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APPLICATIa.�: FOF� CONSTI�UCII": )N RERNfIT �� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT ��`'� <br /> HEATING SYSTEM: U GAS J ELECTF�IC 'J ___—----- � <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING S�GN <br /> CITY ZiP PHOP.E <br /> 04YNF.F�V�'/�/l/A!✓ �'JC�'Cc1.lAllAD�RESS — <br /> /1�/U/J1E5�/�2 �3G�E�:S �i/3 d'� S�c .EI�E/l8T `/.Y�.'[,J' .�i.J�'J4�SJ <br /> .� �i H .er�nr+r�fEFF4T.tifc�i7 ""^��^oo�ess <br /> CIIY ZIP PHONE <br /> ro [qq � �A/'�'v �l1'7 .�u,rnllrl,t0 :Or�.er-.T `�J3ni <br /> 10 �J C9 �RCHIiECTORDE5IGNER MAILAOOFESS GItV ZIP PMONE <br /> C H <br /> S' H N -- <br /> � PHC�I[ STAtE LICENSE t <br /> �"� � � GENERALCONTPFCTOR M4RADOPE55 CIiY ZiP — <br /> y ~!] �L�Ji�iroNN a�Cscu 9y1��5 3,77-7GJJ <br /> k q �e, ...,. �-���`>lTr-x.. ,3C-�07-//3 J'.l. S'c <br /> y ^ GITY ZIP PNONE STpTELICENSEn <br /> O� � O� IAECHANIG�LCONTRACTOR MAILADDRE55 <br /> N H <br /> y [i Gi7Y Z�p p�IpNE STATELICENS[+ <br /> � O � FLUI.IpINGCONTFACTOR IdNLl�UDRESS <br /> H O <br /> O H <br /> H � O CLASSOFWOBK <br /> M • nn NEW ADDITION ALTERATION X REPAIR DEMOLITION WOODSTOVE/FRPL INSERT BUILDING RELOCATION <br /> � y � CnON�iACT PERSOti AIJ�PHONE NO <br /> N H CONTFACTPPICEOFWOFK \JVW ,— /�/L� ..�I�7NI✓ I7�//�✓.i��"�Z//�� ��/�7�,–,.' <br /> O N H DESCFIBEYIOFKFNOSCU�REFOOTAGEiNVOLVED <br /> f1 Cy N f-UC�n../�f1 r/c�.1/ <br /> � [[d l� p�pPp5EDU5EOF6UIL01NG i HERF�3Y CERTIFY THAT I HAVE FiEAD AND EXAMINED TH1,�, <br /> z y y APPLICATION AND KNOW THE SAME TO BE TFUE AND CORRECT.ALL <br /> y p m PROVISIONS Or LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> �ecn�oe5caianorvoFaaoaearv�sNowrvoe�owo�nnncHFouacoaiesi yyORK WILL 8E COMPLETED WITH WHETHER SPEGFIED HEREIN OR <br /> �or� �F % e�ocK � or pa dY.CG '=� - NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> � - - j OTHER STATE OR LOCAL LAW R[GULATING CONSTRUCTION OR THE <br /> I� ��U���p�� �'` �/� � � N � PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> — OWNER OF THIS PROPERTY TO PERFOFM THE WORK FOR WHICH <br /> /n/1CL .� � %N S�p/ui��m s �s �Uo•.� APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> ••,Ac H — �� <br /> �' , ,YL�""'�=� x<,11,,...��' ��, �z�.� -5;.t <br /> - / �!Pil <br /> . ..�.f.V�:L <br /> PROJELT�ODRE55 <br /> �II7 a�0i»/�/ /9C7 �Li� .�GL- - '/ �L cinuu<�.��_s=.��.uu;� •.�; <br /> i��o PLUMBING MECHANICAL <br /> � � ' NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUiPMENT FEE <br /> WATER CLOSET(TOILET) NC—A�HNDLG UNITS—H.P. <br /> BATHTUB FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> �I LAVATORY(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> �� CLOTHES DRVERS <br /> � ' SHOWER <br /> �� KITCHEN SINK&DISP VENTILATION FAN <br /> ' DISHWASHER RANGE HOOD ' <br /> ' LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> I fs,� METAL FIREPLACE&CHIMNEY <br /> URINAL <br /> DRINKING FOUNTAIN FIREPLACE INSEFT <br /> FLOOR DR�IN HEAT PUMP <br /> BACKFLOW PREVENTERS _ GAS PIPING <br /> o�► ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> SINK(SERVICE—BAR ET0.) <br /> � � — <br /> � <br /> �I ' SUB TOTAL 5 SUB TOTAL S <br /> � � PERMIT S PERMIT $ <br /> I �O I. � TOTAL FEE "a TOTAI FEE S <br /> �� _ <br /> FOR OFFICE USE ONLY: ' S�� <br /> RECEiPT NO <br /> FRONTSETUAGN RE�RS[iO�CK 510[SLtE3ACK PLANCH[CNNUlALEP FEE <br /> — � � s-�iJ v- 3 �, �o �/�i���' -; �'//� <br /> use2 �ornaea vaenr�tsire FEES VALUATION FEE <br /> �- �O� /l/0 �ui�owc 67�v 90 � vu <br /> iYPE0FC011i5.AlLQYlAP.IE iYPEOf 115T.ACiUAL ocavu.Lv iaoror,���:r,;u•.n; --- — <br /> rso�.;a � PLUb7�ING ' <br /> �7 i.c — I - � - � <br /> SIZEOFBLDG. NUOFSTORIES BASE6IENT h1ECHANICAL � � � <br /> �7JSI�L� J . . . <br /> OGCUPANGV LOAD FlRE SPPNNLEFS flEOD HEIGNt LP,IITATiON �DOITIONAL PLAN CHECK -�F �� '�U . <br /> � � I <br /> � /� N J SPRINKLER <br /> � I �, <br /> PLASONFORSPFINKlERS /l SIl , <br /> STAT[�UILDINGSUFiCHARGE 'y ' li ' �, <br /> WTANEBY PLANSAPPHOVE��Y CITYOFEVERETT PUBLICWORKS I <br /> ,J� IOCAL SALES /c' � 'I�v <br /> TAX CODEIS 3105 TOTAL <br /> ., o <br />