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APPLICATIO. � FOR CONSTRUC7'I.�N PERMIT �N�' <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT ��T <br /> � <br /> HEATING SYSTEtvr.�-.3AS J ELECTRIC U _____ � <br /> BUILDING DEPARTMENT -----= - <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILUINf; MECHANICAL PLUMBING SIGN <br /> 011't�F.f1 l.IARA�DPEES CITY ZIP P��QYE <br /> � (E1ti v.xa�e Es�er�o � LyP�t"5 Evr __ _�Zo3 3ss-€�87Y _ <br /> ��y � TENANt NAIL�DDRE55 CITY ?IP PMOIIE <br /> p .0 <br /> Y � N <br /> �.i APCHIILGTORDESIGNi�il I.INLAOOR[SS UTY ZIP PMONE <br /> �V � <br /> O � � GENEf1ALLC .�pACTOR AIRILAPORESS CITY ZIP PHONE STqTELILENSEt <br /> b y M _ _ <br /> � � � MECHANiGALCONiPACTOR MAILADDRESS CITY ZIP �-��ONE STATEIICENSE• <br /> ��ie�J /fr�.�o�� S� �✓ f�1�/� – z7S=�S3-3 yfi S�UiNo9Fo� <br /> O H PWA1piNGCONTRACTOR MMLAUOBESS CI7V '.IP PF(�NE STAtELIC.'.NSBR <br /> � ' R — <br /> H � � C1n550f\40RN <br /> y y NEW �� A�DITION �CQLTEFATION _REPAIR � DEMOLITION ��. ' WOODSTOVEFRPL INSERT BUILDING RELOCATION <br /> F CONiACT PERSON AND PHONE t!0 <br /> � N /^�/y� �� <br /> y M CONiRACT PRICE OF WORK_�""CJ� <br /> � y �ESCHIOEWORNANDSOLAREFOOTASE NOV°D <br /> � � r _�C�r/C£7L,S[�'' -- <br /> "a' y PNOI`OSEOUSEOFB:':UNG I HEREBV �.FRTIFY THAT I HAVE READ AND EXAMINED THIS <br /> 5'f� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> LEGAI�ESCRIPTIOV CP PROPERTYISiOWN OCLOW ORATTACNFWRCOPI[5) PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPP.OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPEG�GIED HEHEIN OFi <br /> ior___ etocK oF NOT. THE GRANTING OF A PERMIT DCSS NOT P� 35UME TO GWE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PRC JISIONS OF ANY <br /> OTHEFi STATE OR LOCAL LAW REGULATING CONSiRUCT10N OR THE <br /> --- --'� PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORRED BV THE <br /> OWNER OF THIS Pf70PERTY TO PERFORh1 THE WORK FOR WHICH <br /> — .- — APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTORS LAW 7827 RCW AND 296.200 WAC. <br /> _— X � �/� Z-ZSSG <br /> PRaEcrnooness -- .-;:.-nnn,. �� o��� <br /> i�� ��� �iSt7S' C�.��O/1�5�' ���.����.:_s„� ,., ;, — <br /> � �,'� PLUMBING MECHANICAL � <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> IWATE�CLOSET�TOILET) A�C—A�HNDLG UNITS—hLP. <br /> � BATHTUB FORCED AIR SVSTEMS—B.T.U. M E.A. <br /> '=1 LAVATORY(ViASH BASIN) UNIT HEATERS—B.T.U. M <br /> � SHOWER CLOTHES DRVERS <br /> � � KITCHEN SINK Y.DISP VENTILATION FAN <br /> ' DISH\NASHEq RANGE HOOD <br /> LAUNDRY TRAY W4TER HEATER <br /> I �� CLO?HES WASHER WOOD STOVE _ <br /> URINAL _ � METAL FIFEPLACE 8 CHIMNEY <br /> DRINKING FOU VTAIN FIREPLACE INSERT <br /> !�� FLOOR DRAIN ' HEAT PUMP <br /> ' BACKFLOW PREVENTERS Z GAS PIPING <br /> � ROOF DRA'NS--RAINLEADENS E%HAUST FAN � <br /> SINK ISER`lIC[—BAq,ETC.) <br /> J 1 _ —. <br /> �t_' . <br /> I <br /> I '�� SUB TOTAL 5 SUB TOTAL 5 ._?O ' <br /> �I I. PERMIT $ PERMIT S / <br /> � TOTALFEE 5 TOTALFEE $ ' ( ' <br /> FOR nPFiCE USE ONLY: <br /> FRONTSETBRCK RERRSET9AGH SIDESETB�CN PIANCNECKNUMBEpR FEE RECHPTNO. <br /> J�7 ��J <br /> USE20NE IOTAREA VACANTSIiE FEES VALUATION FEE <br /> BUR�ING <br /> IIPEOFCOMS.AIIOWFOIE iYPE0iCC115i.AC1UAL acu��ncv hOMmv[iuxcaen — <br /> wouo � p�UM11BING <br /> FIZEOFB�]G NOAFSTJHIES OASEMENT h1ECHANICAL y) ' <br /> OCNPAN:YLOAD FIPESPRNKLERSRE00 HEIGMTIIMITATION ADDITIONALPLANCHECK � <br /> SPRINKLER <br /> R[ASON FOR SPFINNLERS � <br /> STATE BUILDING SURCHARGE <br /> iNiAREBY PLANSAPPROVE�BV CITYOFEVERETT PUBLIGWORK$ <br /> LOCALSALES � <br /> TAX CODEIS 3105 T�TA� l <br /> S � °' <br />