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APPLICATIt .� IFOR CO�1STFitJC'i JPI PER�JJIIT ��� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT � <br /> � HEATING SYSTEM� ❑GAS U ELECTRIC x� __ u�^^���n�--- I <br /> BUILDING DEPARTMENT <br /> 259-8810 PLUMBING SIGN <br /> DEMOLITION COMBINATION BUILDING MECHANICA NONE x <br /> � r � Ol'JIlER <br /> IdAiLA��RESS �iTY ZF <br /> !�� (0 1ODD� �er�rc�n l.�-�� ��za <br /> p� y� t1AILA00RE55 CITY P PIIONE — <br /> T[NANi <br /> y � m .Sf�tL � f}�OI/ei . <br /> �y CITY ZIP PMONE <br /> MCHITECTOPDESIGN[R 1.!AIL�DDRE55 <br /> M H � I�p PNONE SiATELICENSEp <br /> O F1 O GENEfiALGONTRAGTOP <br /> 1,1AIL AOOPES$ CITY <br /> � N N <br /> GITV 21P PMONE SiATE L�GENSE Y <br /> � z G3��7 I.tECHANIGALCONTR4CTOfl IAAIL�D�RE55 — <br /> � H O <br /> M iL�BINGCQNTRACTO <br /> IdNL AO4RE55 CItY ZIP PMGNc STATE LILENS[n <br /> H " � I A � l�� ' I�uv�,b�n 88E0 � 9 !unnu,"�D 3� 77� ��! DA�/N� - a+G� <br /> � y � c�nss o wbaK . _ <br /> � NEW � ADDITION . '� ALTERATION HEPAIR DEMOLITION WOODSTOVE/FRPL INSERT BUILDING FELOCATION <br /> t N y C ONT4CT PERSON ANO PHONE NO. <br /> G N <br /> M <br /> p y G('NTRpCTPFIGEOFNORK <br /> � �y P=5CRI8EWOFKANDS�UAREFOOTAGEINVOL"EO <br /> � o v��, ��� pre�s� RacK�loc.J re�n - <br /> PROPOSEDlISEOFPWL0ING i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AN�KNOW THE SAME TO BE TRUE AND COFfiECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOV'cRNING THIS TYPE OF <br /> �ecn�oescaiPnoNOFaaoaearvlsNow�+oe�ovior+nrrncNFouacoaiesi P/ORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �ot BLOCK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO ^'VC <br /> AUTHORITY TO VIGLATE OR CANCEL THE PiiOVISInNS OF �:lY <br /> OTHER STA�i[OR LOCAL LAW REGULATING CONSTRUCTION OR TNE <br /> PERFORM11ANCE OF CONSTRUCTION.THAT I Ald AUTHORIZED BY THE <br /> I OWNcR OF THIS PROPERTV TO PERFOFM THE WORK FOR WIiICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAVJ 18.27 RCW AND 296.200 VlAC. <br /> � (.�-��/�%`A� /O-b/-�la� <br /> onr[ <br /> PROJECT��O�RESS ��� <br /> ���1� ���Q� [—'uCPC2'E'E/J L.��v � oirvsusimss�mense�.o <br /> I '��� PLUMBING MECHANICAL <br /> - � NO. TYPE OF FIXTURE OR ITEM FEE N� q;C—A�H DLG M S�uH P ENT <br /> FEE <br /> i WATER CLOSET(TOILET) <br /> FORCED AIR SYSTEMS—B.T.U. M �=.A. <br /> . '�� . � BATHTUB <br /> �, ��� LAVATORY(WASHBASW) UNITHEATERS—B.T.U. M <br /> �� , SHOVJER CLOTHES DRYERS <br /> KITCHEN SINK 8 DISP �'ENTILATIUN FAN <br /> � � RANGEHOOD � <br /> '�rw � DISHWASHER � <br /> i y� � LAUNDRY TRAY WATEF HEATER <br /> '� WOOD STOVE <br /> CLOTHES WASHER � <br /> . METAL FIREPLACE 8 CHIMNEY <br /> � UNINAL FIREPLACE INSERT <br /> ' t_ DRINKING FOUNTAIN HEAT PUMP <br /> FLOOR DRAIN GAS PIPING <br /> —� � � <br /> BACKFLOW i REVENTERS <br /> ROOF DRAINS—AA�NLEADERS � E%HAUST FAN <br /> � I - SINK(SER'VIGE—BAR,ETC.) ' <br /> �+•I _ �— <br /> � _ <br /> ii — � <br /> � ,r' SUB TOTAL $ � PERMOTAL S <br /> '�� PERA1IT S '� TOTAL FEE S <br /> . TOTALFEE 5 <br /> FOR OFFICE USE ONLY: �ECEiarNo. <br /> FRONT SETBACN REAR SETOFCR SIOE SET�ACH PL�N CNECK NOAIBEP FEE <br /> USE ZONE LOi Af1E/ VAC4NT SITE <br /> FEES �' VALUATION FEE <br /> BUIL�ING —i— <br /> . iVPPOFf,OtIiS.ALlOWAOIE ivPEOFCOtlSLALiUAL Oc�qauPcv i.v.onvt[mi.vwWs PLUMBING __ � <br /> r <br /> 52EOFBL�G NC.OFSTORIES OTSEMENT MECHANIC4L — <br /> OCCUP�NGYL04D FlRESPPNNLEFSREO'D HEIGHiLIMItATION <br /> A�DITIONAL PIAN CHECK <br /> SPRINKLER _ T— <br /> fiEA50N FOR SPRINKLERS STATE DUILDING$UIICHARGE <br /> INT�HEBV P!1NSAPPROV[�DY CITYOFEVERETT PUBLICINORH$ _� <br /> LOCAL SALES <br /> TAX C�OEIS 3105 TOTAL <br />