL <br /> LfGnl0E5GRIPTIONOFPPOPERTVISHONMBELOWORPqTTACNFOURGOPIES� PqOV1510N50F1.l�WSANDORDINANCESGOVERNINGTHISTYPEOF <br /> ior 2 I lt 2;2Ye�ocK 7 v V oF /��.+.�o F ��e rc�� WORK WILL BE COMPLETED WITH WHETHER SPEGFIED HEREIN OR <br /> — NOL THE GFANTING OF A PERMIT DOES NOT PRES�ME TO GIVE <br /> p�� AUTHORITV TO VIOLATE OR CANC[L THE PRO�ISIONS OF ANV <br /> 3 b`L�{ �J ( Eu � .-ciK OTHER STATE OF LOCAI LAW HEGULATING CONSTPUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHOF12ED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> -���---- AP9LICATION IS MADE AND I COMPLY WITH THF STATE <br /> CONTRACTORS LAW 1027 RCW AND 296200 WAC. <br /> � c <br /> X � . � ;� /�, /�z, <br /> i�n),>arcrnooaess s�oanru�re � nR,c <br /> 7 ZZr} �'J � h f�y�Nre � ` a�rnuc�r.[ss��r,[rvc[r�o <br /> PLUMBIIJG MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EQUIPMENT FEE <br /> WATER CLOSFT(TOILET) -� A�C—A HNDLG UNITS—H.P. v' <br /> BATHTUB -'� � ' FORCED AIR SYSTEMS—B.T.U. M E.A. '� � <br /> LAVATORY IINASH BASIN) � � U�JIT HEATERS—B.T.U. M � <br /> SFIOWER � CL0TI1E5�RYERS � <br /> KITCHEN SINK 8 DISP � V�NTILATION FAN ; <br /> DISHWASHER RANGE HOOD � <br /> LAUNDRY TFAY � WATER HEATER � <br /> CLOTHES WASHER i WOODSTOVE � i <br /> U(iWAI. � IdETAL FIREPLACE&CHIM f Y � <br /> �RINKING FOUNT { ; FIREPLACE IPaERT / ; <br /> FLOOR DRAIN HE"T PUMP � <br /> BACKFLOW P EVENTERS GAS PIPING ; <br /> ROOF UR 5—RAINLEADERS EXHAUST FA � <br /> SINK IS VICF-��AR,E?C.) � <br /> i <br /> _ _ _ 1 <br /> i <br /> � <br /> sue ror,�� s sus rorn� s � <br /> P:-.FiM1T 5 PERMIT S <br /> tOfAL FEL $ ; TOTAL 1=EE S � <br /> ' fOR OFFICE USE ONLY: <br /> l�ONT:ET6n']K REAPSETB�LY. Slp[SfTOP.CH PIANCHEGNCNUrMp[R fGF P[C[IPTNO. <br /> . �0 J � y <br /> user . �ornaEn VACANTSITE FEES VALUATION FEE <br /> BUILDING ? -L/C� `�i 7 �o�' <br /> 111"eOFfGntL.A�tOWRBIE TVI'EOFGONSiRCiIIAI ott.i,�nVcv Foatowtuirvc�rrt5 — <br /> caow PLUMEING <br /> �!JO GbH�N� _ - � <br /> SiZEUFBLDG OFSTORIES E1ASE�If.NT IAECHAIJICAL <br /> _ _ — i <br /> OCCUPANCY LO�D FIRF S NNLERS REO'� 11EIGIIT UMITATION �>DDITIONAL PLAN CHECH �O G �O T <br /> SPqINKLEfi � <br /> H[n50N FOR SPRINKLERS - —r-- <br /> STATE BUILDING S�RCHARGL is'_j/ <br /> rt�iAKEOV PLANSAPPROVE�OY CITYQFEVERETT !'UBLICWOFKS <br /> LOCAL SALES <br /> ,.> �:,��-� J� Tax cooe is 3ios 70TAL <br />