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APPLICATiC 9 FOR CONSTRIJCT� )N PERMIT �✓�" <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> HEATING SYSTEId: !J GAS J ELECTRIC J I <br /> BUILDI�JG DEPARTMENT <br /> 259-8810 <br /> i_! DEMOLITION !J COMBINATION ��� BUILDING MECHANICAL ! PLUMBING `] SIGN <br /> 0:4`IEF MRILAD�RE55 CIiY liP PHO4L <br /> �,4.? c <br /> ��E�l �M�fc.`-�i v\IEt�IT 1��15 2�1,1 IQIfE �x,nE �li.'�`l ��Ey��lCt= 1�.1� �. - �Ol�(�n . <br /> TENANT MAII ApCR[55 CITY ZIP PHON`c <br /> N �t� — <br /> ARCHITECTOflDE51GNER MAiLA�GfiESS CiiY ZIP PHONE <br /> f icHn a ti-�u-1 cn II�C'� 17"�•ra�iC- �wRr �c� Sc-ta-�c� lc�r� �?��� l��ilu0 _ <br /> GLIJERALCONTRACTOP MFILAO�RESS CITY ZIP PHON��] zii�,STAiE�ICENSE <br /> 1 IC�`�U�'TFII\^ ��c+71� i�t'T11E�L l,�{a�l S `� t1 F-2�� ��1111 ��-EK '\`1CC.`�>I�C,`��5� l <br /> � �� CECIIANIC01.CONTRAGTOH MAIL A�ORE55 GRV ZIP PHONE STATE LICENSE <br /> � � l/l-� <br /> �� aH <br /> � .� H P�UGiBINGCOFTFACTOR MAILADDRESS LIiY ZIP PHONE STATELICENSEA <br /> � y � ���.�a <br /> CONTHACT PRICE OF WORN <br /> y H �� , . r <br /> OLSCRIBE WORN�ND SOVARE FOOTAGE INVOLVEO LONTACT PERSON ANO PIIONE NO��C' <br /> H 71 ':)TQV<'-TU C . ��Ac ,vt�FI <br /> '�1H �J <br /> H z � (1\u���—�L�E-�\O i..> C,� ��lC�� ��t`/��'—f- . 23<<���1.1��1'�� . <br /> � y ty I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> � n �y rr,oaoseouseoFom��nic ,� APPLICATION AND KNOW THE SAIdE TO BE TRUE AND CORRECT.ALL <br /> H Cs1 C� 1�C_-.1-R-�L • PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> 'n� � lE[ALDESCRIPTIONOFPBOPEFTY(SHOWNBELOWOR�TiACNTWOCOPIES� WORK WILL dE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> .�y y � z �_V,E�E� i11�L�... NOT. THE GRANTING OP A PERMIT DOES NOT PRESUME TO GIVE <br /> a �.or e�ocK-- oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> � OTHER STATE OR LOCAL LAW REGULATING CONSTRUGTION OR THE <br /> t Hy �'�cr�2R A`� F-ECnP�r=1� 11n�i7C_R <br /> y PERFOFPdANCE OF CONSTRUC7ION.THAT I AM AUTHORIZED BY THE <br /> H ^� OWNER OF TNIS PROPERTY TO PERFORht THE WORK FOR 6VHICH <br /> n❑ d�" y �(�('L`l�C710.C�i-i 1(FC�Q�.�D� Ci}- ����'� �'�'���V� APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> 3' L�1 � rnace�*az�.a Nuuai�— CONTRACTORS LAW 18.27 RCW AYD 23 200 WAC. <br /> z+ �C,�oF� 1cU2c��l . <br /> yv, � /� <br /> 1-3 Q CD CONSTRUCTiON LO/N LEN ER.A��RE55.TELE4HONE NUMBER \ C �4� ( �,�/1`� �-,— <br /> \/\ � <br /> �' T.I �. . �.;��_ . � <br /> PROJEC ADDRESS l � s�c��10 " n��� <br /> = 1 "— � �— cuvnos t sucwsn.a <br /> 17_03 — �M r-l1C=GsTS d�1v��L ��`lf� { <br /> � � PLUMB!NG MECHANICAL <br /> � NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> I _ WATER CLOSET(TOILET)_ __ A'C—h�HNDLG UNITS—H.P. <br /> I-' BATHTUB _ FOaCED AIR S'lSTEMS—B.T.U. M E.A. <br /> � LAVATORY(WASH BASIN) UNIT HEAT[RS—B.T.U. M <br /> SHOWER CLOTHESDRVERS <br /> KITCHEN SINK 8 DISP VENTILATION FAN <br /> � RANGEHOOD <br /> � �-' DISHWASIIER <br /> LAUNDRYTRAY WATERHEATER <br /> CLOTHES WASHER WOODSTOVE <br /> URINAL METAL FIREPLACE(WOOD BURNING) <br /> `� DRINKING FOUNTAIN FIREPLACE INSERT <br /> � '� . F100R DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> fl00F DRAINS—RAINLEADERS EXHAUST FAN ' <br /> =� 1 SINK(SERVICE—BAR,E7C.) <br /> �� <br /> ��'� SUBTOTAL S SUBTOTAL S <br /> � PERMIT S PERMIT 5 <br /> TOTALFEE S TOTALFEE S —� <br /> FOR OFFICE USE ONLY: <br /> GRONTSETOACK AEARSETOAGK SIDESETDACN PLAN^HECHROfABEfi F[E RECEIPTNO <br /> - �ST�/�( _ yG�(�>i0 G��..3�✓ /�e��d� <br /> u<EZor+e �otnnen �ACANTSIiE FEES VALUATION FEE <br /> C_ �� G YES .� NO gui�oiNc 7 — __�' <br /> �— <br /> rvPEOFC@ISi. NO.OFSTOPIES otcuvnxtv r.JMUwnu•.cuxns <br /> enouo > pLUMBING <br /> h'b G/�Rt�� — <br /> SiZEOiBIDG. FIRESPFINKLERSREO'0 BASEMENT MECHANICAL <br /> G YES G NO <br /> OCCUPANCV LOA E AL�RM R[O-� HEiGNT li�diTAT10N ADOITIONAL PLAN CHECK <br /> OTHER <br /> REASON � <br /> STATE Ol11LDING SUFCHARGF � <br /> MiAKE[IV Pl�NS APPROVEO f1Y CITY OF EUERETT PUBLIC WOPKS <br /> JM LOC11L SALES <br /> ��,E �,� �-. TAX COOE IS 3105 �oTA� ���� I`JL% <br />