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APPLICATIO� FOR CONSTRUCT�N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTME� HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> 259-8810 �QmQ� /�isse�� yaii �o��'-SuJ ��n 9 O�� !v la �SIS� <br /> ❑ DEMOLITION COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING J�'SIGN <br /> D�ER MAILAODRESS CITV 21P PHpryE <br /> WASI►MF� CRCar Uu�onl �II a2 CryEI�Gae�N wy Ev�Eir 9$?oy 77/-5299 <br /> TEN�NT MAILADDflESS CITV 21P PHONE <br /> WAS�►waoN CItS►�-r UN��N IIlo2 EvE+1�N wr EvazEn 9�zoy �7/-sx99 <br /> ARCNITECT OR DESIGNER MAIL ADDflESS CITV ZIP PHONE <br /> GENERALCONTMCTOfl MPILADORE55 CITV ZIP PHONE STATELICENSEI . <br /> BN22Y NcSoN INC. PA � Bor 3269 �YNNwoon 4�ay6 7�•8�35 l3E�RyNco�?3c� <br /> AIECHANICQCANTRACTOfl MAILADDRE55 CITY ZIP PHONE STATELICENSE/ <br /> PLUMBINOCONTMCTOR MAILADDflE55 CITY 21P PHONE STATELICENSE/ <br /> c��39,513v'� <br /> DESCflIBE flKAN $�UAREFOOTAGEINVOLVEU CONT TPEfl$ONANDPHONENO. <br /> �rrk � � � w te-EsrA�+c� S� N I�AN v� 7'7 - Y3s <br /> � <br /> �� S�F SET O/ Non�-Ittunvr�iEb w�►�L LE rtNtS <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSEO USE OF BUILDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> N K PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEGALDESCRIPTIONOFPROPERTY�SHOWNBE�OWOflATT�CMTWOCOPIES) WORK WILL BE COMPIETED WITH WHETHER SPECIFIED HEREIN OR <br /> tor e�ocK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> � AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOHIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH ' <br /> APPLICATION IS MADE AND � COMPLY WITH THE STATE <br /> PARCEL TA%I.D.NUMBEfl CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> z9-�3� �oS - ozo2 <br /> CONSTflUCTION LOAN LENDER.ADDRESS,TELEPHONE NUMBER <br /> r �. ���• 7�/y/93 <br /> PR ECT ADDRESS X Nri b o�*E <br /> �OZ EYf�GR�,iJ GJ ci��liSi„e s�sera. <br /> PLUMBIN6 MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) � PJC—AIHNDLG UNITS—H.P. � <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. � <br /> UIVATORY(WASH BASIN) � UNIT HEATERS—B.T.U. M ' <br /> SHOWER � CLOTHES DRYERS � <br /> KITCHEN SINK 8 DISP � ; VENTILATION FAN ; <br /> � DISHWASHER � RANGE HOOD � <br /> LAUNORY TRAY ; WATER HEATER � <br /> CLOTHES WASHER � WOODSTOVE i <br /> URINAL ' METAL FIREPLACE(WOOD BURNING) � <br /> DRINKING FOUNTAIN � FIREPLACE INSEFT ; <br /> FLOOR DRAIN HEAT PUMP � <br /> BACKFLOW PREVENTERS ; GAS PIPING ; <br /> ROOF DRAINS—HAINLEADERS � EXHAUST FAN � <br /> �SINK(SERVICE—BAR,ETCJ ; � <br /> � ; <br /> i , / <br /> SU8 TOTAL $ ; SUB TOTAL $ ' <br /> PERMIT $ � PERMIT $ ; <br /> TOTAL FEE $ ; TOTAL FEE $ � <br /> FOR OFFICE USE ONLY: <br /> FPONT SETBACK , REAfI SETBACK SIDE SETBACK PLAN CHECK NUMB�y FEE HECEIPT9�O <br /> /v � O � � 6 �2�./� X �/cl� <br /> USEZONE AREF VACANTSITE FEES VALUATION FEE <br /> C �� �fS � C7 YES ❑ N� BUILDING ' � <br /> ttPEOFCONST. NO.OFSTOPIES occmw¢r rroorowRUNCUNnS � <br /> GNWP PLUMBING <br /> SQEOFBLDG. FIflESPPINNLERSflEO'D BASEMENT MECHANICAL i <br /> � YES ❑ NO <br /> � <br /> oCCUPANCv LOAD FiRE nuRM qEo'D HEIGHT LIMITATION ADDITIONAL PU1N CHECK � <br /> ��• O7hiER � <br /> flEASON 1 <br /> STATE BUIL�ING SURCHARGE ' <br /> INT�KE BV PLANS AP O�0 BY CITY OF EVEHETT PUBLIC WORNS � <br /> ���' LOCAL SALES � <br /> DATE 8 _ �`� TA)(CODE IS 3105 TOTAL . � _ <br />